title: Assessing youth participation in AA-related helping: validity of the Service to Others in Sobriety (SOS) questionnaire in an adolescent sample.
abstract: OBJECTIVE
  The positive outcomes derived from participation in Alcoholics Anonymous-related helping (AAH) found among adults has spurred study of AAH among minors with addiction. AAH includes acts of good citizenship in AA, formal service positions, public outreach, and transmitting personal experience to another fellow sufferer. Addiction research with adolescents is hindered by few validated assessments of 12-step activity among minors. This study provides psychometric findings of the "Service to Others in Sobriety (SOS)" questionnaire as completed by youths.
  
  
  METHODS
  Multi-informant data was collected prospectively from youth self-reports, clinician-rated assessments, biomarkers, and medical chart records for youths (N = 195) after residential treatment.
  
  
  RESULTS
  Few youths (7%) did not participate in any AAH during treatment. Results indicated the SOS as a unidimensional scale with adequate psychometric properties, including inter-informant reliability (r = .5), internal consistency (alpha = .90), and convergent validity (rs = -.3 to .3). Programmatic AAH activities distinguished abstinent youths in a random half-sample, and replicated on the other half-sample. The SOS cut-point of 40 indicated high AAH participation.
  
  
  CONCLUSIONS
  The SOS appears to be a valid measure of AAH, suggesting clinical utility for enhancing treatment and identifying service opportunities salient to sobriety.
authors: Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA. maria.pagano@case.edu
authors: Maria E
authors: ME
authors: Pagano
authors: John F
authors: JF
authors: Kelly
authors: Michael D
authors: MD
authors: Scur
authors: Rebecca A
authors: RA
authors: Ionescu
authors: Robert L
authors: RL
authors: Stout
authors: Stephen G
authors: SG
authors: Post
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000436:Alcoholics Anonymous; D000533:Altruism; D016739:Behavior, Addictive; D005260:Female; D006379:Helping Behavior; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010555:Personality Inventory; D011594:Psychometrics; D015203:Reproducibility of Results; D012114:Residential Treatment; D019966:Substance-Related Disorders / Q000523:psychology*; D011795:Surveys and Questionnaires
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