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Investigating the factor structure of a translated recovery-orientation instrument in inpatient treatment for substance use disorder

机译:研究物质使用障碍的住院治疗中翻译恢复方向仪的因子结构

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Recovery has been outlined as a process of change through which involvement and empowerment enables individuals to reach their goals and aspirations. Recovery self-assessment (RSA) is an instrument that has been acknowledged as an applicable measure of recovery-orientation in services for people with mental health problems or substance use disorder (SUD). This study aimed to translate RSA from US English to Norwegian and to investigate the factor structure of the translated version (RSA-N). A translate/back-translate procedure was used. Confirmatory factor analysis (CFA) was applied to investigate the factor structure of RSA-N in a sample of clinicians (n?=?407) working in inpatient SUD treatment facilities. The results suggested that the hypothesised five-factor structure originally obtained by the developers showed an inadequate fit with the current data sample. RSA-N was modified and restructured by removing twelve misfitting items and combining factors with high covariance using data from one subsample. The alternative three-factor structure yielded an acceptable fit for the data from a second subsample. Acceptable alpha coefficients, suggesting good internal consistency, supported the adequacy of the three-factor structure. Results from the present study are in line with previous findings, which have failed to replicate the hypothesised five-factor structure without modifications. Knowledge about the degree to which SUD services are recovery-oriented may contribute to SUD services’ pursuit of establishing an inpatient treatment environment that fosters change and development of inpatients. The present study’s findings imply RSA-N’s potential as an instrument to assess recovery-orientation in inpatient SUD treatment.
机译:已概述恢复作为变革过程,通过哪些参与和赋权使个人能够达到目标和愿望。恢复自我评估(RSA)是一种仪器,该仪器被承认为患有心理健康问题或物质使用障碍(SUD)的人类服务中的恢复方向的适用衡量标准。本研究旨在将RSA从美国英语转换为挪威语,并调查翻译版本的因子结构(RSA-N)。使用了翻译/返回翻译过程。验证因子分析(CFA)应用于研究在适用于住院泡沫处理设施的临床医生样本中RSA-N的因子结构。结果表明,开发人员最初获得的假设五因素结构表现出与当前数据样本合适的不足。通过从一个子样本中移除12个不合格的物品并将具有高协方差的因素组合来修改和重组RSA-N。替代的三因素结构对来自第二个子摄像的数据产生可接受的拟合。可接受的alpha系数,表明内部一致性良好,支持三因素结构的充分性。本研究的结果符合先前的发现,该研究结果未能复制假设的五因素结构而无需修改。了解苏打恢复的程度导向的程度可能有助于Sud Services的追求建立住院治疗环境的内部治疗环境。本研究的研究结果意味着RSA-N作为一种评估住院泡沫治疗中的恢复方向的仪器的潜力。

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