Alcohol and Alcoholism Vol. 35, No. 3, pp. 270-275, 2000
© 2000 Medical Council on Alcoholism
READINESS TO CHANGE QUESTIONNAIRE: RELIABILITY STUDY OF ITS SPANISH VERSION
Pla d'Acció sobre Drogues de Barcelona, Institut Municipal de Salut Pública, Ajuntament de Barcelona,
1 Complejo Asistencial Benito Menni (Madrid),
2 Unitat Assistencial, Institut Català de la Salut. Direcció General Atenció Primària Mataró,
3 Hospital Universitario La Paz (Madrid) and
4 Unitat de Bioestadística, Laboratori de Medicina Computacional, Facultat de Medicina, Universitat Autònoma de Barcelona, Spain
Received 5 August 1999; first review notified 14 November 1999; accepted 28 November 1999
The present study explored the reliability and validity of a Spanish version of the Readiness to Change Questionnaire (RCQ) (12-item short form) as it might be used for opportunistic intervention. The test has three scales to allocate patients to a stage of change: pre-contemplation (P), contemplation (C) or action (A). The RCQ was translated and back-translated prior to pilot administration to 15 patients. From two settings (a general hospital ward and a primary health care centre), 201 patients were identified as excessive drinkers on the Alcohol Use Disorders Identification Test. Patients known to be alcohol-dependent and attending for alcohol-related reasons were excluded. Patients completed the RCQ. Testretest reliability after 2 days was assessed in 35 patients. A components analysis was performed. Patients were classified on RCQ scores to a stage of change. Two experts separately interviewed the patients and made an allocation to stage of change, blind to the RCQ score. Testretest reliability was good (P: r = 0.81; C: r = 0.87; A: r = 0.86). Within the three scales, RCQ items showed fair consistency in terms of Cronbach's alpha (P: 0.58, C: 0.75, A: 0.80). Component analysis showed that together the scales accounted for 57.4% of the variance. The experts agreed between themselves on patients' stage of change (weighted kappa 0.92) but much less with the stage of change according to RCQ (expert A, kappa = 0.44; expert B, kappa = 0.52). Omitting patients with low consumption did not improve internal reliability, and omitting those with low educational level who might have filled in the questionnaire wrongly did not improve internal reliability or agreement between RCQ and the experts. We conclude that the Spanish RCQ did not function efficiently in a population of opportunistically identified excessive drinkers.
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