Table 2. Substance use final CFA measurement model: Item factor loadings and scale internal consistency.
| Estimate | S.E. | Estimate/S.E. | p-value | Cronbach's Alpha | |
|---|---|---|---|---|---|
| Factor 1: Knowledge and Self-Efficacy | 0.47 | ||||
| Some amount of getting high is normal in mothers of young children and does not interfere with parenting. | 0.21 | 0.13 | 1.59 | 0.11 | |
| I am familiar with the signs and symptoms of substance use problems. | 0.59 | 0.10 | 6.02 | 0.000 | |
| I feel comfortable talking about substance use with clients. | 0.39 | 0.10 | 3.90 | 0.000 | |
| I am familiar with available substance use treatment resources in my community. | 0.84 | 0.09 | 8.93 | 0.000 | |
| Factor 2: Systems-Level Barriers | 0.68 | ||||
| It generally takes a long time to get an appointment at a substance use treatment program | 0.41 | 0.09 | 4.80 | 0.000 | |
| Clients are often not able to attend treatment for substance use due to practical difficulties such as transportation or childcare. | 0.80 | 0.05 | 15.11 | 0.000 | |
| Clients often do not attend treatment for substance use due to a lack of culturally sensitive treatment options | 0.76 | 0.05 | 14.11 | 0.000 | |
| Clients often do not get treatment for substance use due to a lack of insurance or other payment issues. | 0.77 | 0.06 | 12.07 | 0.000 | |
| Factor 3: Client-Level Barriers | 0.52 | ||||
| Clients often deny that their substance use is a problem. | 0.45 | 0.11 | 4.22 | 0.000 | |
| Clients feel bad about themselves when told they have a substance use problem. | 0.36 | 0.11 | 3.39 | 0.001 | |
| Clients would not like it if I asked them about their substance use. | 0.78 | 0.08 | 9.40 | 0.000 | |
| Clients are afraid that they will lose custody of their children if they admit to using substances. | 0.43 | 0.10 | 4.34 | 0.000 | |
| Asking clients about substance use would ruin the trusting relationship we have developed. | 0.70 | 0.08 | 8.85 | 0.000 | |
| Factor 4: Current Practices | 0.91 | ||||
| Refer clients for treatment of substance use. | 0.90 | 0.02 | 49.35 | 0.000 | |
| Follow up after referring a client for treatment of substance use. | 0.85 | 0.03 | 29.82 | 0.000 | |
| Help clients schedule appointments for treatment for substance use. | 0.94 | 0.01 | 65.10 | 0.000 | |
| Help clients overcome barriers to treatment for substance use (e.g., transportation, payment, childcare). | 0.94 | 0.02 | 41.68 | 0.000 |
Note. χ2 (113) = 220.34, p < 0.01; RMSEA = 0.08 (90% CI: 0.06, 0.09), p < 0.01; CFI = 0.96; TLI = 0.95.