Psychometric properties of the Italian version of the staff attitude to coercion scale: an exploratory factor analysis

AimsThe current study aimed to validate the Italian version of the Staff Attitude to Coercion Scale (SACS), which assesses mental health care staff's attitudes to the use of coercion in treatment. MethodsThe original English version of the SACS was translated into Italian, according to the back-translation procedure. Subsequently, it was empirically validated by performing an exploratory factor analysis on a sample of 217 mental health professionals (Mean = 43.40 years, SD = 11.06) recruited form Italian general hospital (acute) psychiatric wards (GHPWs), with at least 1 year of work experience (i.e., inclusion criteria). ResultsResults confirmed the three-factor solution of the original version for the Italian version of the SACS, though three items loaded on different factors, compared to the original. The three extracted factors, explained 41% of total variance, and were labeled similarly to the original scale and according to their respective item content, i.e., Factor 1 Coercion as offending (items: 3, 13, 14, and 15), Factor 2 Coercion as care and security (items: 1, 2, 4, 5, 7, 8, and 9), and Factor 3 Coercion as treatment (items: 6, 10, 11, and 12). The internal consistency of the three-factor model of the Italian version of the SACS was assessed through Cronbach's alpha and yielded acceptable indexes, ranging from 0.64 to 0.77. ConclusionThe present findings suggest that the Italian version of the SACS is a valid and reliable tool that can be used to assess healthcare professionals' attitudes toward coercion.

Automated summary

The aim of this study was to validate the Italian version of the Staff Attitude to Coercion Scale (SACS), which measures mental health care staff's attitudes towards the use of coercion in treatment. The results of exploratory factor analysis confirmed a three-factor structure for the Italian version of SACS, although three items loaded on different factors compared to the original version. This suggests that the Italian version of SACS is a valid and reliable tool for assessing healthcare professionals' attitudes towards coercion.