Measuring smoking knowledge, attitudes and services (S-KAS) among clients in addiction treatment
Measuring smoking knowledge, attitudes and services (S-KAS) among clients in addiction treatment
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DOI：
10.1016/j.drugalcdep.2010.09.017
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发表时间：
2011-04-01
影响因子：
4.2
通讯作者：
Ziedonis, Doug
中科院分区：
文献类型：
--
作者：
Guydish, Joseph;Tajima, Barbara;Ziedonis, Doug
背景：成瘾治疗项目越来越多地致力于解决其服务人群中普遍和共病的烟草依赖问题。然而，目前很少有公开的测量工具，具有已知的心理测量特性，可用于评估成瘾治疗环境中与烟草依赖相关的客户层面结构。继先前开发工作人员层面调查工具的工作之后，本报告描述了用于成瘾治疗机构客户的吸烟知识、态度和服务（S-KAS）的发展和测量特征。方法：对250名住院戒毒人员进行问卷调查。采用汇总统计方法对参与者及其反应进行特征分析，并采用探索性因子分析（EFA）来检验潜在的因素结构。结果：对旋转因子模式的检验表明，隐性结构由1个知识因子、1个态度因子和2个反映与烟草依赖相关的项目服务和临床医生服务的“服务”因子构成。四个量表的标准化Cronbach’s alpha系数分别为。57岁。75年,。82和。82。结论：提出的量表具有相当好的心理测量特征，尽管知识量表还有改进的余地，并且可以让研究人员量化客户对烟草依赖治疗的知识、态度和服务。研究人员、项目管理者和临床医生可能会发现S-KAS在改变与烟草成瘾有关的组织文化和临床实践方面很有用，有助于项目评估研究，并有助于跟踪和改善客户动机。2010爱思唯尔爱尔兰有限公司版权所有。
Background: Addiction treatment programs are increasingly working to address prevalent and comorbid tobacco dependence in their service populations. However at present there are few published measurement tools, with known psychometric properties, that can be used to assess client-level constructs related to tobacco dependence in addiction treatment settings. Following on previous work that developed a staff-level survey instrument, this report describes the development and measurement characteristics of the smoking knowledge, attitudes and services (S-KAS) for use with clients in addiction treatment settings.Method: 250 clients enrolled in residential drug abuse treatment programs were surveyed. Summary statistics were used to characterize both the participants and their responses, and exploratory factor analysis (EFA) was used to examine the underlying factor structure.Results: Examination of the rotated factor pattern indicated that the latent structure was formed by one knowledge factor, one attitude factor, and two "service" factors reflecting program services and clinician services related to tobacco dependence. Standardized Cronbach's alpha coefficients for the four scales were, respectively, .57, .75, .82 and .82.Conclusions: The proposed scales have reasonably good psychometric characteristics, although the knowledge scale leaves room for improvement, and will allow researchers to quantify client knowledge, attitudes and services regarding tobacco dependence treatment. Researchers, program administrators, and clinicians may find the S-KAS useful in changing organizational culture and clinical practices related to tobacco addiction, help in program evaluation studies, and in tracking and improving client motivation. (c) 2010 Elsevier Ireland Ltd. All rights reserved.