Validation of the observational version of the motivation for treatment scale

Góngora, Vanesa; Oene, Gerdien H. Deweert-Van; Sternberg, Kirk L Von; Jong, C.A.J. de

doi:10.3109/16066359.2012.656757

Cited by 6 publications

(6 citation statements)

References 41 publications

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“…Participants responded to the questionnaire using a five-point Likert scale, ranging from “strongly disagree” to “strongly agree.” The scale consisted of five subscales reflecting aspects of motivation, namely Problem Recognition (PR), Desire for Help (DH), Treatment Readiness (TR), Pressures for Treatment (PT), and Treatment Needs (TN), representing different dimensions of motivation for treatment. An observational version of the TCU scales demonstrated adequate reliability in a validation study ( 24 ), and an interview version of the TCU scales had also been used to predict therapeutic engagement in substance abuse treatment ( 25 ).…”

Section: Methodsmentioning

confidence: 99%

Outcome Evaluation of a Short-Term Hospitalization and Community Support Program for People Who Abuse Ketamine

Siu

Mak

2018

Front. Psychiatry

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Ketamine is a popular recreational drug among young people in Hong Kong. Long-term abuse of ketamine can lead to acute urological and medical issues, which often require immediate care at emergency rooms. Many patients require short-term hospitalization for medical management. This opens a brief time window, within which mental health professionals could engage young people who abuses ketamine in psychosocial, functional, and lifestyle interventions. The Crisis Accommodation Program (CAP) is a short-term hospitalization and community support program that addresses the health care needs of young people who abuse ketamine. During short-term hospitalization, the patient participates in a range of cognitive and psychosocial assessments, motivational interviewing, emotions management, and lifestyle re-design interventions. Upon discharge, social work professionals of non-government agencies continue to work with the patients on their action plans in the community. This evaluation study uses a quasi-experimental non-equivalent group design, in which the outcomes of the treatment group (n = 84) are compared with a comparison group (n = 34) who have a history of ketamine abuse but who have not joined the treatment program. The results confirm that the treatment group showed significant increases in motivation for treatment, reduction in drug use, improvement in cognitive screening tests, healthy lifestyle scores, and self-efficacy in avoidance of drugs over 13 weeks. When compared with the comparison group, the treatment group had significant decreases in anxiety and treatment needs and had moved from pre-contemplation to the contemplation or preparation stage. However, there were no significant changes in outcome measures covering lifestyle or self-efficacy in drug avoidance. Overall, the CAP is effective in reducing drug use, anxiety, and helping patients to move from pre-contemplation to the contemplation or preparation stage of change. The study results suggest that health care professionals can successfully engage young people who abuse ketamine to participate in a package of psychosocial interventions, motivational interviewing, and lifestyle re-design during their hospital stay for management of urological problems. The CAP also highlights the importance of collaboration between hospitals and community social services in the management of addiction.

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Section: Methodsmentioning

confidence: 99%

Outcome Evaluation of a Short-Term Hospitalization and Community Support Program for People Who Abuse Ketamine

Siu

Mak

2018

Front. Psychiatry

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“…Most of these questionnaires (91%) were completed by the individuals on their own; however, 3 questionnaires were completed with the help of an expert,[ 11 12 13 ] and 1 tool used a clinician's observations observational version of the motivation for treatment scale (MfT-O)]. [ 14 ] Most of these tools were designed and scored according to rating scale. The score of each question varied from 4[ 15 ] to 10,[ 16 ] and the number of questions in each questionnaire varied from 4[ 17 ] to 85 questions.…”

Section: Resultsmentioning

confidence: 99%

“…In these studies, the concept of motivation had been defined in various ways. In 21 studies (65%), it was defined theoretically based on theories such as Self-Determination Theory (SDT)[ 13 14 18 23 31 32 33 34 35 ] or the Treatment Self-Regulation Questionnaire (TSRQ) model resulting from the theory of Ryan et al . (1989) theory of planned behavior.…”

Section: Resultsmentioning

confidence: 99%

“…Most questionnaires had been designed and suited in countries with English language and culture. [ 15 17 19 24 26 27 29 32 33 34 35 38 40 41 42 43 44 ] Studies in other cultures were limited to the Dutch,[ 12 14 16 17 18 31 36 37 ] German,[ 20 ] Polish,[ 37 ] Chinese,[ 28 ] Italian,[ 25 ] Swedish,[ 11 30 ] and Iranian cultures. [ 39 ] Definition of motivation: The definition of motivation varied considerably in different studies [Tables 2 and 3 ].…”

Section: Resultsmentioning

confidence: 99%

“…However, most of the tools were self-report tools. Motivation has behavioral components[ 14 ] and it can be defined in relation to the patient's behavior during the treatment process. [ 45 46 ] Observable behavior of patients' motivation can be assessed more easily by nurses.…”

Section: Discussionmentioning

confidence: 99%

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Scoping Review on the Concept of Patient Motivation and Practical Tools to Assess it

Hosseini

Alavi

Mohammadi

et al. 2021

Iranian Journal of Nursing and Midwifery Research

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Background: In this scoping review, the concept of patients' motivation and the tools that have been designed to measure this concept in clinical settings are presented. Materials and Methods: Arksey and O'Malley's framework was used in conducting the current scoping review. Google Scholar, PubMed, Scopus, and Web of Science databases were searched for relevant English articles published between January 1995 and January 2020 using the keywords motivation and tool, and their synonyms. Out of 2820 articles, 34 articles were chosen and were entered into the final analysis. Definitions of patients' motivation were determined using Kyngäs et al., content analysis method. Results: The findings showed that new tools had been developed in 38% of the studies and other studies had revised or translated existing questionnaires. Moreover, 62% of the tools were used to measure patient motivation in mental disorders. Most of the studies did not clearly define the concept of patient motivation in the clinical environment. The findings of content analysis outlined the 3 categories of motivation determinant factors, decisions, and behaviors that determine overall levels of motivations and its consequences. Conclusions: Motivation is a dynamic concept and is a result of internal and external motives that lead to decisions and behaviors. There are limited tools for measuring motivation in clinical settings. This addresses the need to design specific tools in various diseases, especially chronic diseases. By the concept defined in this study, it is possible to design a short tool with general application that can be used in all diseases.

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