Development and psychometric properties the Barriers to Access to Care Evaluation scale (BACE) related to people with mental ill health.
Development and psychometric properties the Barriers to Access to Care Evaluation scale (BACE) related to people with mental ill health.
复制标题
发展和心理测量特性与患有精神疾病的人有关的获得护理评估量表（BACE）的障碍。
DOI：
10.1186/1471-244x-12-36
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发表时间：
2012-06-20
期刊：
影响因子：
4.4
通讯作者：
Thornicroft G
中科院分区：
文献类型：
--
作者：
Clement S;Brohan E;Jeffery D;Henderson C;Hatch SL;Thornicroft G
许多精神病患者不寻求或推迟寻求治疗。这项研究旨在开发并初步验证一种全面的衡量标准，用于评估获得精神卫生保健的障碍，包括一种“治疗污名”子量表，并就目前或最近在英国使用二级精神卫生服务的成年人遇到的障碍的普遍性提出初步证据。获得护理的障碍评估量表(BACE)是从现有量表中的条目、系统性条目减少和专家组的反馈发展而来的。这项调查是通过对117名18岁及以上的人进行的在线调查完成的，这些人在过去12个月里接受了二级心理健康服务的护理。评估内部一致性、重测信度、收敛效度(治疗污名子量表与接受心理帮助污名量表(SSRPH)和精神疾病内在性污名量表(ISMI)的相关性)、回答意见和可读性。BACE项目被发现具有可接受的重测信度，因为除一个项目外，所有项目都超过了中等一致性的标准。治疗耻辱量表具有较好的重测信度和良好的内部一致性。根据假设，该分量表与SSRPH和ISMI显着正相关，显示出趋同效度。发展过程保证了内容的有效性。受访者对BACE的评分中值为8分(满分10分)。可读性分数表明，11至12岁的普通儿童可以理解这一指标。最受欢迎的障碍是“担心这可能会影响我求职的机会”。该量表最终确定为30个条目的测量，带有12个条目的治疗污名子量表。有初步证据表明BACE的信度、效度和可接受性。它可以用来确定获得精神卫生保健的主要障碍，这可能有助于确定潜在的干预措施，以增加寻求护理和服务的使用。需要进一步的研究来建立其因素分析结构和人口常模。
Many people with mental illness do not seek or delay seeking care. This study aimed to develop, and provide an initial validation of, a comprehensive measure for assessing barriers to access to mental health care including a ‘treatment stigma’ subscale, and to present preliminary evidence about the prevalence of barriers experienced by adults currently or recently using secondary mental health services in the UK. The Barriers to Access to Care Evaluation scale (BACE) was developed from items in existing scales, systematic item reduction, and feedback from an expert group. It was completed in an online survey by 117 individuals aged 18 and over who had received care from secondary mental health services in the past 12 months. Internal consistency, test-retest reliability, convergent validity (correlation of treatment stigma subscale with the Stigma Scale for Receiving Psychological Help (SSRPH) and with the Internalised Stigma of Mental Illness Scale (ISMI)), respondent opinion and readability were assessed. The BACE items were found to have acceptable test-retest reliability as all but one of the items exceeded the criterion for moderate agreement. The treatment stigma subscale had acceptable test-retest-reliability and good internal consistency. As hypothesised the subscale was significantly positively correlated with the SSRPH and the ISMI demonstrating convergent validity. The developmental process ensured content validity. Respondents gave the BACE a median rating of 8 on the 10-point quality scale. Readability scores indicated the measure can be understood by the average 11 to 12 year-old. The most highly endorsed barrier was ‘concern that it might harm my chances when applying for jobs’. The scale was finalised into a 30-item measure with a 12-item treatment stigma subscale. There is preliminary evidence demonstrating the reliability, validity and acceptability of the BACE. It can be used to ascertain key barriers to access to mental health care which may help to identify potential interventions to increase care seeking and service use. Further research is needed to establish its factor analytic structure and population norms.