Table 1.
Outcome | Survey measure | Response | Scoring | Psychometrics |
---|---|---|---|---|
Outcomes completed by both parents and adolescents | ||||
Social Distance [23] |
5 questions assessing desire for social distance from the person in the psychosis vignette. E.g. Would you be happy for your child / Would you be happy … to develop a close friendship with X? |
4-point Likert scale 1 = Yes definitely 2 = Yes, probably 3 = Probably not 4 = Definitely not |
Mean score of 5 questions, range 1–4. |
Parent ω = .90 Adolescent ω = .88 |
Stigma: Weak-not-sick [23] |
4 questions assessing that the person in the psychosis vignette is weak not sick. E.g. X could snap out of it if (he/she) wanted |
5-point Likert scale 1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree |
Mean score of 4 questions, range 1–5, dichotomized to low stigma (=1) or not (> 1). |
Parent ω = .81 Adolescent ω = .56 |
Stigma: Dangerous/Unpredictable [23] |
4 questions* assessing that the person in the psychosis vignette is dangerous or unpredictable. E.g. X’s problem makes (him/her) unpredictable |
5-point Likert scale 1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree |
Mean score of 4 questions, range 1–5. |
Parent ω = .46 Adolescent ω = .45 |
K6 psychological distress (12-month version) [24] | 6 questions assessing the frequency of psychological distress in the worst month during the past 12 months |
5-point Likert scale 1 = None of the time 2 = A little of the time 3 = Some of the time 4 = Most of the time 5 = All of the time |
Total scores of 19 or above indicate a high level of psychological distress |
Parent ω = .91 Adolescent ω = .93 |
Outcomes completed by parents only | ||||
Problem recognition |
What, if anything, do you think is wrong with X? Question in response to each of 4 vignettes: depression, social phobia, EDNOS, psychosis |
Verbatim responses were scored for correct/incorrect, blinded to group allocation and timepoint. |
1 point for correct recognition if the following were mentioned: Depression (depression, depressed), social phobia (anxiety/anxious, social anxiety, social phobia, anxiety disorder, performance anxiety), EDNOS (Eating disorder, EDNOS, bulimia/bulimic/bulimia nervosa/mia, binge eating/loss of control eating, binge eating disorder, anorexia/anorexia nervosa/anorexic/ana, disordered eating), psychosis (schizophrenia/paranoid schizophrenia, psychosis/psychotic, schizophrenic, schizoaffective disorder, precursor to schizophrenia). Mean score of 4 responses, range 0–1. |
ω = 0.82 |
Quality of MHFA intentions |
Imagine X is your child. You want to help (him/her). What would you do? Question in response to each of 4 vignettes: depression, social phobia, EDNOS, psychosis |
Verbatim responses were scored for consistency with the MHFA Action Plan in the Youth MHFA manual, [17] blinded to group allocation. | Mean score of 4 responses, range 0–12. |
Inter-rater reliability (ICC) for 4 vignettes ranged from 0.74–0.84. ω = 0.56 |
Confidence to help |
How confident would you be in your ability to help X? Question in response to each of 4 vignettes: depression, social phobia, EDNOS, psychosis |
4-point Likert scale 1 = Very confident 2 = Fairly confident 3 = Slightly confident 4 = Not confident at all |
Mean score of 4 responses, range 1–4. | ω = 0.84 |
Knowledge about youth mental health problems |
18 questions on knowledge about mental health problems, derived from the Youth MHFA manual [17]. E.g. If a teenager has a traumatic experience, it is best to make them talk about it as soon as possible |
Agree, Disagree, Don’t know | 1 point for a correct response to each question, range 0–18. | Test-retest r = 0.67 (PFA group) |
Quality of MHFA support towards other person | Over the last 12 months, has anyone else you know had any sort of mental health problem?...Have you done anything to help the person with this problem?...What did you do? | Verbatim responses were scored for consistency with the MHFA Action Plan, blinded to group allocation. | Scores range 0–12. | Inter-rater reliability ICC = 0.76 |
Appropriate help-seeking for mental health problem | Over the last 12 months, have you yourself had any sort of mental health problem?...Have you done anything to deal with this mental health problem?...What did you do? | Verbatim responses were scored for the presence of an appropriate source of help. | Scored a 1 if mentioned any of the following professionals or treatments: taking medication, antidepressant, anxiolytic, counselling, counsellor, GP, psychologist, psychiatrist, CBT, hospital, other medical (mental health practitioner or specialist, professional for alcohol misuse, maternal & child health nurse), professional organization (Centre Against Sexual Assault, Drummond Family Services). | |
Outcomes completed by adolescents only | ||||
Perceived general social support from parent [25] |
Communication subscale of Parent Attachment from the People in My Life Questionnaire (5 questions). E.g. My parents can tell when I am upset about something. |
4-point Likert scale 1 = Almost never or never true 2 = Sometimes true 3 = Often true 4 = Almost always or always true |
Scores range 5–20. | ω = 0.82 |
Intended help-seeking from parent |
If you had a problem right now like X would you ask for help?...Where would you go? Question in response to each of 4 vignettes: depression, social phobia, EDNOS, psychosis |
Verbatim responses. | Scored 1 point per vignette if mentioned seeking help from a parent. Sum score of 4 responses, range 0–4. | ω = 0.71 |
Actual help-seeking from parent | Over the last 12 months, have you had any sort of mental health problem?... Did you get help from family?... Who in the family? | Verbatim responses. | Scored a 1 if adolescent reported seeking help from either or both parents. | |
Help-seeking from a health professional | Over the last 12 months, have you had any sort of mental health problem?... Did you get help from a health professional or counsellor? | Verbatim responses. | Scored a 1 if adolescent responded with yes. |
Note: ω was calculated as Revelle’s omega total for total scores
*3 questions only for adolescents, see Yap et al. 2014 [23]