Development and Validation of the Gatekeeper Behavior Scale

Abstract

The GBS appears to be a valid tool in measuring the impact of online gatekeeper training simulations and holds promise for assessing other delivery methods.

Simulated Conversations With Virtual Humans to Improve Patient-Provider Communication and Reduce Unnecessary Prescriptions for Antibiotics: A Repeated Measure Pilot Study

“…The simulation was designed using the Kognito Conversation Platform, an innovative group of development, delivery, application programming interface (API), data collection, and analytic technologies that integrates a behavior change model that employs the principles of neuroscience, social cognition, adult learning, applied game mechanics, and storytelling [18]. This learning model includes two parts: the first part is an instructional design component based on extensive research showing that skills are best learned when knowledge is actively constructed [19-23].…”

Enhancing Educator Engagement in School Mental Health Care Through Digital Simulation Professional Development

“…Actions schools may take include: Schools should consider assessing teachers' level of preparedness to support student mental health. The Gatekeeper Behavior Scale is a brief, validated scale that can be used as a baseline assessment as well as a measurement of the effectiveness of training Schools should include teacher training in their comprehensive mental health planning.…”

“…We used a modified version of the validated Gatekeeper Behavior Scale to assess educator attitudes and intentions. 17 The original Gatekeeper Behavior Scale is an 11-item tool used to determine the impact of online virtual-human gatekeeper simulations by measuring attitudes and intentions that have been shown to be related to changes in behaviors and include 3 dimensions or subscales: learner preparedness, likelihood, and self-efficacy to engage in gatekeeper behaviors. We assessed the Gatekeeper Behavior Scale's construct and content validity via confirmatory factor analysis and had internal reliabilities of .95 for preparedness, .85 for likelihood, and .94 for self-efficacy.…”

Using Virtual Patient Simulations to Prepare Primary Health Care Professionals to Conduct Substance Use and Mental Health Screening and Brief Intervention

“…Knowledge and Skills. The Knowledge and Skills scale was assessed at presimulation and postsimulation using six items based upon the Gatekeeper Behavior Scale (Albright, Davidson, et al, 2016), and it was tailored for the present study to measure general abilities and preparedness to deal with mental health issues within the Likelihood to Screen and Manage Mental Health Issues. Likelihood to engage in screening behavior was assessed using the single item: "How likely are you to screen and manage the treatment of patients that exhibit signs of trauma-related mental health disorders when visiting your primary care practice?"…”

“…An individual’s self-reported likelihood about a behavior acts as a measure of their intentions to engage in the behavior or the probability of taking action. (Albright, Davidson, Goldman, Shockley, & Timmons-Mitchell, 2016, p. 272)…”