Psychometric Properties of the Recovery Home Environment Scale.

Psychometric Properties of the Recovery Home Environment Scale.
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DOI:
10.1080/10826084.2021.1910710
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发表时间:
2021
影响因子:
2
通讯作者:
Mericle AA
Mericle AA
中科院分区:
医学4区
文献类型:
--
作者:
Polcin DL;Mahoney E;Mericle AA

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有酒精和毒品问题的人的康复之家为康复提供了禁欲的生活环境和社会支持。研究表明,这些家庭的居民取得了显著的、持续的改善。然而,对家庭内恢复环境的描述一直受到限制。目前的研究评估了康复家庭环境量表(RHES)的心理测量学特性,该量表评估了一种类型的康复之家--清醒生活屋(SLH)的社会环境。373名居民在入户时、1个月随访期和6个月随访期进行了访谈。衡量指标包括HES、社会环境的其他指标、使用药物的天数和住院时间。主成分分析表明,HES基本上是一维的。探索性因素分析表明,可分为恢复支持(3项)和恢复技能(5项)两个条目。全量表和恢复支持与恢复技能分量表的α系数分别为0.91、0.89和0.87。根据假设,HES的结构效度由与社会环境的其他测量的相关性支持,预测效度由逗留时间和药物使用的相关性支持。SLH被描述为“环境就是服务”。然而,该领域一直缺乏捕捉社会环境特征的方法。重建环境评估是衡量重建环境的一种新方法,其重点放在副伤残人士院舍内居民之间的社交互动和社区内的共同活动。
Recovery homes for persons with alcohol and drug problems provide an abstinent living environment and social support for recovery. Research shows residents in these homes make significant, sustained improvements. However, descriptions of recovery environments within the homes have been limited. The current study assessed psychometric properties for the Recovery Home Environment Scale (RHES), which assessed social environments within one type of recovery home, sober living houses (SLHs). 373 residents were interviewed at entry into the house, 1-month follow-up, and 6-month follow-up. Measures included the RHES, other measures of the social environment, days of substance use, and length of stay. Principal components analysis suggested the RHES was largely unidimensional. Exploratory factor analysis suggested items could be grouped into recovery support (3 items) and recovery skills (5 items). Cronbach’s alphas for the full scale and the recovery support and recovery skills subscales were 0.91, 0.89, and 0.87, respectively. As hypothesized, construct validity of the RHES was supported by correlations with other measures of the social environment and predictive validity was supported by associations with length of stay and substance use. SLHs have been described as “the setting is the service.” However, the field has lacked a way to capture characteristics of the social environment. The RHES represents a new way to measure the recovery environment by focusing on social interactions among residents within SLHs and shared activities in the community.
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