Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (ASR-MH-COVID19) - Development and validation

Introduction The COVID-19 crisis has generated an increasing stress throughout the population. Objectives To develop and validate the Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (GDH) (ASR-MH-COVID19). Met...

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Main Authors: A.T. Pereira, C. Cabacos, S. Soares, M.J. Pacheco, A. Manão, A. Araújo, A.P. Amaral, R. Sousa, A. Macedo
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
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Online Access:https://www.cambridge.org/core/product/identifier/S0924933822006794/type/journal_article
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author A.T. Pereira
C. Cabacos
S. Soares
M.J. Pacheco
A. Manão
A. Araújo
A.P. Amaral
R. Sousa
A. Macedo
author_facet A.T. Pereira
C. Cabacos
S. Soares
M.J. Pacheco
A. Manão
A. Araújo
A.P. Amaral
R. Sousa
A. Macedo
author_sort A.T. Pereira
collection DOAJ
description Introduction The COVID-19 crisis has generated an increasing stress throughout the population. Objectives To develop and validate the Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (GDH) (ASR-MH-COVID19). Methods The items content was based on the GDH guides for the prevention of mental health and psychosocial well-being of the general population during the COVID-19 outbreak. After content and facial validity analysis, the preliminary version of the ASR-MH-COVID19 (8 items to be answered on a Likert scale) was completed by 413 individuals (69.2% female; mean age=31.02±14,272), in September-December 2020 (Sample1) and then by 967 (70.9% female; mean age=34.02±14,272), in February-May 2021 (Sample2). Sample1 was randomly divided in two sub-samples. Sample1A was used for exploratory factor analysis/EFA and Sample1B for confirmatory factor analysis/CFA; CFA was then replicated with Sample2. The online surveys also included the Adherence Scale to the Recommendations of Portuguese GDH to minimize the impact of COVID-19 (ASR-COVID-19; Pereira et al. 2020). Results CFAs were informed by EFA and showed that the unidimensional model presented acceptable-good fit indexes (Sample1B: χ2/df=2.747; RMSEA=.0980, p<.001; CFI=.973; TLI=.918, GFI=.972; Sample2: χ2/df=3.327; RMSEA=.0490, p<.001; CFI=.993; TLI=.983, GFI=.990). Cronbach’s alfas were α<.850. Pearson correlations between ASR-MH-COVID19 and ASR-COVID19 were significant (p<.01) and moderate-high for the total (r=.753) and dimensional scores (Distance and respiratory hygiene, r=.739; House and personal hygiene, r=.584; Use of remote services and isolation r=.425). Conclusions The new ASR-MH-COVID19 has shown validity and reliability, allowing the investigation of this (mental) health behaviour. Disclosure No significant relationships.
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spelling doaj.art-3baddf6b446742adaa6da2119c74b1592023-11-17T05:09:14ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S265S26510.1192/j.eurpsy.2022.679Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (ASR-MH-COVID19) - Development and validationA.T. Pereira0C. Cabacos1S. Soares2M.J. Pacheco3A. Manão4A. Araújo5A.P. Amaral6R. Sousa7A. Macedo8Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal Coimbra Institute for Biomedical Imaging and Translational Research, -, Coimbra, PortugalFaculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal Centro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, PortugalFaculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, PortugalFaculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, PortugalFaculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, PortugalFaculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal Coimbra Institute for Biomedical Imaging and Translational Research, -, Coimbra, Portugal Centro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, PortugalInstitute Polytechnic, Coimbra Health School, Coimbra, Portugal, Coimbra, PortugalFernão de Magalhães Health Center, Ars Centro, Coimbra, PortugalFaculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal Coimbra Institute for Biomedical Imaging and Translational Research, -, Coimbra, Portugal Centro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, Portugal Introduction The COVID-19 crisis has generated an increasing stress throughout the population. Objectives To develop and validate the Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (GDH) (ASR-MH-COVID19). Methods The items content was based on the GDH guides for the prevention of mental health and psychosocial well-being of the general population during the COVID-19 outbreak. After content and facial validity analysis, the preliminary version of the ASR-MH-COVID19 (8 items to be answered on a Likert scale) was completed by 413 individuals (69.2% female; mean age=31.02±14,272), in September-December 2020 (Sample1) and then by 967 (70.9% female; mean age=34.02±14,272), in February-May 2021 (Sample2). Sample1 was randomly divided in two sub-samples. Sample1A was used for exploratory factor analysis/EFA and Sample1B for confirmatory factor analysis/CFA; CFA was then replicated with Sample2. The online surveys also included the Adherence Scale to the Recommendations of Portuguese GDH to minimize the impact of COVID-19 (ASR-COVID-19; Pereira et al. 2020). Results CFAs were informed by EFA and showed that the unidimensional model presented acceptable-good fit indexes (Sample1B: χ2/df=2.747; RMSEA=.0980, p<.001; CFI=.973; TLI=.918, GFI=.972; Sample2: χ2/df=3.327; RMSEA=.0490, p<.001; CFI=.993; TLI=.983, GFI=.990). Cronbach’s alfas were α<.850. Pearson correlations between ASR-MH-COVID19 and ASR-COVID19 were significant (p<.01) and moderate-high for the total (r=.753) and dimensional scores (Distance and respiratory hygiene, r=.739; House and personal hygiene, r=.584; Use of remote services and isolation r=.425). Conclusions The new ASR-MH-COVID19 has shown validity and reliability, allowing the investigation of this (mental) health behaviour. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822006794/type/journal_articleCovid-19Adherence Scale to the Recommendations for Mental Health during the COVID-19
spellingShingle A.T. Pereira
C. Cabacos
S. Soares
M.J. Pacheco
A. Manão
A. Araújo
A.P. Amaral
R. Sousa
A. Macedo
Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (ASR-MH-COVID19) - Development and validation
European Psychiatry
Covid-19
Adherence Scale to the Recommendations for Mental Health during the COVID-19
title Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (ASR-MH-COVID19) - Development and validation
title_full Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (ASR-MH-COVID19) - Development and validation
title_fullStr Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (ASR-MH-COVID19) - Development and validation
title_full_unstemmed Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (ASR-MH-COVID19) - Development and validation
title_short Adherence Scale to the Recommendations for Mental Health during the COVID-19 pandemic from the Portuguese General Directorate of Health (ASR-MH-COVID19) - Development and validation
title_sort adherence scale to the recommendations for mental health during the covid 19 pandemic from the portuguese general directorate of health asr mh covid19 development and validation
topic Covid-19
Adherence Scale to the Recommendations for Mental Health during the COVID-19
url https://www.cambridge.org/core/product/identifier/S0924933822006794/type/journal_article
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