Southcentral Foundation, 4085 Tudor Centre Drive, Anchorage, AK (KML, KJJ, JPA, JLS); Information School, University of Washington, Box 352840, Mary Gates Hall, Seattle, WA (LGD); Elson S. Floyd College of Medicine, Washington State University, 412 E. Riverpoint BLVD, Spokane, WA (AJL, KCA, MGMD); Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, 2650 Yale Blvd SE, Albuquerque, NM (KH); Department of Psychology, University of New Mexico, Albuquerque, NM (JH); Institute for Research and Education to Advance Community Health and Partnerships for Native Health, Washington State University, 1100 Olive Way, Ste 1200, Seattle, WA (DB); Department of Psychiatry and Behavioral Sciences and Alcohol and Drug Abuse Institute, University of Washington, 1107 NE 45th Street, Suite 120, Seattle, WA (DMD).
J Addict Med. 2020 Sep/Oct;14(5):e241-e246. doi: 10.1097/ADM.0000000000000661.
The objective of this study was to examine the predictive validity of the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) among Alaska Native and American Indian (ANAI) people with an alcohol use disorder.
The sample was 170 ANAI adults with an alcohol use disorder living in Anchorage, Alaska who were part of a larger alcohol intervention study. The primary outcome of this study was alcohol use as measured by mean urinary ethyl glucuronide (EtG). EtG urine tests were collected at baseline and then up to twice a week for four weeks. We conducted bivariate linear regression analyses to evaluate associations between mean EtG value and each of the three SOCRATES subscales (Recognition, Ambivalence, and Taking Steps) and other covariates such as demographic characteristics, alcohol use history, and chemical dependency service utilization. We then performed multivariable linear regression modeling to examine these associations after adjusting for covariates.
After adjusting for covariates, mean EtG values were negatively associated with the Taking Steps (P = 0.017) and Recognition (P = 0.005) subscales of the SOCRATES among ANAI people living in Alaska. We did not find an association between mean EtG values and the Ambivalence subscale (P = 0.129) of the SOCRATES after adjusting for covariates.
Higher scores on the Taking Steps and Recognition subscales of the SOCRATES at baseline among ANAI people predicted lower mean EtG values. This study has important implications for communities and clinicians who need tools to assist ANAI clients in initiating behavior changes related to alcohol use.
本研究旨在检验阶段变化准备和治疗意愿量表（SOCRATES）在阿拉斯加原住民和美洲印第安人（ANAI）酒精使用障碍患者中的预测效度。
该样本为 170 名居住在阿拉斯加安克雷奇的患有酒精使用障碍的 ANAI 成年人，他们是一项更大的酒精干预研究的一部分。本研究的主要结果是通过平均尿乙基葡萄糖醛酸（EtG）测量的酒精使用量。在基线时采集 EtG 尿液测试，然后在四周内每周最多采集两次。我们进行了双变量线性回归分析，以评估平均 EtG 值与 SOCRATES 的三个分量表（识别、矛盾和采取步骤）之间的关联，以及其他协变量，如人口统计学特征、酒精使用史和化学依赖服务利用情况。然后，我们进行了多变量线性回归建模，以在调整协变量后检验这些关联。
在调整协变量后，平均 EtG 值与阿拉斯加的 ANAI 人生活中的 SOCRATES 的采取步骤（P=0.017）和识别（P=0.005）分量表呈负相关。在调整协变量后，我们没有发现平均 EtG 值与 SOCRATES 的矛盾分量表（P=0.129）之间存在关联。
在 ANAI 人群中，基线时 SOCRATES 的采取步骤和识别分量表的得分较高，预示着平均 EtG 值较低。这项研究对需要工具来帮助 ANAI 客户开始与酒精使用相关的行为改变的社区和临床医生具有重要意义。
