Development and responsiveness of a scale to measure clinicians' attitudes to people with mental illness (medical student version)

Acta Psychiatr Scand. 2010 Aug;122(2):153-61. doi: 10.1111/j.1600-0447.2010.01562.x. Epub 2010 Apr 26.


Objective: We report the rationale, reliability, validity and responsiveness studies of the Mental Illness: Clinicians' Attitudes (MICA) Scale, a 16-item scale designed to measure attitudes of health care professionals towards people with mental illness.

Method: Items were generated through focus groups with service users, carers, medical students and trainee psychiatrists. Psychometric testing was completed in a number of student samples. The responsiveness of the scale was tested after a 1.5 h mental illness stigma related intervention with medical students.

Results: The MICA scale showed good internal consistency, alpha = 0.79. The test-retest reliability (concordance) was 0.80 (95% CI: 0.68-0.91). The standardised response mean for the scale was 0.4 (95% CI 0.02-0.8) after a mental illness related stigma intervention.

Conclusion: The MICA scale is a responsive, reliable and valid tool, which can be used in medical education and mental health promotion settings and studies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Career Choice
  • Curriculum
  • Dangerous Behavior
  • Female
  • Focus Groups
  • Humans
  • Male
  • Mentally Ill Persons / psychology*
  • Prejudice
  • Professional-Family Relations
  • Psychiatry / education
  • Psychological Distance
  • Psychometrics / statistics & numerical data
  • Reproducibility of Results
  • Students, Medical / psychology*
  • Surveys and Questionnaires*
  • United Kingdom
  • Young Adult