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The Client Satisfaction Questionnaire‐8: Psychometric properties in a cross‐sectional survey of people attending residential substance abuse treatment
Author(s) -
Kelly Peter J.,
Kyngdon Felicity,
Ingram Isabella,
Deane Frank P.,
Baker Amanda L.,
Osborne Briony A.
Publication year - 2018
Publication title -
drug and alcohol review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.018
H-Index - 74
eISSN - 1465-3362
pISSN - 0959-5236
DOI - 10.1111/dar.12522
Subject(s) - substance abuse , cross sectional study , mental health , clinical psychology , medicine , psychiatry , confirmatory factor analysis , psychology , structural equation modeling , statistics , mathematics , pathology
and Aims The Client Satisfaction Questionnaire (CSQ‐8) is one of a limited number of standardised satisfaction measures that have been used widely across mental health services. This study examined the CSQ‐8 as a measure of general satisfaction within residential substance abuse treatment. It compared the CSQ‐8 with another established measure of client satisfaction that was developed for substance abuse treatment settings (Treatment Perceptions Questionnaire, TPQ). It also sought to examine the relationship between the CSQ‐8 and commonly used process measures. Design and Methods Cross‐sectional data was collected from across 14 Australian residential medium‐to‐long term alcohol and other drug treatment facilities (N = 1378). Demographic, substance abuse and mental health characteristics were collected, as well as process measures of craving, general functioning, self‐perceptions, recovery and symptom distress. Results A confirmatory factory analysis established that the CSQ‐8 retains a single factor. The scale was strongly correlated with the TPQ, suggesting high concurrent validity. However, while the TPQ was normally distributed, the CSQ‐8 was highly negatively skewed. Significant associations were found between the CSQ‐8 and cross‐sectional process measures. Discussion and Conclusions Results suggest that that CSQ‐8 is an appropriate measure to be used in residential substance abuse treatment settings. However, because of the high levels of negative skew, it is likely that the TPQ is more accurate in capturing clients' dissatisfaction than the CSQ‐8. Future research should include longitudinal studies of satisfaction in order to examine how changes in satisfaction may be related to client characteristics, outcome measures, dropout or re‐engagement in treatment. [Kelly PJ, Kyngdon F, Ingram I, Deane FP, Baker AL, Osborne BA. The Client Satisfaction Questionnaire‐8: Psychometric properties in a cross‐sectional survey of people attending residential substance abuse treatment. Drug Alcohol Rev 2018;37:79–86]