Evaluating Validity and Reliability of the Persian Version of "Mental Illness: Clinicians\' Attitudes " Scale among Final Year Medical and Nursing Students at Shiraz University of Medical Sciences

Introduction: "Mental Illness Clinicians' Attitudes" scale version 4 (MICA-4) measures stigma towards mental illness in a wide range of healthcare professionals. The present study aimed to determine the validity and reliability of the Persian translation of the questionnaire. Methods:...

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Main Authors: Hourvash Haghighinejad, Zahra Jowkar
Format: Article
Language:fas
Published: Guilan University of Medical Sciences 2025-05-01
Series:Pizhūhish dar Āmūzish-i ̒ulūm-i Pizishkī
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Online Access:http://rme.gums.ac.ir/article-1-1473-en.pdf
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author Hourvash Haghighinejad
Zahra Jowkar
author_facet Hourvash Haghighinejad
Zahra Jowkar
author_sort Hourvash Haghighinejad
collection DOAJ
description Introduction: "Mental Illness Clinicians' Attitudes" scale version 4 (MICA-4) measures stigma towards mental illness in a wide range of healthcare professionals. The present study aimed to determine the validity and reliability of the Persian translation of the questionnaire. Methods: This cross-sectional study was conducted on 300 medical and nursing students of Shiraz University of Medical Sciences. Four experts translated the studied questionnaire into Persian then into English using the forward-  backward translation method. These translations were compared with the original version by a reviewer, and minor corrections were made to the Persian version. Ten experts revised the Persian version to achieve an acceptable content validity index (CVI) and content validity ratio (CVR). Exploratory factor analysis was used to evaluate construct validity. Reliability was measured using Cronbach's alpha. Results: Findings indicated the content validity of the scale was acceptable. The correlation coefficients between the questions and the total score were more than 0.4, except for questions 3, 6, and 12 (P<0.001). The scaling success was 13 out of 16 (81.25%). Exploratory factor analysis showed that the five-factor structure was appropriate for the scale. The internal consistency of the scale was appropriate (Cronbach's ɑ=0.67), and by removing question 12, this value increased to 0.72. The item-total correlation for all items was estimated to be  > 0.2 in each subscale. Conclusion: The validity and reliability of the Persian version of the MICA-4 questionnaire were acceptable, and except for questions 6 and 12, the rest of the questions were suitable for measuring stigma. It is recommended that these two items be removed or revised according to the society's cultural and mental conditions.
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spelling doaj-art-548f731237144c9abfc4f553f7a64d532025-08-20T03:13:00ZfasGuilan University of Medical SciencesPizhūhish dar Āmūzish-i ̒ulūm-i Pizishkī2008-72842008-952X2025-05-011734758Evaluating Validity and Reliability of the Persian Version of "Mental Illness: Clinicians\' Attitudes " Scale among Final Year Medical and Nursing Students at Shiraz University of Medical SciencesHourvash Haghighinejad0Zahra Jowkar1 Family Medicine Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Family Medicine Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Introduction: "Mental Illness Clinicians' Attitudes" scale version 4 (MICA-4) measures stigma towards mental illness in a wide range of healthcare professionals. The present study aimed to determine the validity and reliability of the Persian translation of the questionnaire. Methods: This cross-sectional study was conducted on 300 medical and nursing students of Shiraz University of Medical Sciences. Four experts translated the studied questionnaire into Persian then into English using the forward-  backward translation method. These translations were compared with the original version by a reviewer, and minor corrections were made to the Persian version. Ten experts revised the Persian version to achieve an acceptable content validity index (CVI) and content validity ratio (CVR). Exploratory factor analysis was used to evaluate construct validity. Reliability was measured using Cronbach's alpha. Results: Findings indicated the content validity of the scale was acceptable. The correlation coefficients between the questions and the total score were more than 0.4, except for questions 3, 6, and 12 (P<0.001). The scaling success was 13 out of 16 (81.25%). Exploratory factor analysis showed that the five-factor structure was appropriate for the scale. The internal consistency of the scale was appropriate (Cronbach's ɑ=0.67), and by removing question 12, this value increased to 0.72. The item-total correlation for all items was estimated to be  > 0.2 in each subscale. Conclusion: The validity and reliability of the Persian version of the MICA-4 questionnaire were acceptable, and except for questions 6 and 12, the rest of the questions were suitable for measuring stigma. It is recommended that these two items be removed or revised according to the society's cultural and mental conditions.http://rme.gums.ac.ir/article-1-1473-en.pdfmental illnessmedical studentnursing studentstigma
spellingShingle Hourvash Haghighinejad
Zahra Jowkar
Evaluating Validity and Reliability of the Persian Version of "Mental Illness: Clinicians\' Attitudes " Scale among Final Year Medical and Nursing Students at Shiraz University of Medical Sciences
Pizhūhish dar Āmūzish-i ̒ulūm-i Pizishkī
mental illness
medical student
nursing student
stigma
title Evaluating Validity and Reliability of the Persian Version of "Mental Illness: Clinicians\' Attitudes " Scale among Final Year Medical and Nursing Students at Shiraz University of Medical Sciences
title_full Evaluating Validity and Reliability of the Persian Version of "Mental Illness: Clinicians\' Attitudes " Scale among Final Year Medical and Nursing Students at Shiraz University of Medical Sciences
title_fullStr Evaluating Validity and Reliability of the Persian Version of "Mental Illness: Clinicians\' Attitudes " Scale among Final Year Medical and Nursing Students at Shiraz University of Medical Sciences
title_full_unstemmed Evaluating Validity and Reliability of the Persian Version of "Mental Illness: Clinicians\' Attitudes " Scale among Final Year Medical and Nursing Students at Shiraz University of Medical Sciences
title_short Evaluating Validity and Reliability of the Persian Version of "Mental Illness: Clinicians\' Attitudes " Scale among Final Year Medical and Nursing Students at Shiraz University of Medical Sciences
title_sort evaluating validity and reliability of the persian version of mental illness clinicians attitudes scale among final year medical and nursing students at shiraz university of medical sciences
topic mental illness
medical student
nursing student
stigma
url http://rme.gums.ac.ir/article-1-1473-en.pdf
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