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Adaptation and testing of an assessment for mental health and alcohol use problems among conflict-affected adults in Ukraine

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dc.contributor.author Doty, S. Benjamin
dc.contributor.author Haroz, Emily
dc.contributor.author Singh, Namrita
dc.contributor.author Bogdanov, S.
dc.contributor.author Bass, Judith
dc.contributor.author Murray, Laura
dc.contributor.author Callaway, Karis
dc.contributor.author Bolton, Paul
dc.date.accessioned 2018-09-12T12:10:41Z
dc.date.available 2018-09-12T12:10:41Z
dc.date.issued 2018
dc.identifier.citation Adaptation and testing of an assessment for mental health and alcohol use problems among conflict-affected adults in Ukraine / S. Benjamin Doty, Emily E. Haroz, Namrita S. Singh, Sergiy Bogdanov, Judith K. Bass, Laura K. Murray, Karis L. Callaway and Paul A. Bolton // Conflict and Health. - 2018. - № 12. - P. 1-13. en_US
dc.identifier.uri http://ekmair.ukma.edu.ua/handle/123456789/13865
dc.identifier.uri https://doi.org/10.1186/s13031-018-0169-6
dc.description.abstract Background: In Ukraine, a large number of internally displaced persons (IDPs) and veterans experience social and psychological problems as a result of the ongoing conflict between Ukraine and Russia. Our purpose was to develop reliable and valid instruments to screen for common mental health and alcohol use problems in these populations. Methods: We used a three-step process of instrument adaptation and testing. The instrument - the Mental Health Assessment Inventory (MHAI) - combines adapted standard screeners with items derived locally in Ukraine. A validity study was conducted using a sample of 153 adults (54% male) ages 18 years and older. All participants in the sample were IDPs or veterans living in or near the major urban areas of Kyiv and Zaporizhia. Reliability testing (internal consistency, test-retest) and validity testing (construct, criterion) of the MHAI were conducted using classical test theory. After initial testing, we used Item Response Theory (IRT) to shorten and further refine the instrument. Results: The MHAI showed good internal consistency and test-retest reliability for the main outcomes: depression (α = 0.94; r = .84), post-traumatic stress (PTS; α = 0.97; r = 0.87), anxiety (α = 0.90; r = 0.80), and alcohol use (α = 0.86; r = 0.91). There was good evidence of convergent construct validity among the scales for depression, PTS, and anxiety, but not for alcohol use. Item Response Theory (IRT) analysis supported use of shortened versions of the scales for depression, PTS, and anxiety, as they retained comparable psychometric properties to the full scales of the MHAI. Conclusion: The findings support the reliability and validity of the assessment - the MHAI - for screening of common mental health problems among Ukrainian IDPs and veterans. Use of IRT shortened the instrument to improve practicality and potential sustainability. en_US
dc.language.iso en en_US
dc.subject Validity en_US
dc.subject Reliability en_US
dc.subject Internally displaced en_US
dc.subject Veteran en_US
dc.subject Ukraine en_US
dc.subject Depression en_US
dc.subject Post-traumatic stress en_US
dc.subject Anxiety en_US
dc.subject Alcohol en_US
dc.subject article en_US
dc.title Adaptation and testing of an assessment for mental health and alcohol use problems among conflict-affected adults in Ukraine en_US
dc.type Article en_US
dc.status first published en_US
dc.relation.source Conflict and Health en_US


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