Psychometric Properties of the Person-Centered Version of the Alcohol and Alcohol Problems Perceptions Questionnaire (PC-AAPPQ)

Abstract

Aims Given the importance of addressing provider attitudes toward individuals with unhealthy alcohol use and the current emphasis on person-centered language to help decrease stigma and mitigate negative attitudes, the aim of this study was to evaluate the psychometric properties of a contemporary version of the Alcohol and Alcohol Problems Perception Questionnaire (AAPPQ) that uses person-centered language and addresses the spectrum of alcohol use. Methods The authors created a person-centered version of the AAPPQ (PC-AAPPQ) and conducted a cross-sectional study of its psychometric properties in academic settings in the Northeastern United States. The PC-AAPPQ was administered to 651 nursing students. Reliability analysis of the new instrument was performed using the total sample. Only surveys with complete data (n = 637) were randomly split into two datasets, one used for the exploratory factor analysis (EFA) (n = 310) and the other for confirmatory factor analysis (CFA) (n = 327). Results Compared to all the models generated from the EFA, neither the original six-factor structure nor the five-factor structure was superior to any of the other models. The results indicate that a seven-factor structure with all 30 items is the best fit for the PC-AAPPQ. Conclusions The PC-AAPPQ represents a positive effort to modernize the four-decade-old AAPPQ. This 30-item instrument, which adds one additional subscale, offers a means to assess providers’ attitudes using respectful wording that avoids perpetuating negative biases and reinforces efforts to affirm the worth and dignity of the population being treated.

Personal and Professional Attitudes Associated with Nurses’ Motivation to Work with Patients with Opioid use and Opioid Use-Related Problems

“…Ã Role Adequacy subscale from the adapted Person-Centered Alcohol and Alcohol Problems Questionnaire (PC-AAPPQ) original six-factor structure with all 30-items was used. 13,19 A 5-level Likert scale was used ranging from 1("strongly disagree") to 5 ("strongly agree"). The scores were summed into a single score.…”

Learning From the Lived Experiences of People With Opioid Use Disorder

“…Although we wanted to stay consistent with the language of the original tool, the language of the administered tool could be improved upon by using person-centered language (i.e., "person living with OUD, person who has OUD" rather than "opioid user, drug user"). This shift toward using a person-first language has been supported by recent literature (Botticelli & Koh, 2016;Broyles et al, 2014;Mahmoud et al, 2020;McGinty & Barry, 2020;Saitz, 2016). Fourth, as noted by feedback in the open-ended responses, language used in the tool could have caused confusion among students, such as instructions for creating the unique identifier and wording of agree/disagree statements.…”

Changes in Nursing Students' Attitudes and Perceptions After Receipt of Enhanced Substance Use-Related Curricular Content

“…Of note, the PC-AAPPQ subscale general perceptions, which includes two items previous in the original AAPPQ work satisfaction subscale (i.e., feeling able to understand individuals who drink alcohol and liking individuals who drink alcohol; Mahmoud et al, 2020), increased significantly from baseline to follow-up. In contrast, items included in the work satisfaction subscale, which showed no increase, were having satisfaction from working with such individuals and believing it is rewarding to do so.…”

“…This version uses respectful wording that avoids perpetuating negative biases toward the population and affirms the worth and dignity of the population being treated. The PC-AAPPQ has a seven-factor structure: motivation or willingness to work with the population (three items), role adequacy (eight items), role legitimacy (three items), role support (three items), work satisfaction (two items), role-related self-esteem (nine items), and general perceptions related to alcohol use (two items; Mahmoud et al, 2020). The alpha coefficients for the five subscales ranged from α = .58 for the motivation subscale to α = .92 for the role adequacy subscale (Mahmoud et al, 2020).…”

“…According to a national survey, nurses' motivation to work with this population is associated with personal and professional attitudes. Specifically, higher motivation is associated with having a personal experience with alcohol, whereas lower motivation is associated with perceived dangerousness and fear of persons with alcohol use problems (Mahmoud et al, 2020). Similar results have been reported relative to nurses' motivation to work with patients with opioid use problems (Mahmoud et al, 2021).…”