15581-m-nanninga

BTPS-EXP 55 Table 5 Association between children’s psychosocial problems and psychosocial care enrolment: results on the effect of expecting multiple barriers a,b Psychosocial care enrolment Parents c Adolescents d OR (CI) p OR (CI) p Model 1 Child’s psychosocial problems (10-40) 1.44 (1.32-1.57) <.001 1.36 (1.24-1.50) <.001 Model 2 Child’s psychosocial problems (10-40) 1.48 (1.32-1.65) <.001 1.36 (1.21-1.53) <.001 Expecting multiple barriers (vs. few) e 1.45 (0.12-17.63) .773 0.16 (0.01-3.78) .255 Child’s psychosocial problems x expecting multiple barriers 0.96 (0.79-1.17) .687 1.07 (0.85-1.33) .575 Note. OR= odds ratio, CI= confidence interval a Children from the community sample, who had contact with psychosocial care in the past six months, were excluded for these analyses, because we lacked information on current psychosocial care enrolment b Analyses including children with SDQ score <10 gave similar results (data not shown) c N= 1161 d N= 408 e Dichotomized (see Table 4) DISCUSSION In this study, we assessed the psychometric properties of the parent and adolescent versions of the BTPS-exp. Our findings showed that the internal consistencies of the total scale and the four subscales of both versions were good. Furthermore, the data fitted the assumed scale structure appropriately. Correlation coefficients between parent and adolescent scores were low. Regarding criterion validity, the BTPS-exp was, as assumed, associated with some child and family characteristics, but did not affect the association between children’s psychosocial problems and care enrolment. Interpretation and fit with other studies With this study, we are the first to assess the psychometric properties of the BTPS-exp parent and adolescent versions. Compared to other instruments, the BTPS-exp is the only instrument measuring the expectations of barriers of both parents and adolescents, and is applicable in the community, in different stages of the help-seeking process, as well as at the beginning of treatment. Other instruments solely measure adolescents’ beliefs regarding barriers, or measure barriers experienced by either children and adolescents in need of psychosocial care and their parents, or by those in psychosocial care [15, 20, 40- 42].