Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approach

Cultural factors play a significant role in shaping the perception of coercion during psychiatric admissions. The present study aimed to assess the psychometric properties of the Portuguese Admission Experience Survey(P-AES).The study employed a cross-sectional approach in five psychiatric departmen...

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Main Authors: Deborah Oyine Aluh, Sofia Azeredo-Lopes, Barbara Pedrosa, Manuela Silva, Ugnė Grigaitė, Ana Rita Martins, Maria Ferreira de Almeida Mousinho, Graça Cardoso, José Miguel Caldas-de-Almeida
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024001452
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author Deborah Oyine Aluh
Sofia Azeredo-Lopes
Barbara Pedrosa
Manuela Silva
Ugnė Grigaitė
Ana Rita Martins
Maria Ferreira de Almeida Mousinho
Graça Cardoso
José Miguel Caldas-de-Almeida
author_facet Deborah Oyine Aluh
Sofia Azeredo-Lopes
Barbara Pedrosa
Manuela Silva
Ugnė Grigaitė
Ana Rita Martins
Maria Ferreira de Almeida Mousinho
Graça Cardoso
José Miguel Caldas-de-Almeida
author_sort Deborah Oyine Aluh
collection DOAJ
description Cultural factors play a significant role in shaping the perception of coercion during psychiatric admissions. The present study aimed to assess the psychometric properties of the Portuguese Admission Experience Survey(P-AES).The study employed a cross-sectional approach in five psychiatric departments in three regions of Portugal. A total of 208 patients participated in the survey. Reliability was assessed through internal consistency and test-retest procedures. Internal validity was analyzed using a two-parameter logistic item response model, exploring three models, including a bifactor model. Convergent validity was determined by correlating AES scores with the Coercion Ladder (CL), Client Assessment of Satisfaction (CAT), and Global Assessment of Functioning (GAF) scale. Discriminatory power was assessed by comparing scores between patients with voluntary and involuntary admission status.The P-AES demonstrated satisfactory internal consistency and test-retest reliability. The bifactor model exhibited superior fit compared to the one-factor and three-factor models. Correlations between P-AES and CL, as well as CAT scores, indicated good convergent validity. Additionally, P-AES scores were notably higher in patients with compulsory psychiatric hospital admission compared to those admitted voluntarily, confirming its discriminatory power.The bifactor model suggests that all three domains of the AES should be used to measure the subjective experience of coercion.
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spelling doaj.art-6cc4faf7409f48b09e14a9a4d5c2a3da2024-02-03T06:36:15ZengElsevierHeliyon2405-84402024-01-01102e24114Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approachDeborah Oyine Aluh0Sofia Azeredo-Lopes1Barbara Pedrosa2Manuela Silva3Ugnė Grigaitė4Ana Rita Martins5Maria Ferreira de Almeida Mousinho6Graça Cardoso7José Miguel Caldas-de-Almeida8Lisbon Institute of Global Mental Health, Lisbon, Portugal; Comprehensive Health Research Centre (chrc), NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal; Department of Clinical Pharmacy and Pharmacy Management, University of Nigeria Nsukka, Nigeria; Corresponding author. Lisbon Institute of Global Mental Health Comprehensive Health Research Centre (CHRC) NOVA Medical School, Universidade Nova de Lisboa Rua do Instituto Bacteriológico nº5, 1150-082 Lisboa, Portugal.Comprehensive Health Research Centre (chrc), NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal; Department of Statistics and Operational Research, Faculdade de Ciências, Universidade de Lisboa, PortugalLisbon Institute of Global Mental Health, Lisbon, Portugal; Comprehensive Health Research Centre (chrc), NOVA Medical School, NOVA University of Lisbon, Lisbon, PortugalLisbon Institute of Global Mental Health, Lisbon, Portugal; Comprehensive Health Research Centre (chrc), NOVA Medical School, NOVA University of Lisbon, Lisbon, PortugalLisbon Institute of Global Mental Health, Lisbon, Portugal; Comprehensive Health Research Centre (chrc), NOVA Medical School, NOVA University of Lisbon, Lisbon, PortugalCentro Hospitalar De Vila Nova De Gaia/Espinho, E.P.E.| V. N. Gaia/Espinho Hospital Centre, PortugalDepartment of Mental Health Unidade Local de Saúde do Baixo Alentejo, Beja, PortugalLisbon Institute of Global Mental Health, Lisbon, Portugal; Comprehensive Health Research Centre (chrc), NOVA Medical School, NOVA University of Lisbon, Lisbon, PortugalLisbon Institute of Global Mental Health, Lisbon, Portugal; Comprehensive Health Research Centre (chrc), NOVA Medical School, NOVA University of Lisbon, Lisbon, PortugalCultural factors play a significant role in shaping the perception of coercion during psychiatric admissions. The present study aimed to assess the psychometric properties of the Portuguese Admission Experience Survey(P-AES).The study employed a cross-sectional approach in five psychiatric departments in three regions of Portugal. A total of 208 patients participated in the survey. Reliability was assessed through internal consistency and test-retest procedures. Internal validity was analyzed using a two-parameter logistic item response model, exploring three models, including a bifactor model. Convergent validity was determined by correlating AES scores with the Coercion Ladder (CL), Client Assessment of Satisfaction (CAT), and Global Assessment of Functioning (GAF) scale. Discriminatory power was assessed by comparing scores between patients with voluntary and involuntary admission status.The P-AES demonstrated satisfactory internal consistency and test-retest reliability. The bifactor model exhibited superior fit compared to the one-factor and three-factor models. Correlations between P-AES and CL, as well as CAT scores, indicated good convergent validity. Additionally, P-AES scores were notably higher in patients with compulsory psychiatric hospital admission compared to those admitted voluntarily, confirming its discriminatory power.The bifactor model suggests that all three domains of the AES should be used to measure the subjective experience of coercion.http://www.sciencedirect.com/science/article/pii/S2405844024001452McArthur admission experience surveyPerceived coercionPsychometricValidationPortugueseBifactor model
spellingShingle Deborah Oyine Aluh
Sofia Azeredo-Lopes
Barbara Pedrosa
Manuela Silva
Ugnė Grigaitė
Ana Rita Martins
Maria Ferreira de Almeida Mousinho
Graça Cardoso
José Miguel Caldas-de-Almeida
Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approach
Heliyon
McArthur admission experience survey
Perceived coercion
Psychometric
Validation
Portuguese
Bifactor model
title Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approach
title_full Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approach
title_fullStr Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approach
title_full_unstemmed Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approach
title_short Revisiting the psychometric properties of the McArthur admission experience survey: Validating the Portuguese version using a bifactor approach
title_sort revisiting the psychometric properties of the mcarthur admission experience survey validating the portuguese version using a bifactor approach
topic McArthur admission experience survey
Perceived coercion
Psychometric
Validation
Portuguese
Bifactor model
url http://www.sciencedirect.com/science/article/pii/S2405844024001452
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