Developing a New Scale of Treatment Readiness

描述（由申请人提供）：本申请响应NIH PA-06-343（行为和社会科学方法和测量）;该项目也符合PA-06-307和PA-06-337。拟议的研究旨在开发一种新的治疗准备程度量表，并提供初步的有效性数据。药物滥用治疗中的低治疗寻求率和保留率引发了对理解和增强改变动机的持续调查。然而，目前的治疗准备程度有一些限制，我们的规模将解决。与目前的动机措施不同，我们的工具评估了有助于治疗准备的具体因素。也不同于目前的措施，我们预计，我们的规模将显示出强大的有效性，作为一个指标的意图追求治疗。建议的规模是在理论上基于蓝染的计划行为理论（TPB; 1985年，1991年），一个强大的，简约的模型，已被广泛应用于公共卫生领域。TPB提供了强有力的经验支持历史和寻求治疗的意图与该意图的预测因素之间的严格指定关系（即，个人的态度，主观规范和感知控制）。在第一阶段，该研究将通过审查现有文献制定一个初步的准备量表;一个焦点小组，包括15名从加州康特拉科斯塔县一个门诊药物滥用治疗点的摄入预约中招募的客户;并与专家小组进行磋商。该比额表将涉及城规会的所有四个组成部分（即，态度、主观规范、感知控制和意图）。在第二阶段，初步的规模将是计算机管理的一个新的队列的200名客户从同一网站招募。受访者还将完成现有的治疗相关的态度和变化规模阶段的措施;问题的严重程度和后果;社会影响变量;和人口统计变量。一半的初始样本（随机选择）也将再次联系电话随访，一周后再次完成TPB量表。将从整个样本的项目记录中收集访谈后6个月的治疗使用情况。数据将被分析，以完善规模，并建立规模的心理测量学特性，同时效度，预测效度，和重测信度。通过制定一个新的准备程度量表，该项目旨在澄清治疗准备程度的来源，提出增加治疗开始和保留的干预点。该研究还将开发一种筛查工具，用于识别（和干预）在接受治疗时准备程度低的个人。该项目是发展性/探索性的，因为其目的是制定和测试一项新的心理社会措施。

DESCRIPTION (provided by applicant): This application responds to NIH PA-06-343 (Methodology and Measurement in the Behavioral and Social Sciences); the project is also consistent with PA-06-307 and PA-06-337. The proposed research aims to develop, and provide preliminary validity data for, a new scale of treatment readiness. Low rates of treatment seeking and retention in substance abuse treatment have provoked sustained inquiry into understanding, and enhancing, the motivation to change. However, current scales of treatment readiness have a number of limitations that our scale will address. Unlike current measures of motivation, our instrument assesses the specific factors that have contributed to treatment readiness. Also unlike current measures, we expect that our scale will show strong validity as an indicator of the intention to pursue treatment. The proposed scale is theoretically grounded in Aizen's theory of planned behavior (TPB; 1985, 1991), a powerful, parsimonious model that has been widely applied in the field of public health. The TPB offers a strong history of empirical support and tightly specified relations between the intention to pursue treatment and predictors of that intention (i.e., the individual's attitude, subjective norm, and perceived control). In Phase One, the study will develop a preliminary readiness scale via reviewing the available literature; a focus group including 15 clients recruited from intake appointments at an outpatient substance abuse treatment site in Contra Costa County, CA; and consultation with an expert panel. The scale will address all four components of the TPB (i.e., attitudes, subjective norms, perceived control, and intentions). In Phase Two, the preliminary scale will be computer-administered to a new cohort of 200 clients recruited from the same site. Respondents will also complete existing measures of treatment-related attitudes and stage of change scales; problem severity and consequences; social influence variables; and demographic variables. Half this initial sample (selected at random) will also be recontacted for telephone follow-ups, completing the TPB scale again one week later. Treatment utilization for 6 months following the interview will be collected from program records for the entire sample. Data will be analyzed to refine the scale and establish the scale's psychometric properties, concurrent validity, predictive validity, and test-retest reliability. By developing a new readiness scale, the project aims to clarify the sources of treatment readiness, suggesting points of intervention for increasing treatment initiation and retention. The study will also develop a screening instrument useful for identifying (and intervening with) individuals low on treatment readiness at intake. The project is developmental/exploratory because the aim is to develop and test a new psychosocial measure.