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. Author manuscript; available in PMC: 2018 Feb 18.
Published in final edited form as: Psychiatr Serv. 2016 Nov 15;68(4):345–352. doi: 10.1176/appi.ps.201600052

Table 3.

Description of Outcome Measures

Measure Number
of Items
Scoringa Cronbach’s
Alpha
Example Items
Knowledge and Attitudes Measure
Knowledge and Attitudesb 21 1=strongly agree to .78 It would be embarrassing to have a mental illness.
5=strongly disagree People with a mental illness tend to be violent and dangerous.
Behavior and Behavioral Intentions Measures
Stigma Awareness and Actiond 8 1=occurred in past .67 I heard people use slang terms about mental illness like “psycho,” “crazy,” or “looney,” to put people down.
2 weeks; 0=did not
Avoidance and Discomfortd 6 1=occurred in past .63 I avoided a person who said odd things and behaved in strange ways.
2 weeks; 0=did not
Social Distanceb 6 1=definitely no to .89
4=definitely yes
Social Distance Subscale (less acceptable forms)c 3 1=definitely no to .81 Would it be okay with you to work on a class project with someone with mental illness?
4=definitely yes
Social Distance Subscale (more acceptable forms)c 3 1=definitely no to .72 Would it be okay with you to have someone with mental illness as a neighbor?
4=definitely yes
Personal Help-Seeking Measure
Personal willingness to seek help 7 1=yes; 0=no .78 I would talk to my doctor if I were having a mental health problem.
Vignette-Based Measures
Beliefs about vignette characters & their mental health conditions 6 1=not at all likely to n/a: Analyzed as separate items Julia/David is in this situation because (s)he is just a bad person.
4=very likely
Julia/David is experiencing a mental illness.
Julia’s/David’s situation will improve with treatment.
Social distance from Vignette characters (combined overall score) 8 1=definitely no to .92 Would it be ok with you to live next door to Julia/David?
4=definitely yes
Vignette help-seeking recommendations 12 1=yes; 0=no .75 Should Julia/David talk to a doctor about her/his problem?
a

All scales are scored such that a higher score indicates more of the named construct.

b

Adapted from Wahl et al.42

c

The social distance scale was divided into more and less acceptable forms of contact based on pre- and post-test means on social distance items; we use the overall scale as our primary outcome measure.

d

Scales combine attitude/awareness and behavioral items.