The Undergraduate Engineering Mental Health Help-Seeking Instrument (UE-MH-HSI): Development and validity evidence

IF 3.9 2区工程技术 Q1 EDUCATION & EDUCATIONAL RESEARCH Journal of Engineering Education Pub Date : 2024-10-14 DOI:10.1002/jee.20615

Joseph H. Hammer, Courtney J. Wright, Melanie E. Miller, Sarah A. Wilson

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Abstract

Background

Undergraduate engineering students experiencing distress are less likely than peers to ask for professional help. A population-specific instrument to facilitate the identification of factors that influence mental healthcare utilization could guide development and testing of interventions to increase help seeking.

Purpose

We used mixed methods guided by the Integrated Behavioral Model (IBM) to develop and evaluate the Undergraduate Engineering Mental Health Help-Seeking Instrument (UE-MH-HSI).

Method

First, we adapted existing measures of mental health help-seeking intention and mechanisms (i.e., attitudes, perceived norm: injunctive, perceived norm: descriptive, personal agency: autonomy, personal agency: capacity). Second, we coded qualitative interviews (N = 33) to create population-specific mental health help-seeking belief measures (i.e., outcome beliefs, experiential beliefs, beliefs about others' expectations, beliefs about others' behavior, beliefs about barriers and facilitators). Third, we tested the psychometric properties using data from 596 undergraduate engineering students at a historically White, research-focused institution in southern United States.

Results

Psychometric analyses indicated that (1) help-seeking mechanism and intention measures demonstrated unidimensionality, internal consistency, construct replicability, and sufficient variability; (2) mechanism measures demonstrated criterion evidence of validity; and (3) most items within the belief measures demonstrated sufficient variability and convergent evidence of validity.

Conclusions

The UE-MH-HSI is an evidence-based tool for investigating mental health help-seeking factors and their relationship to help-seeking behavior, well-being, academic success, and engineering identity formation. Guidelines for use are provided.

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本科生工程学心理健康求助工具（UE-MH-HSI）：开发与有效性证据

背景工程学专业的本科生在遇到困难时寻求专业帮助的可能性低于同龄人。如果能有一个针对特定人群的工具来帮助识别影响心理保健利用率的因素，就能指导干预措施的开发和测试，从而提高求助率。目的我们采用综合行为模型（IBM）指导下的混合方法，开发并评估了本科生工程学心理健康求助工具（UE-MH-HSI）。方法首先，我们改编了现有的心理健康求助意向和机制测量方法（即态度、感知规范：强制性、感知规范：描述性、个人代理：自主性、个人代理：能力）。其次，我们对定性访谈（N = 33）进行了编码，以创建针对特定人群的心理健康求助信念测量指标（即结果信念、经验信念、对他人期望的信念、对他人行为的信念、对障碍和促进因素的信念）。第三，我们使用美国南部一所历史悠久、以研究为主的白人院校的 596 名工科本科生的数据，测试了心理测量特性。结果心理测量分析表明：(1) 求助机制和意向测量具有单维性、内部一致性、结构可复制性和足够的变异性；(2) 求助机制测量具有标准效度证据；(3) 求助意向测量中的大多数项目具有足够的变异性和收敛效度证据。结论 UE-MH-HSI 是一种以证据为基础的工具，可用于调查心理健康求助因素及其与求助行为、幸福感、学业成功和工程身份形成之间的关系。现提供使用指南。

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