Development of the Adolescent Opioid Safety and Learning (AOSL) scale using exploratory factor analysis.

Development of the Adolescent Opioid Safety and Learning (AOSL) scale using exploratory factor analysis.
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DOI:
10.1016/j.sapharm.2021.06.007
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发表时间:
2022-05
影响因子:
3.9
通讯作者:
Rosenberger, Claire A.
Rosenberger, Claire A.
中科院分区:
医学3区
文献类型:
--
作者:
Abraham, Olufunmilola;Thakur, Tanvee;Brasel, Kelsey;Norton, Derek;Rosenberger, Claire A.

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虽然美国的青少年是受阿片类药物危机影响最严重的群体之一,但他们对阿片类药物滥用和教育偏好的看法很少被研究。虽然教育青少年正确使用和储存阿片类药物至关重要,但许多教育工具需要简单的测量量表来系统地记录目标计划的学习。了解青少年对阿片类药物风险的认识和对阿片类药物危机的看法,对制定有效的预防干预措施至关重要。本研究的目的是开发一个有效的量表,衡量青少年对阿片类药物滥用的知识和学习处方阿片类药物安全性的兴趣。本研究以美国中西部188名高中生为被试,采用探索性因素分析(EFA)方法对68个条目的结构进行了分析。项目改编自以前设计的全州范围内的调查,以记录在威斯康星州的处方药误用和滥用的认识。使用因子分析迭代和内部一致性措施对量表进行细化。Cronbach's alpha被用来确定项目之间的内部一致性。三次探索性因素分析迭代产生了一个16项四因素结构,描述了青少年对滥用和伤害的了解,他们对学习处方阿片类药物的兴趣,以及他们滥用行为的倾向。内部一致性和各因素之间的相关性均较强(Cronbach’s α > 0.8)。最终的16项工具被称为青少年阿片类药物安全和学习(AOSL)量表。当与青少年阿片类药物教育工具相结合时,AOSL量表可以帮助评估和记录药物安全学习。这四个分量表可以支持研究人员和从业人员衡量青少年对处方阿片类药物滥用的取向。AOSL量表还可用于编制关于预防青少年滥用阿片类药物的有针对性的教育材料。
While adolescents in the United States are one of the most affected groups by the opioid crisis, their perceptions on opioid misuse and preferences for education are rarely studied. Although it is critical to educate adolescents on proper opioid use and storage, many educational tools need easy measurement scales to systematically document learning of targeted programs. It is essential to understand adolescents’ knowledge about opioid risks and perceptions about the opioid crisis to design effective preventive interventions. The purpose of this study was to develop an effective scale that measures adolescents’ knowledge about opioid misuse and interest in learning about prescription opioid safety. Using survey data from 188 high school students in the Midwest, exploratory factor analysis (EFA) was used to examine the underlying structure of an initial 68 items. Items were adapted from a statewide survey previously designed to document awareness of prescription drug misuse and abuse in the state of Wisconsin. Refinement of the scale used factor analysis iterations and internal consistency measures. Cronbach’s alpha was used to determine internal consistency among the items. Three exploratory factor analysis iterations resulted in a 16-item four-factor structure describing adolescents’ knowledge of misuse and harm, their interest in learning about prescription opioids, and their tendency to practice misuse behaviors. Internal consistency and the correlation among factors were examined and strong (Cronbach’s α > 0.8). The final 16-item instrument was termed the Adolescent Opioid Safety and Learning (AOSL) Scale. When combined with adolescent opioid education tools, the AOSL Scale can help assess and document medication safety learning. The four subscales could support researchers and practitioners in measuring adolescents’ orientation towards prescription opioid misuse. The AOSL Scale may also be used in developing targeted educational materials on prevention of opioid misuse for adolescents.
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