Participant related barriers | Family/ community related |
1. Explanatory models of illness | 18. Husbands’ influence |
2. Help-seeking/- ive attitude to psychotherapy | 19. Family perspectives |
3. Language spoken | 20. Stigma for family |
4. Religious beliefs and commitments | Health services related |
5. Trust | 21. Utilisation of mental health service |
6. Stigma | 22. Language of professional/intervention |
7. Gender | 23. Communication and cultural awareness between staff and participants |
8. Psychopathology/Substance Misuse | |
9. Fear of being reported to immigration | 24. Staff personal attributes |
Practical Issues | Research process related |
10. Lack of childcare | 25. Limited willingness and enthusiasm |
11. Transport provision | 26. Understanding the need for ethnic participation |
12. Financial constrains | |
13. Culturally appropriate incentive | 27. Paucity of resources available |
14. Medical insurance | 28. Appropriateness of assessment tools |
15. Lack of time | 29. Non availability of translated materials |
16. Location of interview | 30. Lack of culturally competent staff |
17. Employment status | 31. Lack of culturally matched staff |
 | 32. Under representation at recruitment Sites |
 | 33. Understanding of consent process |