| Development and internal validation sample | External validation sample | ||
---|---|---|---|---|
Study 1 (n = 404) | Study 2 (n = 360) | Study 3 (n = 286) | Study 4 (n = 1925) | |
Brief description | Study of PMH in the general population sample | Assessment of level of PMH in patients with psychiatric conditions | Assessment of level of PMH in informal caregivers of older adults | Representative general population survey of health and lifestyle behaviours |
Study period | Dec 2010 - Feb 2011 | Jan 2014 - Jun 2015 | Jan 2015 - Apr 2016 | Apr 2014 - Mar 2015 |
Ethical aspects | Study was approved by the Institutional Ethics Committee. Return of questionnaires was considered as implied consent. | Study was approved by the Institutional Ethics Committee. Written informed consent was obtained from all participants | Study was approved by the Institutional Ethics Committee. Written informed consent was obtained from all participants. | Study was approved by the Institutional Ethics Committee. Written informed consent was obtained from all participants and legal representatives of those aged < 21 y |
Study sample | Singapore residents aged 21–65 years of Chinese, Malay or Indian ethnicity | Singapore residents aged 21–65 years of Chinese, Malay or Indian ethnicity | Singapore residents aged 21–65 years of Chinese, Malay or Indian ethnicity | Singapore residents aged 18–79 years of all ethnic groups |
Sampling | Convenience, quota sampling through household visits and street intercepts | Convenience sampling through referrals from clinicians | Convenience sampling of caregivers of community-based older adults and older mental health service users | Representative general population sample, probability sampling |
Data/ Measures | Sociodemographic information (age, gender, ethnicity, marital status, education level) PMHI (47 items) | Sociodemographic information (age, gender, ethnicity, marital status, education level) PMHI (47 items) EQ-5D-5 L, K6 distress scale | ||
Analyses conducted in the current study | Random split-half sampling Item reduction using Partial Credit Rasch analysis Confirmatory factor analysis IRT-DIF by age, gender and ethnicity Internal consistency reliability | Confirmatory factor analysis Internal consistency reliability Agreement with original measure (intraclass correlation coefficient) Concurrent validity Floor and ceiling effect R-PMHI score estimates and socio-demographic correlates |