ArticleGlobal health action2014
Reliability and validity of a Mental Health System Responsiveness Questionnaire in Iran.
Article in Global health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Health systems responsiveness in low and middle-income countries (L&MICs): revisiting its scope.BMJ open quality · 2025Article
- Psychometric Evaluation of the Chinese Version of the Mental Health System Responsiveness Questionnaire for Psychiatric Outpatients: Classical Test Theory and Item Response Theory Approaches.Patient preference and adherence · 2025Article
- Patient-reported experience measures for people living with dementia: A scoping review.Dementia (London, England) · 2024Article
- Rethinking Health Systems Responsiveness in Low- and Middle-Income Countries: Validation Study.JMIR research protocols · 2024Article
- Health System Responsiveness for Persons with HIV and Disability in South Western Uganda.HIV/AIDS (Auckland, N.Z.) · 2023Article
- Measuring the quality of mental health services from the patient perspective in China: psychometric evaluation of the Chinese version of the World Health Organization responsiveness performance questionnaire.Global health action · 2022Article
- Patients' and family members' experiences of psychiatric inpatient services in China: a comparison based on a dyadic design.Social psychiatry and psychiatric epidemiology · 2022Article
- Prevalence and Predictors of Mental Health Disorder Among the Adolescent Living in the Slums of Lucknow, India: A Cross-Sectional Study.Community mental health journal · 2020Article
- Measuring the Patient Experience of Mental Health Care: A Systematic and Critical Review of Patient-Reported Experience Measures.Patient preference and adherence · 2020Review
- Measuring health system responsiveness at facility level in Ethiopia: performance, correlates and implications.BMC health services research · 2017Article
- Measuring the Mental Health-Care System Responsiveness: Results of an Outpatient Survey in Tehran.Frontiers in public health · 2015Article
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Authors and funding
6 authors.
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Abstract
backgroundThe Health System Responsiveness Questionnaire is an instrument designed by the World Health Organization (WHO) in 2000 to assess the experience of patients when interacting with the health care system. This investigation aimed to adapt a Mental Health System Responsiveness Questionnaire (MHSRQ) based on the WHO concept and evaluate its validity and reliability to the mental health care system in Iran.
designIn accordance with the WHO health system responsiveness questionnaire and the findings of a qualitative study, a Farsi version of the MHSRQ was tailored to suit the mental health system in Iran. This version was tested in a cross-sectional study at nine public mental health clinics in Tehran. A sample of 500 mental health services patients was recruited and subsequently completed the questionnaire. Item missing rate was used to check the feasibility while the reliability of the scale was determined by assessing the Cronbach's alpha and item total correlations. The factor structure of the questionnaire was investigated by performing confirmatory factor analysis (CFA).
resultsThe results showed a satisfactory feasibility since the item missing value was lower than 5.2%. With the exception of access domain, reliability of different domains of the questionnaire was within a desirable range. The factor loading showed an acceptable unidimentionality of the scale despite the fact that three items related to access did not perform well. The CFA also indicated good fit indices for the model (CFI=0.99, GFI=0.97, IFI=0.99, AGFI=0.97).
conclusionsIn general, the findings suggest that the Farsi version of the MHSRQ is a feasible, reliable, and valid measure of the mental health system responsiveness in Iran. Changes to the questions related to the access domain should be considered in order to improve the psychometric properties of the measure.
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