Mental health literacy measures evaluating knowledge, attitudes and help-seeking: a scoping review
Open accessAbstract
BACKGROUND: Mental health literacy has received increasing attention as a useful strategy to promote early identification of mental disorders, reduce stigma and enhance help-seeking behaviors. However, despite the abundance of research on mental health literacy interventions, there is the absence of evaluations of current available mental health literacy measures and related psychometrics. We conducted a scoping review to bridge the gap. METHODS: We searched PubMed, PsycINFO, Embase, CINAHL, Cochrane Library, and ERIC for relevant studies. We only focused on quantitative studies and English publications, however, we didn't limit study participants, locations, or publication dates. We excluded non-English studies, and did not check the grey literature (non peer-reviewed publications or documents of any type) and therefore may have missed some eligible measures. RESULTS: We located 401 studies that include 69 knowledge measures (14 validated), 111 stigma measures (65 validated), and 35 help-seeking related measures (10 validated). Knowledge measures mainly investigated the ability of illness identification, and factual knowledge of mental disorders such as terminology, etiology, diagnosis, prognosis, and consequences. Stigma measures include those focused on stigma against mental illness or the mentally ill; self-stigma ; experienced stigma; and stigma against mental health treatment and help-seeking. Help-seeking measures included those of help-seeking attitudes, intentions to seek help, and actual help-seeking behaviors. CONCLUSIONS: Our review provides a compendium of available mental health literacy measures to facilitate applying existing measures or developing new measures. It also provides a solid database for future research on systematically assessing the quality of the included measures.
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The MHKQ is a measure of mental health knowledge consisting of 20 true and false questions and 5 vignettes, with response rates ranging from 19% to 94% and Cronbach alpha coefficients ranging from .57 to .73 in past research with Chinese samples.
“Mental health knowledge and literacy will be evaluated using the mental health knowledge questionnaire (MHKQ) [27].”
From Promoting the mental health of university students in China: Protocol for contextual assessment to inform intervention design and adaptation (2021) · cites this paper as [28]
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Experimental — accuracy not yet measuredStigma of mental illness is associated with delayed help seeking.
“The stigma associated with mental illness presents a barrier to seeking help for their mental health.”
From Promoting the mental health of university students in China: Protocol for contextual assessment to inform intervention design and adaptation (2021) · cites this paper as [13]
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- Authors
- Wei, Y., McGrath, P. J., Hayden, J., & Kutcher, S.
- Affiliations
- Dalhousie University (CA)
- Corresponding author
- Wei, Yifeng
- Venue
- BMC Psychiatry
- Published
- 2015-11-17
- Volume
- 15
- Issue
- 1
- Pages
- 291-291
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC4650294
- OpenAlex
- W2181127550
- Cited by
- 500
- References
- 192
- Citations by year
- 2026: 58 · 2025: 74 · 2024: 59 · 2023: 64 · 2022: 69 · 2021: 51 · 2020: 40 · 2019: 36 · 2018: 29 · 2017: 17 · 2016: 3
- FWCI
- 2.55
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (CA) (237816)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Education › Health Education and Validation
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Keywords
- mental health literacy, psychometric properties, mental illness knowledge, mental health stigma, help-seeking, help-seeking attitudes, self-stigma
- MeSH terms
- Adolescent, Adult, Mental Disorders, Child, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Mental Health, Middle Aged, Patient Acceptance of Health Care, Psychotherapy, Persons with Psychiatric Disorders, Intention, Young Adult, Health Literacy, Social Stigma
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