Dataset Information

Digital Intervention Barriers Scale-7 (DIBS-7): Development, Evaluation, and Preliminary Validation.

ABSTRACT:

Background

The translation of mental health services into digital formats, deemed digital mental health interventions (DMHIs), has the potential to address long-standing obstacles to accessing care. However, DMHIs have barriers of their own that impact enrollment, adherence, and attrition in these programs. Unlike in traditional face-to-face therapy, there is a paucity of standardized and validated measures of barriers in DMHIs.

Objective

In this study, we describe the preliminary development and evaluation of such a scale, the Digital Intervention Barriers Scale-7 (DIBS-7).

Methods

Following an iterative QUAN → QUAL mixed methods approach, item generation was guided by qualitative analysis of feedback from participants (n=259) who completed a DMHI trial for anxiety and depression and identified barriers related to self-motivation, ease of use, acceptability, and comprehension of tasks. Item refinement was achieved through DMHI expert review. A final item pool was administered to 559 treatment completers (mean age 23.02 years; 438/559, 78.4% female; 374/559, 69.9% racially or ethnically minoritized). Exploratory factor analyses and confirmatory factor analyses were estimated to determine the psychometric properties of the measure. Finally, criterion-related validity was examined by estimating partial correlations between the DIBS-7 mean score and constructs related to treatment engagement in DMHIs.

Results

Statistical analyses estimated a 7-item unidimensional scale with high internal consistency (α=.82, ω=0.89). Preliminary criterion-related validity was supported by significant partial correlations between the DIBS-7 mean score and treatment expectations (pr=-0.25), number of modules with activity (pr=-0.55), number of weekly check-ins (pr=-0.28), and treatment satisfaction (pr=-0.71).

Conclusions

Overall, these results provide preliminary support for the use of the DIBS-7 as a potentially useful short scale for clinicians and researchers interested in measuring an important variable often associated with treatment adherence and outcomes in DMHIs.

SUBMITTER: Ramos G

PROVIDER: S-EPMC10131680 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Publications

Digital Intervention Barriers Scale-7 (DIBS-7): Development, Evaluation, and Preliminary Validation.

Ramos Giovanni G Montoya Amanda Kay AK Hammons Hayley Renee HR Smith Danielle D Chavira Denise April DA Rith-Najarian Leslie Rose LR

JMIR formative research 20230406

<h4>Background</h4>The translation of mental health services into digital formats, deemed digital mental health interventions (DMHIs), has the potential to address long-standing obstacles to accessing care. However, DMHIs have barriers of their own that impact enrollment, adherence, and attrition in these programs. Unlike in traditional face-to-face therapy, there is a paucity of standardized and validated measures of barriers in DMHIs.<h4>Objective</h4>In this study, we describe the preliminary ...[more]

PMID: 37023417

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Dataset Information

Digital Intervention Barriers Scale-7 (DIBS-7): Development, Evaluation, and Preliminary Validation.

Background

Objective

Methods

Results

Conclusions

Publications

Digital Intervention Barriers Scale-7 (DIBS-7): Development, Evaluation, and Preliminary Validation.

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