RNOtherRevista brasileira de enfermagem2025

Adaptation and content validity of the Brazilian version of the Mental Health Literacy questionnaire.

Wanderson Carneiro Moreira, Luísa Campos, Pedro Dias and 1 others

PMID 41370614

WHAT IT FOUND

A Brazilian Portuguese mental health literacy questionnaire for young adults was adapted, judged understandable, and takes 15 to 30 minutes.

It may be used by nurses to assess mental health literacy, but further testing is needed before scores can be trusted.

Key findings

01Experts judged the adapted questionnaire relevant and feasible: every item passed the 80% agreement standard, and the whole questionnaire passed the 90% standard.

02Pre-testing with 32 young adults found the questionnaire understandable, and response time varied from 15 to 30 minutes.

03The authors say the instrument still requires testing for reliability and validity of its dimensional structure.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The authors say the instrument still requires testing for reliability and validity of its dimensional structure. Data were collected during the COVID-19 pandemic, which the authors note may have increased awareness of mental health issues. Pre-testing was entirely virtual, and the authors note this may have excluded participants with low digital literacy, low education, or limited access to digital technologies. The pre-test included 32 young adults recruited through social networks, and the expert committee included 17 members.

Declared interests

The study was funded by Coordination for the Improvement of Higher Education Personnel - Brazil (CAPES), Financing Code 001. The supplied text does not report author conflicts of interest.

The easy way to misread this

Do not read this as evidence that the questionnaire improves mental health literacy or predicts outcomes. It tested whether experts and 32 young adults found the adapted items relevant, feasible and understandable. It did not test reliability or validity of the questionnaire's dimensional structure.

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