Establishing Survey Validity and Reliability for American Indians Through “Think Aloud” and Test–Retest Methods

Hauge, Cindy Horst; Jacobs-Knight, Jacque; Jensen, Jamie L.; Burgess, Kate; Puumala, Susan E.; Wilton, Georgiana; Hanson, Jessica D.

doi:10.1177/1049732315582010

Cited by 15 publications

(15 citation statements)

References 37 publications

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“…In addition, our team made relatively minor changes to the CHOICES measures and curriculum by gathering community input as described elsewhere (Hanson and Pourier, 2016; Hauge et al, 2015). Even with these changes to make the CHOICES intervention culturally and linguistically appropriate and the potential threats to program validity those changes entail, we found a significant impact in reducing AEP risk.…”

Section: Discussionmentioning

confidence: 99%

“…The OST CHOICES Program was modified slightly to incorporate community input, as highlighted in previous publications from this team. These modifications include adding local images and data to the curriculum; revising to lower readability level and changing wording for some of the survey and activity measurements; and changing information in the materials to fit with the most common types of alcohol consumed in the communities and what birth control is available at the local clinics (Hanson and Pourier, 2016; Hauge et al, 2015). …”

Section: Methodsmentioning

confidence: 99%

“…Developed through community and clinic input (Hanson and Pourier, 2016; Hauge et al, 2015), the tribally-run OST CHOICES Program used MI to encourage participants to decrease binge drinking and/or increase birth control, thereby reducing risk for AEP. The purpose of this paper is to present data on the impact that the OST CHOICES Program had on risk for AEP among American Indian women from one geographic area of the United States and highlight the potential that this intervention has for preventing FASD in tribal nations across the country.…”

Section: Introductionmentioning

confidence: 99%

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Impact of the CHOICES Intervention in Preventing Alcohol‐Exposed Pregnancies in American Indian Women

Hanson

Nelson

Jensen

et al. 2017

Alcoholism Clin & Exp Res

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Background Fetal Alcohol Spectrum Disorders (FASD) comprise a continuum of lifelong outcomes in those born prenatally exposed to alcohol. Although studies have shown no differences in rates by race, FASD is of particular concern for American Indian communities. One tribally-run prevention program is the Oglala Sioux Tribe (OST) CHOICES Program, which is modeled after the evidence-based CHOICES program that was focused on preconceptional prevention of alcohol-exposed pregnancy (AEP) by reducing risky drinking in women at-risk for pregnancy and/or preventing unintended pregnancy. Methods The OST CHOICES Program was made culturally appropriate for American Indian women and implemented with three communities, two on the reservation and one off. Data on drinking, sexual activity, and contraception use were collected at baseline and 3- and 6-months post-intervention. Data were analyzed using descriptive statistics, one-way ANOVA, and a random intercept generalized estimating equation (GEE) model. Results A total of 193 non-pregnant American Indian women enrolled in the OST CHOICES Program, and all were at-risk for AEP because of binge drinking and being at-risk for an unintended pregnancy. Fifty-one percent of participants completed both 3- and 6-month follow-up. Models showed a significant decrease in AEP risk from baseline at both 3- and 6-month follow-ups, indicating the significant impact of the OST CHOICES intervention. Women in the OST CHOICES Program were more likely to reduce their risk for AEP by utilizing contraception, rather than decreasing binge drinking. Conclusions Even with minor changes to make the CHOICES intervention culturally and linguistically appropriate and the potential threats to program validity those changes entail, we found a significant impact in reducing AEP risk. This highlights the capacity for the CHOICES intervention to be implemented in a wide variety of settings and populations.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of the CHOICES Intervention in Preventing Alcohol‐Exposed Pregnancies in American Indian Women

Hanson

Nelson

Jensen

et al. 2017

Alcoholism Clin & Exp Res

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“…While the OST CHOICES Program was successfully implemented and enrollment and data collection is ongoing, our team saw a critical need to expand the program to include components the community deems important. First, we conducted a validity/reliability study to further our efforts on the expansion of the CHOICES intervention with American Indian women [ 25 ]. Second, we conducted a needs assessment in 2013 that identified several ways to expand OST CHOICES, including a desire to include interpersonal social support in the intervention [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

The Oglala Sioux Tribe CHOICES Program: Modifying an Existing Alcohol-Exposed Pregnancy Intervention for Use in an American Indian Community

Hanson

Pourier²

2015

IJERPH

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Alcohol-exposed pregnancies are a health issue for many American Indian communities. The goal of this manuscript is to outline how an existing alcohol-exposed pregnancy prevention program with non-pregnant women (Project CHOICES) was modified to fit the needs and norms of an American Indian community. The Oglala Sioux Tribe CHOICES Program was developed and implemented using community feedback through initial meetings, reviewing materials, gathering input into recruitment and intervention logistics, and conducting interviews to evaluate the program. The intervention was implemented and has been enrolling non-pregnant American Indian women for the past several years. While data collection is ongoing, it has shown preliminary success in changing behaviors and in impacting how the community views the prevention of alcohol-exposed pregnancies. Overall, this study highlights the potential to expand this prevention program to other sites and with other populations, such as adolescents. By the end of this article, readers will comprehend the steps necessary to replicate such a program at other tribal and rural sites.

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“…Still, only a small number of studies have investigated how respondents in health care settings interpret questions and statements and what their thoughts are when doing so [13–16]. Results from those studies indicate that, although well validated with standard psychometric methods, questionnaires are not always perceived as intended: responders may interpret questions in unexpected ways and have difficulties understanding them [13]. To our knowledge, no such studies have been performed in a psychiatric setting.…”

Section: Introductionmentioning

confidence: 99%

How do people with mood and anxiety disorders perceive and interpret the Drinking Motives Questionnaire? A think-aloud study in a clinical setting

Nehlin

2018

Addict Sci Clin Pract

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BackgroundResearch has identified drinking motives as the final common pathway to alcohol use, and associations between specific drinking motives and drinking patterns have consistently been demonstrated. Data on drinking motives can be used for research, in the planning of prevention strategies and for treatment purposes. The Drinking Motives Questionnaire-Revised (DMQ-R) has become the most used measure of drinking motives. So far, the questionnaire has not been investigated with qualitative methods. The aim of this study was to investigate acceptability, accuracy and usability of the DMQ-R among persons receiving outpatient psychiatric care by studying how responders perceive and interpret the questionnaire.MethodA cognitive interviewing technique, the think-aloud method, was used to collect data from 16 non-alcohol dependent patients seeking outpatient psychiatric care (12 women, 4 men). To analyse data, Qualitative Content Analysis was applied in which themes were formed from data only and not from predetermined areas of interest.ResultsOverall, acceptability of the DMQ-R was high although answers were sometimes given with low accuracy. Responders pointed out that they perceived the questionnaire as non-confrontational and exhaustive. Further, the DMQ-R seemed to launch processes of self-reflection.ConclusionsTaken together, the results suggest a support for the use of DMQ-R also in the group of psychiatric outpatients. Still, when interpreting the DMQ-R, a certain insecurity of the exactness of answers should be considered. The graphic design should be particularly clear in this group of patients.Electronic supplementary materialThe online version of this article (10.1186/s13722-018-0109-1) contains supplementary material, which is available to authorized users.

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Establishing Survey Validity and Reliability for American Indians Through “Think Aloud” and Test–Retest Methods

Cited by 15 publications

References 37 publications

Impact of the CHOICES Intervention in Preventing Alcohol‐Exposed Pregnancies in American Indian Women

Impact of the CHOICES Intervention in Preventing Alcohol‐Exposed Pregnancies in American Indian Women

The Oglala Sioux Tribe CHOICES Program: Modifying an Existing Alcohol-Exposed Pregnancy Intervention for Use in an American Indian Community

How do people with mood and anxiety disorders perceive and interpret the Drinking Motives Questionnaire? A think-aloud study in a clinical setting

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