Distance delivery systems are being developed to increase access to mental health care. Although development is progressing rapidly, there has been little work delineating the differences between distance and face-to-face interventions from the participants' viewpoint. This article describes scale development and a content validity study of the Treatment Barrier Index (TBI). The TBI scale has acceptable content validity (Content Validity Index = 0.96). The TBI scale will be used to examine delivery system differences. Evidence of the differences between systems may help to inform delivery system designs, ensuring that participant needs are met by enhancing access to evidence-based care.
IWK Health Centre (Dr McGrath and Dr Lingley-Pottie) and Department of Psychology, Pediatrics, and Psychiatry, Dalhousie University (Dr McGrath), Halifax, Nova Scotia, Canada.
Correspondence: Patricia Lingley-Pottie, PhD, BNRN, CCRC, 5850/5980 University Ave, IWK Health Centre, 8th Floor, Rm. K8531, PO Box 9700, Halifax, Nova Scotia, Canada, B3K 6R8 (email@example.com).
This research study was conducted in association with the Strongest Families Program (formerly know as the Family Help Program) at the IWK Health Centre, Halifax, Nova Scotia, Canada.
This study was supported by research funds from the Canadian Institutes of Health Research: Team Grant and a Canada Research Chair held by Dr McGrath. The authors thank the families who shared their experiences with them.