Developing a New Scale of Treatment Readiness

制定新的治疗准备标准

• 批准号: 7653869
• 负责人: SARAH E. ZEMORE
• 金额: $ 14.28万
• 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 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7653869
• 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; Outpatients; Perception; Persons; Pharmaceutical Preparations; Phase; Physiological; Planning Theory; Prevention; Process; Property; Psychometrics; Public Health; Race; Readiness; Recontacts; Recording of previous events; Records; Recruitment Activity; Reporting; Research; Research Personnel; Respondent; Review Literature; Sample Size; Sampling; 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; Work; alcohol abuse therapy; base; behavioral/social science; cancer risk; cohort; comparative; compliance behavior; expectation; experience; follow-up; health care delivery; help-seeking behavior; instrument; non-compliance; pressure; programs; psychosocial; satisfaction; social; social science research; 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。拟议的研究旨在开发新的治疗准备程度并为其提供初步有效性数据。药物滥用治疗寻求治疗和保留率较低，引发了对理解和增强改变动机的持续探究。然而，目前的治疗准备程度有许多局限性，我们的量表将解决这些问题。与目前的动机衡量标准不同，我们的工具评估有助于治疗准备的具体因素。与目前的措施不同的是，我们预计我们的量表将显示出很强的有效性，可以作为寻求治疗意图的指标。所提出的量表在理论上以 Aizen 的计划行为理论 (TPB; 1985, 1991) 为基础，这是一个强大的、简约的模型，已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，以及寻求治疗的意图和该意图的预测因素（即个人的态度、主观规范和感知控制）之间严格指定的关系。在第一阶段，该研究将通过审查现有文献制定初步准备量表；一个焦点小组，包括 15 名从加利福尼亚州康特拉科斯塔县门诊药物滥用治疗点的入院预约中招募的客户；并与专家小组协商。该量表将涉及 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，初步规模将由计算机管理给从同一地点招募的 200 名新客户。受访者还将完成与治疗相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；和人口变量。初始样本的一半（随机选择）也将重新联系进行电话随访，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 个月的治疗利用率。将分析数据以完善量表并确定量表的心理测量特性、并发有效性、预测有效性和重测可靠性。通过开发新的准备量表，该项目旨在澄清治疗准备的来源，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，可用于识别（并干预）摄入时治疗准备度较低的个体。该项目是开发性/探索性的，因为其目的是开发和测试新的心理社会措施。