ผู้วิจัย/Authors: Apichai Mongkol

ชื่อเรื่อง/Title: The Development and Testing of a New Thai Mental Health Indicator (TMHI)

แหล่งที่มา/Source: The Development and Testing of a New Thai Mental Health Indicator (TMHI)

รายละเอียด / Details:

Objectives:‹br> 1) To examine the older mental-health evaluation instruments that were in use in Thailand and develop a new comprehensive and modern version that would be suitable for use throughout the country construct validity
2) to test this new instrument in a variety of settings in Thailand to determine normal ranges and content validity, construct validity
and 3) to dealt eith special situations, develop a condensed, or shorter, version of the instrument, and through appropriate testing ensure that the shorter and longer versions were compatible in their results (the agreement study).
Methods: The project was divided into 3 phases. In phase 1, content validity of the underdevelopment instrument was evaluated by testing an 80-item draft version in 5 regions throughout the country through 40 focus groups and 120 sets of questionnaires. In phase 2, the construct validity study, multi-stage sampling of the Thai population was performed , with 2,024 people selected and divided according to region, urban and rural residence, and economic status (rich, middle, poor). In phase 3, the norms for mental health in the Thai population as determined by this instrument were evaluated, using a new random sampling of 2]404 subjects. TMHI scores according to domain, sex, urban-rural, and region were also studied. Factor analysis, kappa statistic and Cronbach's alpha coefficient were used for statistical analysis.
Results: The new Thai Mental Health Indicator (TMHI) was successfully completed, with both full (54 items) and short (15 items) versions, with 4 domains (mental state, mental capacity, mental quality, supporting factors) and 15 sub-domains. The scores for the complete version were divided into 3 groups: good (118-162), fair (99-117), and poor mental health (<98). The comparable short version scores were also divided into 3 groups: good (35-45), fair (28-34) and poor (<27). The agreement study was also found between the long and short version TMHI was substantial agreement. (kappa statistics 0.63, p<0.001).
Conclusion: The TMHI is a reliable instrument for assesing the mental health of the Thai population. Both long and short versions are easy to use. Further research is needed to determine whether the TMHI can also be used as a screening test for clinical cases.

Keywords: Thai Mental Health Indicator, TMHI, tmhi, indicator, mental health, evaluation, Thailand, mental state, mental capacity, mental quality, supporting factors

ปีที่เผยแพร่/Year: 2004

Address: Department of Mental Health, Ministry of Public Health

Code: 100091

ISSN/ISBN: 974-92301-3-2

Country of publication: Thailand.

Language: English.

Category: Original Article.

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