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eMental Health Literacy and the Relationship to Barriers to Mental Health Care

机译:纠纷素质与心理保健障碍的关系

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摘要

According to the American Psychological Association (2017), one in four individuals who are 65 years and older experience a mental health problem; however, many older adults do not receive the services they need and deserve (Karlin, 2008). The current study utilizes a new concept similar to eHealth Literacy called eMental Health Literacy, defined as the degree to which individuals obtain, process, and understand basic mental health information and services needed to aid their recognition, management, or prevention of mental health issues. The relationship of eMental Health Literacy to perceived barriers to receiving mental health services was examined in a sample of middle-aged and older adults. We hypothesized that higher eMental Health Literacy would predict fewer reported barriers to mental health services. A sample of 243 participants (M=63.33, range=55-80 years) were recruited online through Amazon Mechanical Turk to complete measures assessing eMental Health Literacy (eMHEALS) and mental health barriers (BMHSSS-R). After adding two correlated errors, a structural equation model specifying eMHEALS as a predictor of extrinsic and intrinsic barriers to mental health services achieved good fit (χ2(60)=170.014, p<.001, SRMR=.068, CFI=.944, GFI=.901, TLI=.927, RMSEA=.087). All indicators were significantly related to their latent construct (p<.001). The results indicate higher eMental Health Literacy significantly predicted fewer reported intrinsic and fewer extrinsic barriers to mental health services. These relationships were statistically significant even when examined across differing socioeconomic status and age. These findings indicate eMental Health Literacy may have significant impact on the way individuals in later life navigate through the mental healthcare system.
机译:据美国心理协会(2017年),四分之一的人为65岁及以上的心理健康问题;然而,许多老年人没有收到他们需要和应得的服务(Karlin,2008)。目前的研究利用类似于eHealth扫盲的新概念,称为商品卫生素养,定义为个人获得,流程和理解基本心理健康信息和服务,以帮助他们的认可,管理或预防心理健康问题所需的基本心理健康信息和服务。在一个中年和老年人的样本中,研究了象牙健康素养对接受心理健康服务的障碍的关系。我们假设较高的纠纷素质素养预测较少报告的心理健康服务障碍。通过Amazon Mechanical Turk在线招聘了243名参与者(M = 63.33,范围= 55-80岁)的样本,以完成评估竞技卫生素质(emheals)和心理健康障碍(BMHSSS-R)的措施。在添加两个相关误差之后,将emheals指定作为精神卫生服务的外在和内在障碍的预测因子的结构方程模型实现了良好的拟合(χ2(60)= 170.014,p <.001,srmr = .068,CFI = .944, GFI = .901,TLI = .927,RMSEA = .087)。所有指标与其潜在构建体有显着相关(P <.001)。结果表明,较高的物流健康素质显着预测,较少报告的心理健康服务的内在和更少的内在障碍。即使在跨越不同的社会经济地位和年龄,这些关系也是统计学意义。这些调查结果表明,异性健康素养可能对稍后寿命中的人的方式产生重大影响,通过心理医疗保健系统导航。

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