Psychometric properties of Persian version of depression literacy (D-Lit) questionnaire among general population

• Published in: International journal of mental health systems Vol. 16; no. 1; pp. 1 - 40
• Main Authors: Tehrani, Hadi, Nejatian, Mahbobeh, Moshki, Mahdi, Jafari, Alireza
• Format: Journal Article
• Language: English
• Published: London BioMed Central Ltd 12.08.2022; BioMed Central; BMC
• Subjects: Adaptation; Cognitive ability; Cronbach's alpha; Depression literacy (D-Lit); Depression, Mental; Evaluation; Factor analysis; Health education; Health facilities; Health literacy; Health services; Mental depression; Mental disorders; Mental Health; Mental health care; Mental health literacy; Mental health surveys; Psychologists; Quantitative psychology; Questionnaires; Reliability; Sample size; Software; Surveys; Validity; Iran
• ISSN: 1752-4458; 1752-4458
• DOI: 10.1186/s13033-022-00550-x

Background The prevalence of depression in society is increasing and there is a need for a suitable tool to assess the health literacy of people in this field. This study was conducted to evaluate the psychometric of the Iranian version of the depression literacy (D-Lit) questionnaire. Methods This cross-sectional study was conducted on 845 participants with a proportional stratified sampling method. First, the translation and cultural adaptation of questionnaire was performed. Then, the validity of D-Lit was assessed by face validity, content validity, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). The reliability of D-Lit was assessed by the Cronbach's alpha coefficient and McDonald omega coefficient. Results Based on the results of EFA, 5 factors emerged with eigenvalues of greater than 1, which accounted for 56.30% of the variance. Based on the results of CFA, one question was deleted and the results of goodness fit indexes confirmed the model. Cronbach's alpha coefficient and McDonald omega coefficient for D-Lit questionnaire were 0.890 and 0.891, respectively. Finally, D-Lit questionnaire with 21 questions and 5 subscales of Knowledge of the psychological symptoms (5 items), Knowledge about the effectiveness of available treatment methods (4 items), Knowledge about cognitive-behavioral symptoms (6 items), Knowledge about taking medications and their side effects (4 items), and Knowledge of the severity of the disease (2 items) were confirmed. Conclusion The results of this psychometric evaluation confirmed the Persian version of D-Lit questionnaire with 21 questions and 5 subscales is an appropriate tool for measuring people's literacy about depression. Keywords: Mental Health, Depression literacy (D-Lit), Mental health literacy, Reliability, Validity