title: Assessing self-determined motivation for addiction treatment: validity of the Treatment Entry Questionnaire.
abstract: 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.
authors.affiliation: Department of Psychiatry, Harvard University, Boston, MA 02114, USA. karen_urbanoski@camh.net
authors.forename: Karen A
authors.initials: KA
authors.lastname: Urbanoski
authors.forename: T Cameron
authors.initials: TC
authors.lastname: Wild
mesh_terms: D000328:Adult; D002170:Canada; D003068:Coercion; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care; D026684:Personal Autonomy; D011582:Psychological Theory; D012926:Social Control, Formal; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D055815:Young Adult