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Psychometric Evaluation of a Barriers to Mental Health Treatment Questionnaire for Latina/o/x Caregivers of Children and Adolescents
BACKGROUND: Knowledge regarding barriers faced by Latina/o/x caregivers in accessing youth mental health services (MHS) have largely depended on resource intensive interview-based assessments. OBJECTIVE: We evaluated a questionnaire for Latina/o/x caregivers of youths that presents a briefer and mor...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8494628/ https://www.ncbi.nlm.nih.gov/pubmed/34642563 http://dx.doi.org/10.1007/s10566-021-09656-8 |
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author | Vázquez, Alejandro L. Culianos, Demi Flores, Cynthia M. Navarro Alvarez, María de la Caridad Barrett, Tyson S. Domenech Rodríguez, Melanie M. |
author_facet | Vázquez, Alejandro L. Culianos, Demi Flores, Cynthia M. Navarro Alvarez, María de la Caridad Barrett, Tyson S. Domenech Rodríguez, Melanie M. |
author_sort | Vázquez, Alejandro L. |
collection | PubMed |
description | BACKGROUND: Knowledge regarding barriers faced by Latina/o/x caregivers in accessing youth mental health services (MHS) have largely depended on resource intensive interview-based assessments. OBJECTIVE: We evaluated a questionnaire for Latina/o/x caregivers of youths that presents a briefer and more feasible alternative. METHOD: We conducted a psychometric evaluation of the Barriers to Treatment Questionnaire - Latina/o/x Caregivers (BTQ-LC) with a sample of 598 Latina/o/x caregivers from across the United States. Descriptive statistics and confirmatory factor analyses were used to identify common barriers to services, confirm the factor structure of the scale, and establish construct validity. RESULTS: Descriptive statistics suggest that not knowing where and how to access services, and normalization of youth psychopathology were the most frequently reported barriers among caregivers of youth with clinically elevated problems on the CBCL. Confirmatory factor analysis suggests that the BTQ-LC was best represented by a three-factor structure: (1) structural, (2) perceptions regarding mental health problems, and (3) services. Our finding suggest that the BTQ-LC could also be used as a single factor as fit indices ranged from acceptable to poor. BTQ-LC scales were all negatively correlated with the utilization of common youth MHS (i.e., psychological counseling, medical doctors, school professionals). CONCLUSIONS: The BTQ-LC represents an important step towards improving our understanding and assessment of barriers to services contributing to mental health disparities among Latina/o/x youths. |
format | Online Article Text |
id | pubmed-8494628 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-84946282021-10-08 Psychometric Evaluation of a Barriers to Mental Health Treatment Questionnaire for Latina/o/x Caregivers of Children and Adolescents Vázquez, Alejandro L. Culianos, Demi Flores, Cynthia M. Navarro Alvarez, María de la Caridad Barrett, Tyson S. Domenech Rodríguez, Melanie M. Child Youth Care Forum Original Paper BACKGROUND: Knowledge regarding barriers faced by Latina/o/x caregivers in accessing youth mental health services (MHS) have largely depended on resource intensive interview-based assessments. OBJECTIVE: We evaluated a questionnaire for Latina/o/x caregivers of youths that presents a briefer and more feasible alternative. METHOD: We conducted a psychometric evaluation of the Barriers to Treatment Questionnaire - Latina/o/x Caregivers (BTQ-LC) with a sample of 598 Latina/o/x caregivers from across the United States. Descriptive statistics and confirmatory factor analyses were used to identify common barriers to services, confirm the factor structure of the scale, and establish construct validity. RESULTS: Descriptive statistics suggest that not knowing where and how to access services, and normalization of youth psychopathology were the most frequently reported barriers among caregivers of youth with clinically elevated problems on the CBCL. Confirmatory factor analysis suggests that the BTQ-LC was best represented by a three-factor structure: (1) structural, (2) perceptions regarding mental health problems, and (3) services. Our finding suggest that the BTQ-LC could also be used as a single factor as fit indices ranged from acceptable to poor. BTQ-LC scales were all negatively correlated with the utilization of common youth MHS (i.e., psychological counseling, medical doctors, school professionals). CONCLUSIONS: The BTQ-LC represents an important step towards improving our understanding and assessment of barriers to services contributing to mental health disparities among Latina/o/x youths. Springer US 2021-10-07 2022 /pmc/articles/PMC8494628/ /pubmed/34642563 http://dx.doi.org/10.1007/s10566-021-09656-8 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Paper Vázquez, Alejandro L. Culianos, Demi Flores, Cynthia M. Navarro Alvarez, María de la Caridad Barrett, Tyson S. Domenech Rodríguez, Melanie M. Psychometric Evaluation of a Barriers to Mental Health Treatment Questionnaire for Latina/o/x Caregivers of Children and Adolescents |
title | Psychometric Evaluation of a Barriers to Mental Health Treatment Questionnaire for Latina/o/x Caregivers of Children and Adolescents |
title_full | Psychometric Evaluation of a Barriers to Mental Health Treatment Questionnaire for Latina/o/x Caregivers of Children and Adolescents |
title_fullStr | Psychometric Evaluation of a Barriers to Mental Health Treatment Questionnaire for Latina/o/x Caregivers of Children and Adolescents |
title_full_unstemmed | Psychometric Evaluation of a Barriers to Mental Health Treatment Questionnaire for Latina/o/x Caregivers of Children and Adolescents |
title_short | Psychometric Evaluation of a Barriers to Mental Health Treatment Questionnaire for Latina/o/x Caregivers of Children and Adolescents |
title_sort | psychometric evaluation of a barriers to mental health treatment questionnaire for latina/o/x caregivers of children and adolescents |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8494628/ https://www.ncbi.nlm.nih.gov/pubmed/34642563 http://dx.doi.org/10.1007/s10566-021-09656-8 |
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