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（申请人提供）：本申请对NIH PA-06-343（行为和社会科学的方法和测量）做出了响应；该项目也与PA-06-307和PA-06-337一致。拟议的研究旨在开发并提供新的治疗准备程度的初步有效性数据。在药物滥用治疗中寻求和保留率的低率引发了人们对理解和增强改变动机的持续调查。但是，当前的治疗准备就绪具有我们的量表将解决的许多局限性。与当前的动机衡量标准不同，我们的仪器评估了有助于治疗准备就绪的特定因素。同样与目前的措施不同，我们预计我们的规模将表现出很强的有效性，以表明打算接受治疗的意图。拟议的量表从理论上是基于Aizen的计划行为理论（TPB； 1985，1991），这是一种强大的，简约的模型，已广泛应用于公共卫生领域。 TPB提供了经验支持的悠久历史，并在寻求治疗的意图与预测该意图的预测（即个人的态度，主观规范和可感知的控制）之间有着密切的关系。在第一阶段，该研究将通过审查可用文献来制定初步准备量表。一个焦点小组，其中包括在加利福尼亚州哥斯达黎加县的门诊毒品滥用治疗现场招募的15个客户；并咨询专家小组。该量表将解决TPB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，初步量表将被计算机管理到从同一站点招募的200个客户组成的新队列。受访者还将完成现有的与治疗相关态度和变化量表的阶段；问题严重性和后果；社会影响变量；和人口统计学变量。该初始样本（随机选择）也将重新连接以进行电话随访，一周后再次完成TPB量表。面试后6个月的治疗利用将从整个样本的计划记录中收集。将分析数据以完善量表并确定量表的心理测量特性，同时有效性，预测有效性和测试 - 重测的可靠性。通过制定新的准备量表，该项目旨在阐明治疗准备的来源，这表明了增加治疗开始和保留的干预点。这项研究还将开发一种用于识别（和干预）摄入量的治疗准备情况（并与）个体有用的筛选工具。该项目具有发展/探索性，因为其目的是制定和测试一种新的社会心理措施。