title: The performance of two motivation measures and outcome after alcohol detoxification.
abstract: OBJECTIVE
  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.
authors.affiliation: Institute of Epidemiology and Social Medicine, Ernst-Moritz-Arndt-University, Greifswald, Germany. freyer@uni-greifswald.de
authors.forename: Jennis
authors.initials: J
authors.lastname: Freyer-Adam
authors.forename: Beate
authors.initials: B
authors.lastname: Coder
authors.forename: Caspar
authors.initials: C
authors.lastname: Ottersbach
authors.forename: J Scott
authors.initials: JS
authors.lastname: Tonigan
authors.forename: Hans-Jürgen
authors.initials: HJ
authors.lastname: Rumpf
authors.forename: Ulrich
authors.initials: U
authors.lastname: John
authors.forename: Ulfert
authors.initials: U
authors.lastname: Hapke
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation*; D003627:Data Interpretation, Statistical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care; D011237:Predictive Value of Tests; D011594:Psychometrics; D013695:Temperance; D016896:Treatment Outcome