Ruhsal Hastalıklara Karşı Klinisyen Tutum Ölçeği 4. Versiyonu Türkçe Formunun Geçerlilik ve Güvenilirlik Çalışması

Öz

Amaç: Bu çalışmanın amacı Ruhsal Hastalıklara Karşı Klinisyen Tutum Ölçeği 4. Uyarlaması’nın (RUKTÖ-v4) Türkçe’ye uyarlanması ve geçerlik ve güvenirlik çalışmasının yapılmasıdır. Yöntem: RUKTÖ-v4 Türkçe formu tıp fakültesi öğrencileri, hemşireler ve hekimlerden oluşan 249 katılımcıya ulaştırıldı ve yanıtlar kapalı zarf içinde alındı. Ölçeğin yapı geçerliğinin değerlendirilmesi için açımlayıcı ve doğrulayıcı faktör analizleri (AFA ve DFA) uygulandı. Güvenirliğin gösterilmesi için Cronbach alfa iç tutarlılık katsayıları hesaplandı. Ölçüt bağımlı geçerliğin değerlendirilmesi için Ruhsal Hastalığa Yönelik İnançlar Ölçeği (RHYİÖ) kullanıldı. Bulgular: Yapılan AFA ile toplam varyansın %53,88’ini açıklayan üç faktörlü çözüm elde edildi. Alt ölçekler RUKTÖ-Bakım (sağlık/sosyal bakım alanı ve ruhsal hastalıklar hakkında görüşler), RUKTÖ-Kalıp Yargı (ruhsal hastalıklar hakkında kalıp yargı) ve RUKTÖ-Sosyal mesafe (ruhsal hastalığı olan bireylerle sosyal mesafe) olarak isimlendirildi. Madde faktör yükleri 0,469-0,852 arasında değişiyordu. DFA ile hesaplanan model uyum indeksleri kabul edilir düzeydeydi. Ölçeğin Cronbach alfa iç tutarlılık katsayısı 0,774 bulundu. RHYİÖ ölçek puanları ile korelasyonlar anlamlı düzeydeydi. Sonuç: Çalışmanın bulguları RUKTÖ-v4 Türkçe formunun geçerli ve güvenilir olduğunu göstermiştir. Sağlık çalışanları ve Tıp Fakültesi öğrencilerinde ruhsal hastalıklara yönelik damgalanma konusunda ülkemizde yapılacak çalışmalar için kullanışlı bir ölçek olduğu düşünüldü.

Anahtar Kelimeler

• Ruhsal hastalıklar
• damgalama
• sağlık çalışanları
• geçerlilik
• güvenilirlik

Validity and Reliability Study of the Turkish Form of the 4th Version of the Mental Illness: Clinicians' Attitudes (MICA) Scale

Abstract

Objective: The purpose of this study is to adapt the Mental Illness: Clinician Attitude scale version 4 (MICA-v4) into Turkish, conduct validity and reliability study. Method: The Turkish version of MICA-v4 was administered to 249 healthcare workers, including medical students, nurses, and physicians, and responses were collected in sealed envelopes. Exploratory and confirmatory factor analyses (EFA and CFA) were employed to assess the structural validity of the scale. Cronbach's alpha coefficients were calculated to demonstrate reliability. The Beliefs Toward Mental Illness scale (BTMI) was used to assess criterion-related validity. Results: EFA yielded a three-factor solution explaining 53.88% of the total variance. Subscales were named MICA-Care (attitudes towards health/social care and views on mental illnesses), MICA-Stereotypes (stereotypes about mental illnesses), and MICA-Social interaction (social interactions with individuals with mental illnesses). Item factor loadings ranged from 0.469 to 0.852. Model fit indices calculated through CFA were at an acceptable level. The scale demonstrated good internal consistency with a Cronbach's alpha coefficient of 0.774. Significant correlations were observed between MICA scores and BTMI scale scores. Conclusion: The findings of the study indicate that the Turkish version of MICA-v4 is valid and reliable. It is considered a useful tool for studies addressing stigma towards mental illnesses among healthcare workers in Türkiye.

Keywords

• Mental illnesses
• stigma
• healthcare workers
• validity
• reliability

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