Psychometric Properties of a Mental Health Service Barrier Assessment Tool for Asian-Americans
Repository Posting Date2012-01-11T11:13:15Z
Author(s)Bernstein, Kunsook S.
Author DetailsKunsook S. Bernstein, RN, PhD, NP, CASAC
(41st Biennial Convention) Barriers to Mental health service utilization among Asian Americans have been studied with no well tested barrier assessment instrument. The primary aim of this study is to evaluate psychometric properties of the Mental Health Service Barrier Assessment (MHSBA) instrument developed by the researchers to assess under-utilization of mental health services in 225 Korean Americans. The reliability of the instrument was high, with Cronbach's alpha, 0.93. Five distinct factors (dissatisfaction with service, lack of resources, attitude toward health care treatment, cost, and personal belief) and 3 additional clinically relevant factors (shame, family issues, and other resources) were identified. Also, the correlation between depression score and barrier score was shown to be low (r=.11), which may imply that the barrier may be a common problem irrespective of severity of depression. Additionally, the 10 most frequently selected barrier items in the MHSBA instrument were reported, while the people's belief of "mental problems are a natural part of our lives" was reported as the most common reason� (selected by 71% of the participants) for not receiving or seeking mental health services. External validation of this instrument or its utility assessment is needed in Korean and other Asian Americans in future studies.