Improving the acceptability of internet-based cognitive-behavioral therapy among Black Americans.

Ellis, Donovan M.; Anderson, Page L.

doi:10.1037/tmb0000044

Cited by 2 publications

(2 citation statements)

References 80 publications

(106 reference statements)

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“…Participants completed a survey developed via the Qualtrics web-based platform as part of an experimental study assessing the impact of treatment rationale on the acceptability of iCBT. Participants were randomly assigned via Qualtrics (1:1 allocation) to read either a treatment rationale or definition of iCBT (see the study by Ellis and Anderson [37] for full details). The APOI questionnaire was administered as a primary measure of acceptability.…”

Section: Methodsmentioning

confidence: 99%

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Validation of the Attitudes Towards Psychological Online Interventions Questionnaire Among Black Americans: Cross-cultural Confirmatory Factor Analysis

Ellis¹,

Anderson²

2023

JMIR Ment Health

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Background Acceptability of digital mental health interventions is a significant predictor of treatment-seeking behavior and engagement. However, acceptability has been conceptualized and operationalized in various ways, which decreases measurement precision and leads to heterogeneous conclusions about acceptability. Standardized self-report measures of acceptability have been developed, which have the potential to ameliorate these problems, but none have demonstrated evidence for validation among Black communities, which limits our understanding of attitudes toward these interventions among racially minoritized groups with well-documented barriers to mental health treatment. Objective This study aims to examine the psychometric validity and reliability of one of the first and most widely used measures of acceptability, the Attitudes Towards Psychological Online Interventions Questionnaire, among a Black American sample. Methods Participants (N=254) were recruited from a large southeastern university and the surrounding metropolitan area and completed the self-report measure via a web-based survey. A confirmatory factor analysis using mean and variance adjusted weighted least squares estimation was conducted to examine the validity of the underlying hierarchical 4-factor structure proposed by the original authors of the scale. An alternative, hierarchical 2-factor structure model and bifactor model were examined for comparative fit. Results The findings indicated that the bifactor model demonstrated a superior fit (comparative fit index=0.96, Tucker-Lewis index=0.94, standardized root mean squared residual=0.03, and root mean square error of approximation=0.09) compared with both 2- and 4-factor hierarchical structure models. Conclusions The findings suggest that, within a Black American sample, there may be greater utility in interpreting the Attitudes Towards Psychological Online Interventions Questionnaire subscales as attitudinal constructs that are distinct from the global acceptability factor. The theoretical and practical implications for culturally responsive measurements were explored.

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Section: Methodsmentioning

confidence: 99%

“…The authors would like to thank Lee Branum-Martin, PhD, for consultation on structural equation modeling and confirmatory factor analyses. The data in this study are a secondary analysis by Ellis and Anderson [37]. This paper presents original secondary analyses of a previously published experimental survey study.…”

Section: Acknowledgmentsmentioning

confidence: 99%

Validation of the Attitudes Towards Psychological Online Interventions Questionnaire Among Black Americans: Cross-cultural Confirmatory Factor Analysis

Ellis¹,

Anderson²

2023

JMIR Ment Health

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Validation of the Attitudes Towards Psychological Online Interventions Questionnaire Among Black Americans: Cross-cultural Confirmatory Factor Analysis (Preprint)

Ellis¹,

Anderson²

2022

Preprint

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BACKGROUND Acceptability of digital mental health interventions is a significant predictor of treatment-seeking behavior and engagement. However, acceptability has been conceptualized and operationalized in a variety of ways, which decreases measurement precision and leads to heterogeneous conclusions about ‘acceptability.’ Standardized self-report measures of acceptability have been developed, which have the potential to ameliorate these problems, but none have demonstrated evidence for validation among Black communities, which limits our understanding of attitudes towards these interventions among racially minoritized groups with well-documented barriers to mental health treatment. OBJECTIVE The present study aims to examine the psychometric validity and reliability of one of the first and most widely used measures of acceptability, The Attitudes Towards Psychological Online Interventions Questionnaire (APOI), among a Black American sample. METHODS Participants (N = 254) were recruited from a large southeastern university and surrounding metropolitan area and completed the self-report measure via online survey. A confirmatory factor analysis using mean and variance-adjusted weighted least squares (WLSMV) estimation was conducted to examine the validity of the underlying, hierarchical four-factor structure proposed by the scale’s original authors. An alternative, hierarchical two-factor structure model and bifactor model were examined for comparative fit. RESULTS Findings indicated that the bifactor model demonstrated superior fit (CFI = .96, TLI = .94, SRMR = .03 and RMSEA = .09) compared to both two and four-factor hierarchical structure models. CONCLUSIONS Findings suggest that within a Black American sample there may be greater utility in interpreting the APOI subscales as attitudinal constructs distinct from the global “acceptability” factor. Theoretical and practical implications for culturally responsive measurement are explored. CLINICALTRIAL Preregistered with the Open Science Framework (https://osf.io/y3r2p).

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Improving the acceptability of internet-based cognitive-behavioral therapy among Black Americans.

Cited by 2 publications

References 80 publications

Validation of the Attitudes Towards Psychological Online Interventions Questionnaire Among Black Americans: Cross-cultural Confirmatory Factor Analysis

Validation of the Attitudes Towards Psychological Online Interventions Questionnaire Among Black Americans: Cross-cultural Confirmatory Factor Analysis

Validation of the Attitudes Towards Psychological Online Interventions Questionnaire Among Black Americans: Cross-cultural Confirmatory Factor Analysis (Preprint)

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