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J Stud Alcohol. 2006 Jul;67(4):538-42.

Development and initial validation of a 12-step participation expectancies questionnaire.

Author information

  • 1Center for Alcohol and Addiction Studies, Brown University, Box G-BH, Providence, Rhode Island 02912, USA. Christopher_Kahler@Brown.edu

Abstract

OBJECTIVE:

There are no available instruments that assess expectancies for participation in 12-step mutual-help groups despite the impact such expectancies may have on actual participation. The purpose of the present study was to develop a measure of attitudes and expectancies regarding 12-step participation, to conduct preliminary analyses on its psychometric properties, and to explore its concurrent and predictive validity.

METHOD:

Alcohol-dependent patients (N=48) undergoing inpatient detoxification completed a questionnaire that included subscales assessing expected benefits of, concerns about, and barriers to 12-step participation. Participants also completed measures of 12-step group participation and drinking outcomes at 1, 3, and 6 months following discharge.

RESULTS:

After examining the internal consistency of the items within each subscale and refining the questionnaire accordingly, an exploratory factor analysis showed that the scales could be combined into a higher-order total score. This total score correlated significantly with prior 12-step experience and goals for attending future 12-step meetings. In addition, the Expectancies Total Score at baseline significantly predicted 12-step group participation during follow-up.

CONCLUSIONS:

The measure of attitudes and expectancies regarding 12-step group participation demonstrated good internal consistency, concurrent validity, and predictive validity. The measure may have clinical utility in highlighting patients' expectancies regarding 12-step participation, allowing treatment providers to explore with patients the benefits, concerns, and barriers to involvement that they have endorsed.

PMID:
16736073
[PubMed - indexed for MEDLINE]
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