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Testing the structure of the BERRI using exploratory and confirmatory factor analysis

Viziteu, AD; da Silva, LC; Edbrooke-Childs, J; Hillman, S; Silver, M; Westlake, M; Harju-Seppänen, J; (2024) Testing the structure of the BERRI using exploratory and confirmatory factor analysis. Children and Youth Services Review , 156 , Article 107353. 10.1016/j.childyouth.2023.107353.

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Abstract

Background: The wellbeing of Children Looked After (CLA) is a multifaceted construct given their adverse experiences and greater risk of mental health complications. There is a clear need for a comprehensive mental health and psycho-adjustment measure for diagnostic and monitoring purposes within this population. Objective: The aim of this study is to test, explore and validate the optimal factor structure of a new mental health and psycho-adjustment measure looking at Behavior, Emotions, Relationship, Risk, and Indicators (BERRI). Participants and Setting: The data were extracted from an existing large naturalistic sample of CLA for whom the BERRI was used as part of their placement providers’ service provision (N = 1543, 45% female). The surveys were completed by their primary carer reporting the child's experiences during the previous month. Methods: Both an exploratory factor analysis (EFA) and a confirmatory factor analysis (CFA) were conducted to assess the 87-item measure's initial factor structure. For cross-validation purposes, the database was split 60–40 between a ‘train’ and a ‘test’ sub-sample. Results: An eight-factor structure (Dysregulation, Vulnerability, Neurodiverse needs, Negative self and emotions, Emotional disconnect, Barriers to connection, Risk to self, and Disrupted routines) emerged. This was subsequently validated by the CFA suggesting a good fit (CFI = 0.951, SRMR = 0.08, and RMSEA = 0.038) and good internal consistency. Conclusions: Our study supported the structure validity and internal consistency of a mental health and psycho-adjustment measure specifically developed for CLA. Recommendations for further research relating to the tool's applicability in other populations are proposed.

Type: Article
Title: Testing the structure of the BERRI using exploratory and confirmatory factor analysis
DOI: 10.1016/j.childyouth.2023.107353
Publisher version: http://dx.doi.org/10.1016/j.childyouth.2023.107353
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10186062
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