title: Validity and reliability of the community-environmental index regarding daily living among the mental disorders in community: an assessment instrument based on community nursing activity.
abstract: The purpose of this study was to examine validity and reliability of a community-environmental assessment instrument analysing community-environmental conditions among the mental disorders in a community. Thirty-three factors were extracted from the data based on a nationwide investigation by the factor analysis. The principal component analysis was applied to these extracted factors, and the first principal component score (1PCS) was interpreted as a synthetic index regarding daily living of the mental disorders in the community. Then, validity and reliability of 1PCS were confirmed. The item analyses from a viewpoint of statistics processing were adopted. As a result, coefficient alpha of the reliability was calculated from the scores and variances, and its value was 0.96. Next, kappa statistic was calculated in order to confirm whether two indices derived from the 52-item and 33-item questionnaires had the correspondence of the actual conditions with 1PCS in regard to the population scale of the municipality. As a result, the kappa was 0.94. In this study, we proposed the 33-item questionnaire composed of 33 factors. This was called as the Morita's community-environmental index (MCEI). It was suggested that the MCEI was useful to assess community-environmental conditions regarding daily living of the mental disorders in the community.
authors: Faculty of Health Sciences, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan. mtakae@yamaguchi-u.ac.jp
authors: Takae
authors: T
authors: Morita
authors: Hideo
authors: H
authors: Yamazaki
authors: Soichi
authors: S
authors: Sakabe
authors: Jian-Guo
authors: JG
authors: Zhang
mesh_terms: D000203:Activities of Daily Living; D003152:Community Health Nursing; D006801:Humans; D001523:Mental Disorders / Q000503:physiopathology*; D015203:Reproducibility of Results; D012935:Social Justice