Psychometric evaluation of PHQ-9 and GAD-7 among community health volunteers and nurses/midwives in Kenya following a nation-wide telephonic survey.
Psychometric evaluation of PHQ-9 and GAD-7 among community health volunteers and nurses/midwives in Kenya following a nation-wide telephonic survey.
复制标题
DOI：
10.3389/fpsyt.2023.1123839
复制
发表时间：
2023
影响因子：
4.7
通讯作者：
Abubakar, Amina
中科院分区：
文献类型：
--
作者：
Odero, Sabina Adhiambo;Mwangi, Paul;Odhiambo, Rachel;Nzioka, Brenda Mumbua;Shumba, Constance;Ndirangu-Mugo, Eunice;Abubakar, Amina
护士/助产士和社区卫生志愿者（CHVs）暴露于慢性压力源，使他们处于发展心理健康问题的风险之中。COVID-19疫情令情况进一步恶化。卫生保健工作者心理健康问题负担的经验证据有限，部分原因是撒哈拉以南非洲卫生保健工作者缺乏适当的标准化和有效的措施。本研究旨在对肯尼亚47个县的护士/助产士和CHV进行PHQ-9和GAD-7的心理测量评估。于2021年6月至11月期间，我们透过电话访问对护士╱助产士及社区健康志愿者进行了一项有关心理健康及复原力的全国性调查。该调查的总样本量为1907名护士/助产士和2027名CHV。Cronbach的alpha和MacDonalds的omega被用来评估量表的内部一致性。采用验证性因素分析（CFA）对量表的单因素结构进行检验。应用多组CFA评估斯瓦希里语和英语版本以及男性和女性卫生工作者的量表的普遍性。采用斯皮尔曼相关分析评价工具的发散效度和收敛效度。PHQ-9和GAD-7的内部一致性良好，在所有研究样本中α和ω值均高于0.7。验证性因素分析结果表明，护士/助产士和CHVs的PHQ-9和GAD-7的单因素结构。多组验证性因素分析表明，两个量表在语言和性别上都是一维的。PHQ-9和GAD-7与知觉压力、倦怠和创伤后应激障碍呈正相关，表明聚合效度。PHQ-9和GAD-7与心理弹性和工作投入呈显著负相关，支持不同效度。PHQ-9和GAD-7是筛查护士/助产士和CHV中抑郁和焦虑的一维，可靠和有效的工具。这些工具可以在类似的人群或研究环境中使用斯瓦希里语或英语进行管理。
Nurses/midwives and Community Health Volunteers (CHVs) are exposed to chronic stressors putting them at risk of developing mental health problems. This has been exacerbated by the COVID-19 pandemic. There is limited empirical evidence of the burden of mental health problems among health care workers partly due to the lack of adequately standardized and validated measures for use among health care workers in Sub-Saharan Africa. This study aimed to perform the psychometric evaluation of the PHQ-9 and GAD-7 administered to nurses/midwives and CHVs across 47 counties in Kenya. Between June and November 2021, a national survey on mental well-being and resilience among nurses/midwives and CHVs was conducted via telephone interviews. The survey had a total sample size of 1907 nurses/midwives and 2027 CHVs. Cronbach’s alpha and MacDonalds’ omega were used to evaluate the scale’s internal consistency. Confirmatory Factor Analysis (CFA) was used to test the one-factor structure of the scales. Multi-group CFA was applied to evaluate the generalizability of the scales across the Swahili and English versions, and among male and female health workers. The Spearman correlation was used to assess the tools’ divergent and convergent validity. The internal consistency of PHQ-9 and GAD-7 was good, with alpha and omega values above 0.7 across study samples. CFA results indicated a one-factor structure of the PHQ-9 and GAD-7 for both nurses/midwives and CHVs. Multi-group CFA showed that both scales were unidimensional across both language and sex. The PHQ-9 and GAD-7 were positively correlated with perceived stress, burnout, and post-traumatic stress disorder, indicating convergent validity. The PHQ-9 and GAD-7 were significantly negatively correlated with resilience and work engagement, supporting divergent validity. The PHQ-9 and GAD-7 are unidimensional, reliable, and valid tools for screening depression and anxiety among nurses/midwives and CHVs. The tools can be administered in a similar population or study setting using either Swahili or English.
登录
查看更多内容
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
3.7
作者：
Binnie A;Moura K;Moura C;D'Aragon F;Tsang JLY
通讯作者：
Tsang JLY
影响因子：
3.7
作者：
Conti C;Fontanesi L;Lanzara R;Rosa I;Porcelli P
通讯作者：
Porcelli P
影响因子：
120.7
作者：
Bolton, P;Bass, J;Weissman, M
通讯作者：
Weissman, M
DOI：
10.1007/s10488-017-0815-0
发表时间：
2018-03
期刊：
Administration and policy in mental health
影响因子：
--
作者：
Barnett ML;Gonzalez A;Miranda J;Chavira DA;Lau AS
通讯作者：
Lau AS