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Using mixed methods Integration to evaluate the structure of help-seeking barriers scale : A survivor-centered approach

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dc.contributor.author Þorvaldsdóttir, Karen Birna
dc.contributor.author Halldórsdóttir, Sigríður
dc.contributor.author Arnault, Denise Saint
dc.date.accessioned 2022-05-24T01:03:45Z
dc.date.available 2022-05-24T01:03:45Z
dc.date.issued 2022-04
dc.identifier.citation Þorvaldsdóttir , K B , Halldórsdóttir , S & Arnault , D S 2022 , ' Using mixed methods Integration to evaluate the structure of help-seeking barriers scale : A survivor-centered approach ' , International Journal of Environmental Research and Public Health , vol. 19 , 4297 . https://doi.org/10.3390/ijerph19074297
dc.identifier.issn 1661-7827
dc.identifier.other PURE: 48928980
dc.identifier.other PURE UUID: 478503ff-3d3a-4290-a0a1-1d7b7bce8ad5
dc.identifier.other ORCID: /0000-0001-7065-1122/work/111131897
dc.identifier.uri https://hdl.handle.net/20.500.11815/3194
dc.description.abstract Despite the high prevalence of adverse health and trauma-related outcomes associated with intimate partner violence (IPV), help-seeking and service utilization among survivors is low. This study is part of a larger mixed-methods and survivor-centered validation study on the Icelandic Barriers to Help-Seeking for Trauma (BHS-TR) scale, a new barriers measure focused on trauma recovery. A mixed-methods legitimation strategy of integration was employed to evaluate the BHS-TR structure in samples of IPV survivors. The merging of qualitative (n = 17) and quantitative (n = 137) data through a joint display analysis revealed mainly complementarity findings, strengthening the scale’s overall trustworthiness and validity evidence. Divergent findings involved items about mistrust, perceived rejection, stigmatization, fearing vulnerability, and safeguarding efforts that were significant help-seeking barriers in the survivors’ narratives, whereas factor analysis indicated their removal. These BHS-TR items were critically evaluated in an iterative spiraling process that supported the barriers’ influence, illuminated core issues, and guided potential refinements. This work contributes to the growing field of mixed methods instrument validation placing equal status on qualitative and quantitative methods and emphasizing integration to provide more complete insights. Moreover, the study’s findings highlight the added value of further exploring divergence between two sets of data and the importance of giving attention to the voices of the target population throughout the validation process.
dc.format.extent 21
dc.format.extent
dc.language.iso en
dc.relation.ispartofseries International Journal of Environmental Research and Public Health; 19()
dc.rights info:eu-repo/semantics/openAccess
dc.subject Ofbeldi gegn konum
dc.subject Sálræn áföll
dc.subject Geðheilsa
dc.subject Interpersonal trauma
dc.subject Gender-based violence
dc.subject Help-seeking
dc.subject Mental health
dc.subject Trauma recovery
dc.subject Survivor-centered
dc.title Using mixed methods Integration to evaluate the structure of help-seeking barriers scale : A survivor-centered approach
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Non peer reviewed
dc.identifier.doi https://doi.org/10.3390/ijerph19074297
dc.relation.url https://www.mdpi.com/1660-4601/19/7/4297
dc.contributor.department Doctoral program center
dc.contributor.school School of Health Sciences


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