title: Structure of Problem Recognition Questionnaire with Hispanic/Latino Adolescents.
abstract: Motivation is a prominent target for substance use interventions because it is theorized to increase engagement in therapy and predict treatment outcomes. Establishing the validity of measures relevant to motivation among Hispanic/Latino adolescents will improve the resources available for screening and measuring change processes in a multicultural population. We examined the structure of the Problem Recognition Questionnaire (PRQ; Cady, Winters, Jordan, Solberg, & Stinchfield, 1996) with Hispanic/Latino adolescents. Participants were adolescents (n=191) in a randomized controlled trial for substance abuse. Data were collected during a baseline pre-treatment time point and post-treatment time point that was four-months post-baseline. Confirmatory factor analysis (CFA) showed that the three-factor structure proposed by Cady et al. (1996) had a poor fit with pre-treatment data. Follow-up exploratory analyses with principal axis factoring identified an alternate three-factor structure with pre-treatment data (problem recognition, readiness, and treatment resistance). A second CFA showed this three-factor model fit data from participants at the post-treatment time point (n=155). The results provide preliminary evidence for using our proposed factor structure for the PRQ subscales with Hispanic/Latino adolescents. We discuss the dimensions we identified in the context of similar measures and the implications for measuring problem recognition, readiness, and treatment resistance.
authors: Department of Educational and Psychological Studies, School of Education and Human Development, University of Miami. Electronic address: e.stanforth@miami.edu.
authors: Evan T
authors: ET
authors: Stanforth
authors: School of Nursing and Health Studies, University of Miami.
authors: Brian E
authors: BE
authors: McCabe
authors: Department of Educational and Psychological Studies, School of Education and Human Development, University of Miami.
authors: Maite P
authors: MP
authors: Mena
authors: Department of Educational and Psychological Studies, School of Education and Human Development, University of Miami.
authors: Daniel A
authors: DA
authors: Santisteban
mesh_terms: D000293:Adolescent; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011594:Psychometrics / Q000295:instrumentation*; D019966:Substance-Related Disorders / Q000208:ethnology* / Q000628:therapy; D011795:Surveys and Questionnaires / Q000592:standards*
keywords: Adolescent; Factor analysis; Hispanic/Latino; Motivation