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Measuring perception of mental health care on campus: Partnering with students to adapt and validate the Youth

Sarah Brennenstuhl^1,2, Celeste Agard², Sandra Yuen^3,4,5,6

¹Student Mental Health, University of Toronto, Toronto, Canada.

Journal of American College Health : J of ACH

|March 10, 2025

Abstract

Objective:

Applying student co-design, this study sought to adapt and validate the 14-item Youth Service Satisfaction Scale (YSSS) for Post-Secondary Students (PSS).

Participants:

PSS from a large, urban university who used campus-based mental health services in the past year.

Methods:

Phase 1 focused on adaptation with PSS. In Phase 2, Confirmatory Factor Analysis was undertaken, Cronbach's alpha was calculated to assess internal consistency and known-group validity was confirmed using t-tests in a validation study using a convenience sample of PSS.

Results:

Key student recommendations were integrated into a revised scale, including adapting for virtual care. 512 PSS with a median age of 22 completed the YSSS. A 4-factor model fit the data well; internal reliability ranged from α = .73-92 across subscales. Satisfaction was higher for in-person visits, repeat users, and older students.

Conclusions:

The adapted YSSS maintained its validity and internal consistency in a large, diverse sample of PSS.

Keywords:

Mental health mental health care perception of care post-secondary students survey youth

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