Adolescent Mental Health Literacy Scale: Development and Validation in Two Countries Ergen Ruh Sağlığı Okuryazarlığı Ölçeği: Geliştirme ve İki Ülkede Doğrulama


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Türkoğlu Mutlu Z., YÜKSEL G.

Turkish Journal of Child and Adolescent Mental Health, cilt.31, sa.1, ss.84-90, 2024 (Scopus) identifier

Özet

Objectives: This research aims to develop and verify a measurement tool suitable for Turkish culture to measure the mental health literacy (MHL) of adolescents (12-17 years old). Materials and Methods: A four-stage process was conducted out by the researchers. The scale developed and validated in Northern Cyprus was also validated in Turkey and additional evidence was provided for the scale in terms of conformity with Turkish culture. The study group consisted of 994 secondary and high school stçudents aged 12-17 studying in Northern Cyprus in the 2021-2022 academic year, and a total of 495 secondary and high school students aged 12-17 studying in Turkey. Validity studies of the scale were conducted out using explanatory and confirmatory factor analysis. Within the scope of reliability, internal consistency and test-retest reliability were evaluated. Results: It was observed that the factor loads obtained as a result of the explanatory factor analysis of the scale ranged from 0.549 to 0.796, and this structure explained 51.8% of the total variance. The variance explained by the sub-factors of positive mental health, seeking help, recognizing warning signs and positive attitude were found to be 24.6%, 11.5%, 8.2 and 7.5, respectively. It was observed that the correlations for the sub-factors ranged from 0.18 to 0.35. Confirmatory factor analysis results also showed acceptable and good/excellent fit indices. The reliability coefficient for the whole scale is 0.80 in Northern Cyprus; it was calculated as 0.84 in Turkey. Conclusion: The findings show that the adolescent MHL scale is a valid and reliable measurement tool that can be used in future research, consisting of 18 items and four subscales: “positive mental health”, “help seeking”, “recognition of warning signs”, and “positive attitude”.