Assessing self-determined motivation for addiction treatment: Validity of the Treatment Entry Questionnaire
- 作者：Karen A. Urbanoski ; Ph.D.a ; karen_urbanoski@camh.net ; T. Cameron Wild ; Ph.D.b
- 关键词：Self-determination theory ; Motivation ; Measurement ; Reliability ; Validity ; Addiction treatment
- 刊名：Journal of Substance Abuse Treatment
- 出版年：2012
- 期刊代码：174_07405472
- 类别：med
- 出版时间：July, 2012
- 卷：43
- 期：1
- 页码：70-79
- 文件大小：181 K
摘要
Although legal, formal, and informal social controls are frequently used to pressure individuals to enter treatment, motivational consequences of using these tactics have been neglected. Self-determination theory (SDT) provides a useful perspective for understanding client experiences of social controls and highlights the importance of self-determined motivation for long-term behavior change. This study assessed the construct validity of the Treatment Entry Questionnaire (TEQ), a brief scale derived from SDT to measure identified, introjected, and external treatment motivation. Two independent samples of clients entering Canadian residential and outpatient treatment completed TEQ items (ns = 529 and 623). Exploratory and confirmatory factor analyses supported a 9-item version of the scale, with 3 factors aligning with SDT motivational subtypes. Subscales showed high internal consistency and correlated as expected with social controls and perceived coercion at treatment entry. The TEQ-9 is a valid option for assessing self-determined motivation in clinical practice and evaluating coerced addiction treatment.