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Using Mixed Methods Integration to Evaluate the Structure of Help-Seeking Barriers Scale: A Survivor-Centered
Karen Birna Thorvaldsdottir1,2, Sigridur Halldorsdottir1, Denise M Saint Arnault2
1School of Health Sciences, University of Akureyri, 600 Akureyri, Iceland.
Summary
Intimate partner violence survivors face barriers to seeking help. This study validated a scale measuring these barriers, integrating qualitative and quantitative data to ensure trustworthiness and survivor-centered insights.
Area of Science:
- Trauma recovery research
- Intimate partner violence (IPV) studies
- Mixed-methods research
Background:
- Intimate partner violence (IPV) survivors have high rates of adverse health outcomes.
- Help-seeking and service utilization remain low among IPV survivors.
- Validating measures for trauma recovery barriers is crucial.
Purpose of the Study:
- To validate the Icelandic Barriers to Help-Seeking for Trauma (BHS-TR) scale using a mixed-methods approach.
- To evaluate the scale's structure and trustworthiness with IPV survivors.
- To integrate qualitative and quantitative data for comprehensive insights.
Main Methods:
- A mixed-methods legitimation strategy of integration was employed.
- Qualitative (n=17) and quantitative (n=137) data were merged using joint display analysis.
- An iterative process critically evaluated scale items and divergent findings.
Main Results:
- Complementarity between qualitative and quantitative data strengthened scale validity.
- Divergent findings highlighted specific barriers (mistrust, rejection, stigma) important to survivors.
- Factor analysis suggested removing some items identified as significant barriers in narratives.
Conclusions:
- Mixed-methods validation, prioritizing integration and survivor voices, enhances instrument trustworthiness.
- Exploring divergence between data types offers deeper understanding of help-seeking barriers.
- The study emphasizes the importance of survivor-centered approaches in scale development and validation.
Keywords:
construct validationcross-cultural adaptationgender-based violencehelp-seeking barriersintegrationinterpersonal traumamental healthmixed methodssurvivor-centeredtrauma recoveryMore Related Videos
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