Brief assessment of readiness to change tobacco use in treated youth.
Brief assessment of readiness to change tobacco use in treated youth.
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DOI：
10.1016/j.jsat.2011.02.010
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发表时间：
2011-09
影响因子：
3.9
通讯作者：
Clark DB
中科院分区：
文献类型：
--
作者：
Chung T;Maisto SA;Mihalo A;Martin CS;Cornelius JR;Clark DB
本研究考察了临床实践中青少年改变烟草使用意愿的四种简短测量方法的同步有效性和预测有效性：意愿标尺、关于戒烟的想法（TAA）、戒烟的动机和戒烟的信心；还有一项衡量戒酒难易程度的单项指标。参与者是从门诊成瘾治疗中招募的154名青少年吸烟者，他们在入院后不久完成了评估，并进行了6个月和12个月的随访。同时效度分析表明，四个准备度指标在每个时间点上均呈中等相关。预测效度分析表明，标尺和戒烟动机评分预测了6个月和12个月时吸烟的数量。察觉到的戒烟困难预测的香烟使用情况高于改变措施的意愿。结果支持标尺的临床效用和戒烟动机作为改变意愿的简短措施，以及感知到的戒烟困难，作为帮助青少年戒烟的工具。
This study examined the concurrent and predictive validity of four brief measures of readiness to change tobacco use for use with adolescents in clinical practice: Readiness Ruler, Thoughts About Abstinence (TAA), motivation to abstain, and confidence to abstain; and a single-item measure of difficulty to abstain. Participants were 154 adolescent smokers recruited from outpatient addictions treatment, who completed assessments shortly after admission, and at 6- and 12-month follow-up. Concurrent validity analyses indicated that the four readiness measures were moderately correlated at each time point. Predictive validity analyses indicated that Ruler and motivation to abstain ratings predicted number of cigarettes smoked at 6- and 12-months. Perceived difficulty to abstain predicted cigarette use over and above the readiness to change measures. Results support the clinical utility of the Ruler and motivation to abstain as brief measures of readiness to change, and perceived difficulty to abstain, as tools to aid adolescent tobacco cessation.