TY - JOUR
T1 - Adaptation and Validation of the Instrument Treatment Outcomes Profile to the Chilean Population
AU - Castillo-Carniglia, Álvaro
AU - Marín, José D.
AU - Soto-Brandt, Gonzalo
AU - Donoso, María Paz
AU - Piñol, Diego
AU - San Martín, Juan
AU - Huepe, David
AU - Alvarado, Rubén
AU - Eastwood, Brian
AU - Portilla Huidobro, Rodrigo
N1 - Funding Information:
This research was supported by the National Service for Prevention and Rehabilitation of Drug and Alcohol Consumption (SENDA), public bidding ID N° 5274-17-LE11. The contents of this article are the sole responsibility of the authors and do not necessarily represent the views of SENDA. The authors acknowledge the members of the project committee of experts and the teams of treatment centers, public and private, and primary care who so willingly participated in the study.
Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - This study aims to psychometrically validate the Chilean version of the treatment outcomes profile (TOP), an instrument that can be used by treatment centers to monitor the results of drug and alcohol treatments. Specifically, this study is interested in evaluating the inter-rater reliability, concurrent validity, change sensitivity and discriminant and construct validity of this instrument. The TOP was modified to reflect the Chilean context and then applied in three successive stages: an initial application at the beginning of treatment, a retest after 1. week, and a follow up after a month. The sample was composed of 411 users of different types of drugs who were in treatment centers in the three largest regions of the country. The TOP reliability was greater than .75 for most items. Regarding concurrent validity, all the coefficients were in the expected direction and statistically significant. Change over time, as measured by Cohen's d statistic and the Reliable Change Index, was significant for most items. Users in treatment for less than 3. months showed higher alcohol consumption (odds ratio [OR]. =. 1.07; 95% confidence interval [95% CI]: 1.01-1.13), poorer psychological health (OR. =. 0.94; 95% CI: 0.87-1.00), fewer days worked (0.56; 0.95-0.99) and poorer housing conditions (OR. =. 2.76; 95% CI: 1.22-6.23) than did their counterparts who had more than 3. months of treatment. Researchers extracted six components with eigenvalues greater than one, accounting for 69.0% of the total variance. In general, the Chilean TOP is a reliable and valid mechanism to monitor outcomes of people treated for problems with drug and alcohol abuse in Chile, but further validation work is required in some dimensions.
AB - This study aims to psychometrically validate the Chilean version of the treatment outcomes profile (TOP), an instrument that can be used by treatment centers to monitor the results of drug and alcohol treatments. Specifically, this study is interested in evaluating the inter-rater reliability, concurrent validity, change sensitivity and discriminant and construct validity of this instrument. The TOP was modified to reflect the Chilean context and then applied in three successive stages: an initial application at the beginning of treatment, a retest after 1. week, and a follow up after a month. The sample was composed of 411 users of different types of drugs who were in treatment centers in the three largest regions of the country. The TOP reliability was greater than .75 for most items. Regarding concurrent validity, all the coefficients were in the expected direction and statistically significant. Change over time, as measured by Cohen's d statistic and the Reliable Change Index, was significant for most items. Users in treatment for less than 3. months showed higher alcohol consumption (odds ratio [OR]. =. 1.07; 95% confidence interval [95% CI]: 1.01-1.13), poorer psychological health (OR. =. 0.94; 95% CI: 0.87-1.00), fewer days worked (0.56; 0.95-0.99) and poorer housing conditions (OR. =. 2.76; 95% CI: 1.22-6.23) than did their counterparts who had more than 3. months of treatment. Researchers extracted six components with eigenvalues greater than one, accounting for 69.0% of the total variance. In general, the Chilean TOP is a reliable and valid mechanism to monitor outcomes of people treated for problems with drug and alcohol abuse in Chile, but further validation work is required in some dimensions.
KW - Alcohol
KW - Drugs treatment
KW - Instrument
KW - Treatment outcome
KW - Validation
UR - http://www.scopus.com/inward/record.url?scp=84937732895&partnerID=8YFLogxK
U2 - 10.1016/j.jsat.2015.03.002
DO - 10.1016/j.jsat.2015.03.002
M3 - Article
C2 - 25858760
AN - SCOPUS:84937732895
SN - 0740-5472
VL - 56
SP - 39
EP - 47
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
ER -