Elison Sarah, Dugdale Stephanie, Ward Jonathan, Davies Glyn
a Breaking Free Group , Manchester , UK.
Subst Use Misuse. 2017 Jul 29;52(9):1160-1169. doi: 10.1080/10826084.2017.1299183. Epub 2017 May 30.
There is debate in the literature around how to measure outcomes in treatment and recovery from substance use disorder (SUD). Various constructs have been suggested as appropriate including "recovery capital" and "treatment progression." To contribute to this debate, the construct of "recovery progression" has been suggested by the authors, and a psychometric assessment, the Recovery Progression Measure (RPM). Although published psychometrics data have demonstrated the RPM to be reliable, at 36-item long, it may be too lengthy to complete in clinic environments. Therefore, a shorter version has been developed, the Rapid RPM.
To examine reliability, validity, sensitivity and specificity of the Rapid RPM via data from 9208 service users.
Data were collected from service users accessing the Breaking Free Online (BFO) treatment and recovery program, which has within its baseline assessment the six-item, 11-point Likert scale Rapid RPM. Psychometric properties were examined.
Internal reliability of the Rapid RPM was excellent, α =.92. The Rapid RPM also had good concurrent and predictive validity, with baseline scores, and changes in scores to follow-up, being significantly associated with scores on standardized measures of common mental health sequela, severity of substance dependence and quality of life, and changes in self-reported substance use. The Rapid RPM was also able to differentiate between participants scoring above thresholds on these measures for clinically relevant substance dependence and mental health difficulties.
This study provides data to support reliability, validity, sensitivity and specificity of the Rapid RPM, indicating potential as a clinical tool.
围绕如何衡量物质使用障碍（SUD）治疗及康复的结果，文献中存在争议。已提出各种合适的概念，包括“康复资本”和“治疗进展”。为推动这一辩论，作者提出了“康复进展”的概念，并进行了一项心理测量评估，即康复进展量表（RPM）。尽管已发表的心理测量数据表明RPM是可靠的，但它有36个项目，在临床环境中完成可能太长。因此，开发了一个较短的版本，即快速RPM。
通过9208名服务使用者的数据，检验快速RPM的信度、效度、敏感性和特异性。
从使用“挣脱在线”（BFO）治疗与康复项目的服务使用者中收集数据，该项目在基线评估中有一个6项、11点李克特量表的快速RPM。对心理测量特性进行了检验。
快速RPM的内部信度极佳，α = 0.92。快速RPM还具有良好的同时效度和预测效度，基线分数以及随访时分数的变化与常见心理健康后遗症、物质依赖严重程度和生活质量的标准化测量分数以及自我报告的物质使用变化显著相关。快速RPM还能够区分在这些测量中得分高于临床相关物质依赖和心理健康困难阈值的参与者。
本研究提供的数据支持了快速RPM的信度、效度、敏感性和特异性，表明其作为一种临床工具的潜力。
