Developing a New Scale of Treatment Readiness

制定新的治疗准备标准

• 批准号: 7386947
• 负责人: SARAH E. ZEMORE
• 金额: $ 25.68万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-10 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7386947
• 关键词: Abuse Reporting; Address; Aftercare; Alcohol or Other Drugs use; Alcohols; American; Appointment; Attitude; Behavior; Belief; Cardiovascular Diseases; Chemicals; Chronic Disease; Client; Cognitive; Computers; Consultations; County; Data; Decision Making; Dependence; Dependency; Development; Diabetes Mellitus; Dropout; Drops; Drug abuse; Employment; Eye; Focus Groups; Gender; Goals; Health Services Research; Health behavior; Healthcare; Incentives; Income; Individual; Intake; Intention; Intervention; Interview; Knowledge; Life Style; Literature; Maintenance; Measurement; Measures; Methodology; Mind; Minority; Modeling; Motivation; Numbers; Outpatients; Perception; Persons; Pharmaceutical Preparations; Phase; Physiological; Planning Theory; Prevention; Process; Property; Psychometrics; Public Health; Purpose; Race; Rate; Readiness; Recontacts; Recording of previous events; Records; Recruitment Activity; Reporting; Research; Research Personnel; Respondent; Review Literature; Sample Size; Sampling; Score; Screening procedure; Seminal; Services; Severities; Site; Social support; Source; Specific qualifier value; Staging; Subgroup; Substance abuse problem; Surveys; Symptoms; Telephone; Testing; Time; Treatment Protocols; United States National Institutes of Health; United States Substance Abuse and Mental Health Services Administration; Week; Work; alcohol abuse therapy; base; behavioral/social science; cancer risk; cohort; comparative; compliance behavior; expectation; experience; follow-up; health care delivery; health care service utilization; help-seeking behavior; instrument; pressure; programs; psychosocial; satisfaction; social; substance abuser; treatment site

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.

描述（由申请人提供）：本申请响应NIH PA-06-343（行为和社会科学的方法和测量）；该项目也与PA-06-307和PA-06-337一致。本研究旨在开发一种新的治疗准备度量表，并提供初步的有效性数据。在药物滥用治疗中寻求治疗和保持治疗的低比率引发了对理解和加强改变动机的持续调查。然而，目前的治疗准备程度量表有一些局限性，我们的量表将解决这些局限性。与目前的动机测量不同，我们的仪器评估了导致治疗准备的具体因素。此外，与目前的测量方法不同，我们期望我们的量表将显示出很强的有效性，作为追求治疗的意愿的指标。该量表的理论基础是Aizen的计划行为理论（TPB; 1985, 1991），这是一个强大而简洁的模型，已广泛应用于公共卫生领域。TPB提供了强有力的历史经验支持，并严格规定了寻求治疗的意愿与该意愿的预测因素（即个人的态度、主观规范和感知控制）之间的关系。在第一阶段，该研究将通过回顾现有文献制定初步准备程度量表；一个焦点小组，包括从康特拉科斯塔县门诊药物滥用治疗中心的入院预约中招募的15名客户；并咨询专家小组。该量表将涉及城市规划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，初步的比额表将由电脑对从同一地点招募的200名新客户进行管理。受访者还将完成与治疗有关的态度和变化阶段量表的现有测量；问题的严重性和后果；社会影响变量；还有人口变量。一半的初始样本（随机选择）也将被重新联系进行电话随访，一周后再次完成TPB量表。访谈后6个月的治疗使用情况将从整个样本的项目记录中收集。将对数据进行分析以完善量表，并建立量表的心理测量特性、并发效度、预测效度和重测信度。通过开发一个新的准备度量表，该项目旨在澄清治疗准备度的来源，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（并干预）那些在接受治疗时准备不足的个体。该项目是发展性/探索性的，因为其目的是开发和测试一种新的社会心理测量方法。