1. Treatment Barriers Scale (TBS)

Year: 2017

Possemato, Kyle; Funderburk, Jennifer; Spinola, Suzanne; Hutchinson, Dezarie; Maisto, Stephen A.; Lantinga, Larry J.; Oslin, David W.

The 14-item Treatment Barriers Scale was created to assess barriers to behavioral treatment specific to individuals with an alcohol-related problem. It was developed to briefly assess a wide range of barriers to treatment, including logistical barriers (e.g., distance to travel to the treatment site), concerns about the treatment process (e.g., not wanting to listen to other people talk about their problems), external stigma (e.g., family disapproval), lack of problem identification (e.g., others are worried about my health, but I am not), and concerns about treatment efficacy (e.g., treatment might increase my drinking). The TBS's brevity makes it suitable for use in a variety of research or clinical settings, including primary care.

Instrument Use & Availability

Copyright information unavailable. A list of the scale's 14 items can be found in Table 2 of the source reference (Possemato et al, 2017).

For more information, contact:
Kyle Possemato
Center for Integrated Healthcare
Syracuse, NY
email: Kyle.Possemato@va.gov

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Instrument Details:

Source Reference:Possemato K, Funderburk J, Spinola S, et al. Reliability and validity of a Treatment Barriers Scale for individuals with alcohol use disorder. Substance Use & Misuse 2017;51(3):383-394.
Population studied:Veterans; Adults
Instrument Type:Assessment; Self-administered questionnaire
Validity/Reliability:From the source reference (Possemato et al, 2017): Acceptable internal consistent reliability and excellent precision of alpha was found for each subscale. Support for the measure’s concurrent validity was found, for example, participants who reported more motivation to reduce their drinking perceived significantly fewer barriers to care. Support for the measure’s predictive validity was also found, including that more barriers were related to future drinking among all participants and less mental health and addictions treatment visits among participants in one treatment condition.

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