The performance of two motivation measures and outcome after alcohol detoxification

Alcohol Alcohol. 2009 Jan-Feb;44(1):77-83. doi: 10.1093/alcalc/agn088. Epub 2008 Nov 13.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alcoholism / epidemiology
  • Alcoholism / psychology*
  • Alcoholism / rehabilitation*
  • Data Interpretation, Statistical
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Motivation*
  • Odds Ratio
  • Patient Acceptance of Health Care
  • Predictive Value of Tests
  • Psychometrics
  • Temperance
  • Treatment Outcome