全球智库信息集成服务系统

Great potential for utilization

• The barriers bank and facilitators bank have great potential for monitoring barriers and facilitators to care in a way that has not been done before.
• Reliability analyses showed excellent model fit (RMSEA = 0.00) and high marginal reliability (MR = 0.98) for the 54-item barriers bank. Due to its limited number of items, the facilitators bank had a lower MR (0.76) and worse, but still acceptable, model fit (RMSEA = 0.13) relative to the barriers bank.
• Preliminary validity analyses suggested that the barriers bank and short-form are valid ways to measure barriers to care.
• The barriers bank correlated strongly with two existing barriers to care scales, suggesting convergent validity.
• There were minor or no group differences in scores because of age, gender, race/ethnicity, education, service branch, or component, suggesting additional precision of measurement across populations over and above prior measures.
• Bank scores from respondents exhibiting PTSD or depression symptoms and respondents diagnosed with a mental health disorder reflect greater barriers to care.

System design

• The barriers bank and facilitators bank address several limitations of existing measures by broadly assessing barriers related to any type of mental health problem or professional care, and by covering various types of barriers related to the individual, social networks, treatment process, and social norms.
• The item-bank approach allows for more flexible (i.e., can use different subsets of items to create various short forms) and adaptive (i.e., can be updated over time as new research emerges) monitoring of barriers and facilitators to care.