Original ArticlesFactor Analyses of the Allen Barriers to Treatment Instrument in a Sample of Women Seeking Outpatient Treatment for Substance AbuseRinker, Dipali Venkataraman MA; Lindsay, Jan A. PhD; Schmitz, Joy M. PhD; Green, Charles PhDAuthor Information Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center, Houston, TX Supported by a grant from the National Institute on Drug Abuse (P50 DA 09242). Reprints: Dipali Venkataraman Rinker, MA, Treatment Research Clinic, 1300 Moursund Ave. Ste 115, Houston, TX 77030 (e-mail: [email protected]). Addictive Disorders & Their Treatment: December 2009 - Volume 8 - Issue 4 - p 185-190 doi: 10.1097/ADT.0b013e31818e4aaa Buy Metrics Abstract Objective Women are less likely than their male counterparts to seek treatment for substance abuse. The Allen Barriers to Treatment Instrument (ABTI) was developed in 1994 to measure barriers to treatment from the perspective of substance-abusing women. The factor structure of the ABTI has not been adequately validated, and the instrument has therefore been underused as a clinical and research tool. The purpose of this study was to replicate and validate the factor structure of the ABTI in a sample of women seeking outpatient substance abuse treatment. Methods Confirmatory and exploratory factor analyses of the ABTI were conducted in a sample of 77 women completing intake for substance abuse treatment. Results The originally proposed factors could not be replicated in this sample. Item-level analyses revealed 3 distinct factors that seemed to be clinically interpretable and descriptive of “barriers to treatment.” The new factors were labeled “Functional Barriers,” “Relational Barriers,” and “Affective Barriers.” Conclusions The ABTI in its current form is not a stable measure, and is therefore limited in its ability to measure barriers to treatment entry. Recommendations for modifying the measure are provided. © 2009 Lippincott Williams & Wilkins, Inc.