Department of Health Sciences, University of Florence, Via di San Salvi 12, 50135 Florence, Italy; Department of Psychology, Sigmund Freud University, Ripa di Porta Ticinese, 77, 20143 Milan, Italy.
Department of Psychology "Renzo Canestrari", Alma Mater Studiorum University of Bologna, Viale Berti Pichat 5, 40127 Bologna, Italy.
Addict Behav. 2021 Dec;123:107061. doi: 10.1016/j.addbeh.2021.107061. Epub 2021 Jul 26.
Smoking abstinence expectancies are beliefs about negative and positive short-term psychological and physiological consequences of not smoking. The Smoking Abstinence Expectancies Questionnaire (SAEQ) is a widely used Patient-Reported Outcome Measure (PROM) to assess smoking abstinence expectancies. It has four subscales: negative mood, somatic symptoms, harmful consequences, positive consequences. Although studied from a psychometric perspective, the SAEQ needs further evaluation. Clinimetrics, and its Clinimetric Criteria for Patient-Reported Outcome Measures (CLIPROM), offers a robust method to evaluate the SAEQ. We verified construct validity and sensitivity of the Italian version of the SAEQ applying CLIPROM criteria. A total of 293 adult Italian smokers were consecutively enrolled at two smoking cessation clinics and assessed via the SAEQ. Item Response Theory models (i.e., combining Rasch and Mokken analyses) were used to test construct validity and sensitivity. The total score of the SAEQ was not found to be unidimensional but each SAEQ subscale score was. PSI (0.90) indicated that the total score of the SAEQ could reliably discriminate between respondents with different levels of the trait under assessment, whereas SAEQ subscales on negative mood and harmful consequences could reliably distinguish between different groups but not between different subjects (PSI ranging from 0.77 and 0.78). Overall, the total score of the SAEQ is a sensitive screening PROM and can be used at smoking cessation clinics to discriminate between subjects with different levels of smoking abstinence expectancies. SAEQ subscales should be used to detect severity and subjective burden of a wide range of expected effects of nicotine abstinence.
戒烟预期是指对不吸烟可能带来的短期负面和正面心理及生理后果的信念。《戒烟预期量表》（SAEQ）是一种广泛应用的患者报告结局测量工具（PROM），用于评估戒烟预期。它有四个分量表：负面情绪、躯体症状、有害后果、积极后果。尽管从心理测量学的角度进行了研究，但 SAEQ 仍需要进一步评估。临床计量学及其患者报告结局测量的临床计量学标准（CLIPROM）提供了一种评估 SAEQ 的强大方法。我们应用 CLIPROM 标准验证了 SAEQ 的意大利语版本的结构有效性和敏感性。共有 293 名成年意大利吸烟者连续在两家戒烟诊所就诊，并通过 SAEQ 进行评估。项目反应理论模型（即，结合 Rasch 和 Mokken 分析）用于测试结构有效性和敏感性。SAEQ 的总分未被发现具有单一维度，但每个 SAEQ 分量表的得分均具有。PSI（0.90）表明，SAEQ 的总分可以可靠地区分具有不同评估特质水平的受访者，而 SAEQ 的负面情绪和有害后果分量表可以可靠地区分不同的组别，但不能区分不同的个体（PSI 范围为 0.77 至 0.78）。总的来说，SAEQ 的总分是一种敏感的筛查性 PROM，可在戒烟诊所中用于区分具有不同戒烟预期水平的个体。SAEQ 分量表应用于检测尼古丁戒断的各种预期影响的严重程度和主观负担。
