Psychometric properties of the Ndetei–Othieno–Kathuku (NOK) Scale: A mental health assessment tool for an African setting

Denckla, Christy A.; Ndetei, David M.; Mutiso, Victoria; Musyimi, Christine; Musau, Abednego; Nandoya, Eric S.; Anderson, Kelly K.; Milanović, Snežana; Henderson, David C.; McKenzie, Kwame

doi:10.2989/17280583.2017.1310729

Cited by 7 publications

(9 citation statements)

References 40 publications

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“…For example, arthritis and pains, the most common reported NCD (Fig. 3), largely camouflage the diagnoses of psychiatric disorders [41,42]. This existing health system relies heavily on task shifting that uses non-specialists health workers who are trained, supported and supervised with the option to refer complicated cases [43][44][45].…”

Section: Discussionmentioning

confidence: 99%

Using the WHO-AIMS to inform development of mental health systems: the case study of Makueni County, Kenya

Mutiso

Musyimi

Gitonga

et al. 2020

BMC Health Serv Res

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Background: In order to develop a context appropriate in mental health system, there is a need to document relevant existing resources and practices with a view of identifying existing gaps, challenges and opportunities at baseline for purposes of future monitoring and evaluation of emerging systems. The World Health Organization Assessments Instrument for Mental Health Systems (WHO-AIMS) was developed as a suitable tool for this purpose. Our overall objective of this study, around which research questions and specific aims were formulated, was to establish a baseline on mental health system as at the time of the study, at Makueni County in Kenya, using the WHO-AIMS. Methods: To achieve our overall objective, answer our research questions and achieve specific aims, we conducted a mixed methods approach in which we did an audit of DHIS records and county official records, and conducted qualitative interviews with the various officers to establish the fidelity of the data according to their views. The records data was processed via the prescribed WHO-Aims 2.2 excel spreadsheet while the qualitative data was analyzed thematically. This was guided by the six domains stipulated in the WHO AIMS. Results: We found that at the time point of the study, there were no operational governance, policy or administrative structures specific to mental health, despite recognition by the County Government of the importance of mental health. The identified interviewees and policy makers were cooperative and participatory in identifying the gaps, barriers and potential solutions to those barriers. The main barriers and gaps were human and financial resources and low prioritization of mental health in comparison to physical conditions. The solutions lay in bridging of the gaps and addressing the barriers. Conclusion: There is a need to address the identified gaps and barriers and follow up on solutions suggested at the time of the study, if a functional mental health system is to be achieved at Makueni County.

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Section: Discussionmentioning

confidence: 99%

Using the WHO-AIMS to inform development of mental health systems: the case study of Makueni County, Kenya

Mutiso

Musyimi

Gitonga

et al. 2020

BMC Health Serv Res

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“…Cronbach’s alpha was the most commonly analyzed psychometric property, reported by 77% (24/31) of adapted depression measurement scales (Ganguli et al, 1999 ; Tiburcio Sainz and Natera Rey, 2007 ; Bass et al, 2008 ; Campbell et al, 2008 ; Esler et al, 2008 ; Kaaya et al, 2008 ; Ekeroma et al, 2012 ; Gelaye et al, 2013 ; Armenta et al, 2014 ; Haroz et al, 2014 ; McNamara et al, 2014 ; Schneider et al, 2015 ; Bougie et al, 2016 ; Baron et al, 2017 ; Denckla et al, 2017 ; Haroz et al, 2017 ; Marley et al, 2017 ; Schantz et al, 2017 ; Gallis et al, 2018 ; Harry and Crea, 2018 ; Kilburn et al, 2018 ; Ashaba et al, 2019 ; Chapla et al, 2019 ; Hackett et al, 2019 ). High alpha values were reported by all but four of the studies; moderate alphas corresponded with the CES-D, HSCL, and FAI (Haroz et al, 2014 ; Schneider et al, 2015 ; Kilburn et al, 2018 ; Chapla et al, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

Safe and valid? A systematic review of the psychometric properties of culturally adapted depression scales for use among Indigenous populations

Yang,

Seon,

Gomez Cardona

et al. 2023

Camb. prisms Glob. ment. health

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Background Implementing culturally sensitive psychometric measures of depression may be an effective strategy to improve acceptance, response rate, and reliability of psychological assessment among Indigenous populations. However, the psychometric properties of depression scales after cultural adaptation remain unclear. Methods We screened the Ovid Medline, PubMed, Embase, Global Health, PsycInfo, and CINAHL databases through three levels of search terms: Depression, Psychometrics, and Indigenous, following the PRISMA guidelines. We assessed metrics for reliability (including Cronbach’s alpha), validity (including fit indices), and clinical utility (including predictive value). Results Across 31 studies included the review, 13 different depression scales were adapted through language or content modification. Sample populations included Indigenous from the Americas, Asia, Africa, and Oceania. Most cultural adaptations had strong psychometric properties; however, few and inconsistent properties were reported. Where available, alphas, inter-rater and test–retest reliability, construct validity, and incremental validity often indicated increased cultural sensitivity of adapted scales. There were mixed results for clinical utility, criterion validity, cross-cultural validity, sensitivity, specificity, area under the receiver operating characteristic curve, predictive value, and likelihood ratio. Conclusions Modifications to increase cultural relevance have the potential to improve fit and acceptance of a scale by the Indigenous population, however, these changes may decrease specificity and negative predictive value. There is an urgent need for suitable tools that are useful and reliable for identifying Indigenous individuals for clinical treatment of depression. This awaits future work for optimal specificity and validated cut-off points that take into account the high prevalence of depression in these populations.

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“…We identified 3,845 unique articles from the search (following de-duplication) and screened for their titles/abstracts in the first phase. Then, we identified 183 full texts and assessed for eligibility; of these, 37 articles met our inclusion criteria (Chapleski et al, 1997;Ganguli et al, 1999;Bowen and Muhajarine, 2006;Husain et al, 2006;Esler et al, 2007Esler et al, , 2008Tiburcio Sainz and Natera Rey, 2007;Bass et al, 2008;Campbell et al, 2008;Kaaya et al, 2008;Australian Institute of Health and Welfare, 2009;Fernandes et al, 2011;Mitchell and Beals, 2011;Ekeroma et al, 2012;Brown et al, 2013;Gelaye et al, 2013;Almeida et al, 2014;Armenta et al, 2014;Haroz et al, 2014Haroz et al, , 2017McNamara et al, 2014;Andersen et al, 2015;Sarkar et al, 2015;Schneider et al, 2015;Bougie et al, 2016;Hackett et al, 2016Hackett et al, , 2019Baron et al, 2017;Denckla et al, 2017;Marley et al, 2017;Schantz et al, 2017;Gallis et al, 2018;Harry and Crea, 2018;Kilburn et al, 2018;Ashaba et al, 2019;Chapla et al, 2019;Caneo et al, 2020). Finally, there were 3 cases where the same research team produced two manuscripts detailing adaptation processes; this yielded 34 original reports of cultural adaptation processes included in this ...…”

Section: Selection Of Sources Of Evidencementioning

confidence: 99%

The methods of improving cultural sensitivity of depression scales for use among global indigenous populations: a systematic scoping review

Gomez Cardona,

Yang,

Seon

et al. 2023

Camb. prisms Glob. ment. health

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Cultural adaptation of psychometric measures has become a process aimed at increasing acceptance, reliability, and validity among specific Indigenous populations. We present a systematic scoping review to: (1) identify the depression scales that have been culturally adapted for use among Indigenous populations worldwide, (2) globally report on the methods used in the cultural adaptation of those scales, and (3) describe the main features of those cultural adaptation methods. We included articles published from inception to April 2021, including 3 levels of search terms: Psychometrics, Indigenous, and Depression. The search was carried out in the Ovid Medline, PubMed, Embase, Global Health, PsycINFO, and CINAHL databases, following PRISMA guidelines. We identified 34 reports on processes of cultural adaptation that met the criteria. The scales were adapted for use among Indigenous populations from Africa, Australia, Asia, North America, and Latin America. The most common scales that underwent adaptation were the Patient Health Questionnaire (PHQ-9), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Edinburgh Postnatal Depression Scale (EPDS). Methods of adaptation involved a revision of the measures’ cultural appropriateness, standard/transcultural translation, revision of the administration process, and inclusion of visual supports. Culturally safe administration of scales was reported in some studies. To come to a consensus on most appropriate methods of improving cultural safety of psychometric measurement, most studies utilized qualitative methods or mixed methods to understand the specific community’s needs. Revision of linguistic equivalence and cultural relevance of content, culturally safe administration procedures, qualitative methods, and participatory research were key features of developing safe culturally adapted measures for depressive symptoms among Indigenous populations. While for comparability, uniform scales would be ideal as mental health evaluations, an understanding of the cultural impact of measurements and local depression expressions would benefit the process of developing culturally sensitive psychometric scales. PROSPERO registration ID: CRD42023391439.

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Psychometric properties of the Ndetei–Othieno–Kathuku (NOK) Scale: A mental health assessment tool for an African setting

Cited by 7 publications

References 40 publications

Using the WHO-AIMS to inform development of mental health systems: the case study of Makueni County, Kenya

Using the WHO-AIMS to inform development of mental health systems: the case study of Makueni County, Kenya

Safe and valid? A systematic review of the psychometric properties of culturally adapted depression scales for use among Indigenous populations

The methods of improving cultural sensitivity of depression scales for use among global indigenous populations: a systematic scoping review

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