Questionnaire For Needs Of Family Mental Health Service:Development And Application

Background:In order to achieve the goal of a well-off society in an all-round way,it is necessary to improve the living standard of the whole nation,including material life and spiritual life,that is,physical and mental health needs.And the way of universal service is to start with the promotion of family health in the community at the grass-roots level,in order to be fully and effectively launched.First of all,it is important to understand the current situation and level of services for the people’s mental health needs in the family,and to this end,it is necessary to have scientific and effective evaluation tools and scales in order to provide scientific tools for precision services.Objective:Based on the theory of need and the family as the research object,this paper studies the content and dimension of the family mental health service needs of the residents from the perspective of individual health awareness,and carries on the reliability and validity test.Methods:Using Alderfer’s ERG theory,Maslow’s theory of hierarchy of needs and Marx’s theory of needs as the theoretical basis of questionnaire construction,combined with literature review and open interview,expert review and other methods and steps,the Chinese“the Questionnaire for Needs of Family Mental Health Service”（QNFMHS）was compiled to form the initial questionnaire（64 items）,and the initial questionnaire was used to analyze the evaluation data of sample 1（N₁=432）and exploratory factor analysis to form a formal questionnaire（41 items）.Then the questionnaire item analysis,exploratory and confirmatory factor analysis were carried out by sample 2（N₂=723）to determine the test items and factors of the final version of the QNFMHS,and the reliability,validity test and difference analysis were carried out.Results:（1）The Questionnaire for Needs of Family Mental Health Service（QNFMHS）,which was finalized in this study,consists of 34 items and six dimensions,including family actualization service needs,family health and safety service needs,family mental hygiene service needs,aging and loss service needs,children safety service needs,and family love service needs.The half-reliability of QNFMHS was between 0.607-0.890,the internal consistency was between 0.684-0.947,and the retest reliability（with a one-month interval）was between 0.617-0.818.（2）According to the item average,the total degree of family mental health services needs were at the middle and high level（M=3.86）,the highest of which was family health and safety service needs（M=4.09）,followed by the needs of children safety service（M=4.07）,family love service（M=4.02）,family realization service（M=4.00）,elderly and lost service（M=3.81）,and family mental hygiene service（M=3.44）.（3）The total score of QNFMHS of 0～46 indicates low level of family mental health service need,47～123 indicates medium level of family mental health service need,and124～170 indicates higher level of family mental health service need.（4）The results of the sample evaluation showed that the total score of QNFMHS was different in age（F=3.661,p=0.006）,and 30-39 years old,40-49 years old were higher than those under 20 years old,20-29 years old,and those over 50 years old were higher than those under 20-29 years old;the total score of QNFMHS also showed significant differences in educational level（F=3.252,p=0.012）and high school and college population were higher than the population of master’s degree;the total score of QNFMHS showed significant differences in occupation（F=2.311,p=0.032）,and the needs of teachers and medical staff are higher than the needs of students,and the needs of medical staff are higher than the needs of enterprise staff and small self-employed;the total score was different in marital status（F=3.874,p=0.004）,and the needs of married groups were higher than the needs of the group of unmarried and divorced;the total score was different in fertility status（F=3.978,p=0.000）,and the needs of groups with children were higher than those without children;the total score of QNFMHS existed differences in family role perspective（F=5.400,p=0.001）,and the needs of parental role awareness were higher than that of daughter’s role awareness,and that of mother’s role awareness were higher than that of son’s role awareness;There was no significant difference in the total score and each dimension of the family mental health services needs in ethnic group,residence,family type,family monthly income and family income satisfaction（p>0.05）.（5）There was a significant gender difference in the family health and safety service needs（t=-2.372,p=0.018）,and the needs of women were higher than those of men.（6）The family mental hygiene service needs existed differences in gender（t=2.392,p=0.017）,and the needs of women were higher than those of men.but there are no significant differences in total needs（p>0.05）.（7）The children safety service needs existed significant differences on the overall health status in the family（F=5.318,p=0.005）,but no significant difference in total need（p>0.05）.（8）The family love service needs existed differences in family atmosphere（F=2.742,p=0.042）,but no significant differences in total needs（p>0.05）.（9）The total score of QNFMHS is positively correlated with age,marital status and fertility status,and negatively correlated with occupation,family role（p<0.01）,and marital status has a significant predictive effect on the total score of QNFMHS（p=0.000）.Conclusions:（1）The Questionnaire for Needs of Family Mental Health Service（QNFMHS）includes34 questions and 6 dimensions,which are family realization service needs,family health and safety service needs,family mental hygiene service needs,aging and loss service needs,children safety service needs,and family love service needs.The questionnaire has good reliability and validity and can be used to measure family mental health service needs.（2）The total score of QNFMHS of 0～46 indicates low level of family mental health service need,47～123 indicates medium level of family mental health service need,and 124～170 indicates higher level of family mental health service need.