The performance of two motivation measures and outcome after alcohol detoxification

Jennis Freyer-Adam*, Beate Coder, Caspar Ottersbach, J. Scott Tonigan, Hans Jürgen Rumpf, Ulrich John, Ulfert Hapke

*Corresponding author for this work
7 Citations (Scopus)

Abstract

Aims: The aims of this study were to investigate the performance of the treatment version of the Readiness to Change Questionnaire (RCQ[TV]) among individuals currently receiving alcohol detoxification and to develop a treatment version of the Treatment Readiness Tool (TReaT[TV]). Methods: A total of 549 patients (86% men) recruited from two detoxification units were interviewed close to treatment intake and followed up 12 months later. Confirmatory factor analyses and logistic regression analyses were conducted. Results: A modified nine-item version of the RCQ[TV] showed a good fit of the model (CFI = 0.95) and internal consistencies ranging between 0.49 and 0.91. Twelve months later, RCQ-Actors had an odds ratio of 1.95 (95% CI: 1.12-3.37) for being abstinent compared to Precontemplators/ Contemplators. The development of the TReaT[TV] resulted in 15 items and 5 scales with a CFI of 0.97 and Cronbach's alphas ranging between 0.59 and 0.94. TReaT[TV] Precontemplators/Contemplators were less likely to utilize help than Maintainers (OR = 0.17, 95% CI: 0.06-0.45). Conclusions: The psychometric properties were modest for the modified RCQ[TV] and good for the TReaT[TV]. Readiness to change and readiness to seek help should be assessed separately among treatment seekers.

Original languageEnglish
JournalAlcohol and Alcoholism
Volume44
Issue number1
Pages (from-to)77-83
Number of pages7
ISSN0735-0414
DOIs
Publication statusPublished - 2009

Funding

Acknowledgements — The study, as part of the Research Collaboration in Early Substance Use Intervention (EARLINT), was funded by the German Federal Ministry of Education and Research (01EB0120, 01EB0420), the Social Ministry of the State of Mecklenburg-Western Pomerania (IX 311 a 406.68.43.05) and the Alfried-Krupp-von-Bohlen-and-Halbach-Foundation. We wish to thank the heads and the staff of both treatment units (Prof. Dr H. J. Freyberger, Dr J. Zimmermann, PD Dr M. Lucht, Dr J. Niemann, Dr U. W. Preuß, Dr J. Riedel) for supporting the study. We appreciate PD Dr Stefan Keller’s help in generating and translating the items of the TReaT[TV] and Dr Daniel M. Robinson’s help in translating the items of the RCQ[TV]. We also appreciate helpful comments of two anonymous reviewers.

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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