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Year : 2017  |  Volume : 12  |  Issue : 1  |  Page : 45-50

Heterogeneous group discussion to improve reliability and validity of data tool: A global mental health assessment tool – Primary care version study

1 Department of Mental Health Nursing, SRMM College of Nursing, Wardha, Maharashtra, India
2 Department of Psychiatry, Dr D. Y. Patil Education Society (Deemed University), Kolhapur, Maharashtra, India
3 Department of Community Medicine, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India

Correspondence Address:
Vaishali D Tendolkar
Mental Health Nursing, SRMM College of Nursing, Sawangi (Meghe) Wardha, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdmimsu.jdmimsu_22_17

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Background: Mental illness constructs are not universal and are likely to be burdened with ethnocentric conceptualization. Different terminology is used to refer to the same aspects of the translation process, making it harder to achieve clarity. Heterogenous focus group discussion is particularly suited for obtaining several perspectives about the same topic. The benefits of heterogenous focus group discussion include gaining insights into people's shared understandings of a concept and the ways in which individuals are influenced by others in a group situation. Objectives: 1) To find out reliability of GMHAT/PC Marathi. 2. To assess the validity of the GMHAT/PC Marathi for the diagnosis of psychiatric illness. Research Design: cross sectional study Sample: Persons aged 15 yrs and above, reporting to psychiatry units. Sample size: 500. Material: Global Mental Health Assessment Tool – Primary care Marathi. Result: The Cronbach's alpha coefficient estimated to 0.854 with the reliability coefficient of r=0.921. The 'k' value is 0.744 which indicates that the tool has good diagnostic accuracy. The overall sensitivity of the tool was found to be 96.51% (CI = 94.21% to 98.08%) (Assumed sensitivity = 90%). The estimated specificity of the tool is 74.75% (CI =65.02% to 82.94%). Conclusion: GMHAT/PC -Marathi is a valid, quick and comprehensive assessment and diagnoses of mental disorders for Marathi speaking people. GMHAT/PC- Marathi in psychiatric settings appears to have very good sensitivity and specificity. The mean duration of the interview was around 13.4 minutes which makes it feasible for routine use in the outpatient departments.

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