title: Development and psychometric properties of the reported and intended behaviour scale (RIBS): a stigma-related behaviour measure.
abstract: BACKGROUND
  Although stigma in relation to mental health has been defined as including components of knowledge, attitudes and behaviour, no psychometrically tested instrument to assess behavioural discrimination at the population level has been developed. This paper presents details of the development and psychometric properties of the Reported and Intended Behaviour Scale (RIBS), an instrument based on the Star Social Distance Scale, to assess reported (past and current) and intended (future) behavioural discrimination among the general public against people with mental health problems.
  
  
  METHODS
  Three studies were carried out to evaluate psychometric properties of the RIBS (Study 1, n = 92; Study 2, n = 37; Study 3, n = 403). Adults aged 25-45 in socio-economic groups: B, C1 and C2 (middle-income groups) took part in development and testing of the RIBS.
  
  
  RESULTS
  Internal consistency and test-retest reliability is moderate/substantial. Strong consensus validity was found, as rated by service users/consumers and international experts in stigma research.
  
  
  CONCLUSIONS
  Use of a behavioural outcome may be important to evaluate the effectiveness of interventions intended to reduce stigma and/or discrimination related to mental illness. The RIBS was found to be a brief, feasible and psychometrically robust measure for assessing mental health-related reported and intended behavioural discrimination.
authors.affiliation: Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK. Sara.Evans-Lacko@kcl.ac.uk
authors.forename: S
authors.initials: S
authors.lastname: Evans-Lacko
authors.forename: D
authors.initials: D
authors.lastname: Rose
authors.forename: K
authors.initials: K
authors.lastname: Little
authors.forename: C
authors.initials: C
authors.lastname: Flach
authors.forename: D
authors.initials: D
authors.lastname: Rhydderch
authors.forename: C
authors.initials: C
authors.lastname: Henderson
authors.forename: G
authors.initials: G
authors.lastname: Thornicroft
mesh_terms: D000328:Adult; D017677:Age Distribution; D005260:Female; D006801:Humans; D033182:Intention; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008875:Middle Aged; D011287:Prejudice; D011594:Psychometrics; D015203:Reproducibility of Results; D012919:Social Behavior; D057545:Social Stigma; D013240:Stereotyping; D011795:Surveys and Questionnaires