Psychometric properties of the Attitudes Scale facing Alcohol and Alcoholism in nursing students

to verify the psychometric properties of the Attitudes Scale facing Alcohol and Alcoholism (EAFAA) and people with disorders related to the use of alcohol in nursing students.

Method:

a convenience sample (n=420) completed the EAFAA, the data were submitted to Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA).

Results:

the EFA resulted in an instrument composed of 48 items divided into four factors. The CFA has established the validity of the factorial structure. The internal consistency of the scale was considered adequate (α=0.85) presenting a sensitivity of 70% and specificity of 75%.

Conclusion:

the EAFAA constitutes a reliable instrument to identify the attitudes of nursing students towards alcohol, alcoholism and persons with disorders related to alcohol use.

Descriptors:
Scales; Students, Nursing; Validation Studies; Psychometrics

Authorship

Divane de Vargas

PhD, Associate Professor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, São Paulo, Brazil Universidade de São PauloBrazilSão Paulo, São Paulo, Brazil PhD, Associate Professor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, São Paulo, Brazil

Fernanda Mota Rocha

MSc, RN, Hospital Alemão Osvaldo Cruz, São Paulo, SP, Brazil.Hospital Alemão Osvaldo CruzBrazilSão Paulo, SP, Brazil MSc, RN, Hospital Alemão Osvaldo Cruz, São Paulo, SP, Brazil.

Corresponding Author: Divane de Vargas Universidade de São Paulo. Escola de Enfermagem Av. Dr. Eneas de Carvalho Aguiar,419 Bairro: Cerqueira Cesar CEP: 05403-000, São Paulo, SP, Brasil E-mail vargas@usp.br

SCIMAGO INSTITUTIONS RANKINGS

MSc, RN, Hospital Alemão Osvaldo Cruz, São Paulo, SP, Brazil.Hospital Alemão Osvaldo CruzBrazilSão Paulo, SP, Brazil MSc, RN, Hospital Alemão Osvaldo Cruz, São Paulo, SP, Brazil.

Figures | Tables

Figures (1)
Tables (2)

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Figure 1
Resulting path diagram of the Confirmatory Factor Analysis. São Paulo, SP, Brazil, 2015

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Table 1
Factorial matrix of the EAFA. São Paulo, SP, Brazil, 2015

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Table 2
Description of the correlations between the factors that make up the EAFAA and psychometric characteristics resulting from the Exploratory Factor Analysis and Confirmatory Factor Analysis. São Paulo, SP, Brazil, 2015.

Figure 1 Resulting path diagram of the Confirmatory Factor Analysis. São Paulo, SP, Brazil, 2015

Table 1 Factorial matrix of the EAFA. São Paulo, SP, Brazil, 2015

		F1	F2	F3	F4
01	I'm afraid to address the alcohol problem with my patients.	.56
05	I fear the aggression of patients with disorders related to alcohol use.	.44
09	I feel frustrated when working with patients with disorders related to alcohol use.	.48
13	Of all my patients, patients with disorders related to alcohol are the ones that make me work the most.	.48
17	I have to take care of patients with disorders related to alcohol use, even if they believe that they do not need health care.	.57
21	Even when not intoxicated, patients with disorders related to alcohol use are disrespectful to the team members.	.55
25	I feel angry when working with patients with disorders related to alcohol use.	.55
29	Patients with disorders related to alcohol use will never accept health professionals talking about their drinking problems.	.51
37	Addressing the alcohol problem in patients with disorders related to alcohol use means less time for other patients.	.43
41	I prefer to work with patients with disorders related to alcohol use instead of working with other patients.	.46
42	The person with disorders related to alcohol use is a difficult person to relate to.	.70
44	I find it hard to establish a therapeutic relationship with patients with disorders related to alcohol use.	.72
46	We must be careful not to be assaulted when working with patients with disorders related to alcohol use.	.52
48	When patients with disorders related to the use of alcohol do not accept having problems related to alcohol use, the best decision is to give up helping them.	.46
49	When working with patients with disorders related to alcohol use, I do not know how to handle the situation.	.49
50	Caring for patients with disorders related to the use of alcohol is not rewarding for me.	.55
	Number of items 16 -Variance explained 23,1%
02	People with disorders related to alcohol use have no common sense.		.49
06	People with disorders related to alcohol use are rude.		.62
10	People with disorders related to alcohol use are irresponsible.		.61
14	Patients with disorders related to alcohol use are more likely to become violent against me.		.63
18	I believe that people who develop alcoholism are weak.		.54
22	I notice that patients with disorders related to alcohol use do not want to help themselves.		.56
26	I do not trust the information reported by patients with disorders related to alcohol.		.62
30	I believe that persons with disorders related to alcohol abuse are guilty for their health problems.		.50
34	Persons with alcohol-related disorders always end up coming back to the health service with the same problem.		.53
38	Of all my patients, patients with alcohol-related disorders are the most difficult to handle.		.46
45	Patients with alcohol-related disorders are patients who cooperate with their treatment.		.56
47	People with disorders related to alcohol use do not take their treatment seriously.		.61
	Number of items 12 -Variance explained 8.2%
03	I believe that going through family problems leads to alcoholism.			.65
07	Shy or inhibited people are more likely to develop alcoholism.			.47
11	I believe that depression leads to alcoholism.			.58
15	Willpower is missing in people with alcohol-related disorders.			.45
19	Social issues lead the individual to drink.			.55
23	Hereditary predispositions lead to alcoholism.			.44
31	People who develop alcoholism have low self-esteem.			.50
35	People with alcohol-related disorders are psychologically shaken.			.41
39	People drink to feel more sociable.			.45
43	Persons with alcohol-related disorders drink because they cannot face their reality.			.62
	Number of items 10 -Variance explained 5.8%
04	I think people have the right to drink if they want.				.59
08	Alcoholic drinks are nice and they it provides a wellbeing sensation to the user.				.72
12	The use of alcoholic beverages is normal.				.75
16	Drinking in any amount will make the individual dependent.				.48
20	Drinking in moderation is not harmful.				.59
24	I am against the use of alcohol at any time.				.42
28	I am in favor of moderate drinking.				.71
32	Small doses of alcohol are capable of causing dependence.				.58
36	The use of alcohol in small quantities is beneficial.				.59
40	People can drink provided they can control themselves.				.66
	Number of items 10 - Variance explained 4%

Table 2 Description of the correlations between the factors that make up the EAFAA and psychometric characteristics resulting from the Exploratory Factor Analysis and Confirmatory Factor Analysis. São Paulo, SP, Brazil, 2015.

*Significant correlation to the level 0.01; † significant correlation to the level 0.05;‡ degrees of freedom; §. Tucker- Levis Index; II Comparative Fit Index; ¶ Root Mean Square Error of Approximation; **Parsimony Normed Fit Index; †† Parsimony Comparative Fit Index.
Elements in bold in the main diagonal of the correlation matrix between the factors correspond to the reliability factor.

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Métricas

Psychometric properties of the Attitudes Scale facing Alcohol and Alcoholism in nursing students

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Mensagem

[1] Corresponding Author: Divane de Vargas Universidade de São Paulo. Escola de Enfermagem Av. Dr. Eneas de Carvalho Aguiar,419 Bairro: Cerqueira Cesar CEP: 05403-000, São Paulo, SP, Brasil E-mail vargas@usp.br