Validity and reliability of the Japanese version of the Substance Use Stigma Mechanism Scale

Stigma against people who have alcohol and drug problems severely affects their health and well-being. An instrument based on stigma theory assessing individual-level stigma is essential for a comprehensive understanding of their stigma. We evaluated the validity and reliability of the Japanese vers...

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Veröffentlicht in:PloS one 2024-10, Vol.19 (10), p.e0310514
Hauptverfasser: Takano, Ayumi, Hiraiwa, Chiaki, Oikawa, Erina, Tomikawa, Akiko, Nozawa, Kyosuke
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container_issue 10
container_start_page e0310514
container_title PloS one
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creator Takano, Ayumi
Hiraiwa, Chiaki
Oikawa, Erina
Tomikawa, Akiko
Nozawa, Kyosuke
description Stigma against people who have alcohol and drug problems severely affects their health and well-being. An instrument based on stigma theory assessing individual-level stigma is essential for a comprehensive understanding of their stigma. We evaluated the validity and reliability of the Japanese version of the Substance Use Stigma Mechanism Scale (SU-SMS-J) among a population who had alcohol or drug use problems. Adults with experience in substance use disorders from psychiatry outpatient departments and rehabilitation facilities participated in the self-administered questionnaire survey. Confirmatory factor analysis was conducted to test the structural validity of the 5-factor model proposed in other language versions, and factor loadings and correlation between the subscales were confirmed. The correlations between the SU-SMS-J and psychometric properties related to substance use (e.g., severity of substance use, motivation to change) were investigated to assess concurrent validity. Internal consistency was assessed using Cronbach's alpha coefficients. Data from 126 participants were analyzed. The 5-factor model was acceptable with good or reasonable model fit indices. The correlations between subscales were weak to moderate, and this result suggested the SU-SMS-J assessed different but related components of stigma: enacted, anticipated, and internalized stigma from different stigma sources (family and healthcare workers). The SU-SMS-J and subscales showed moderate concurrent validity. Internal consistency was mostly sufficient, with Cronbach's alpha coefficients of 0.86 for all items and 0.66-0.93 for subscales. The SU-SMS-J is valid and reliable for use among populations with substance use problems in various settings in Japan.
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An instrument based on stigma theory assessing individual-level stigma is essential for a comprehensive understanding of their stigma. We evaluated the validity and reliability of the Japanese version of the Substance Use Stigma Mechanism Scale (SU-SMS-J) among a population who had alcohol or drug use problems. Adults with experience in substance use disorders from psychiatry outpatient departments and rehabilitation facilities participated in the self-administered questionnaire survey. Confirmatory factor analysis was conducted to test the structural validity of the 5-factor model proposed in other language versions, and factor loadings and correlation between the subscales were confirmed. The correlations between the SU-SMS-J and psychometric properties related to substance use (e.g., severity of substance use, motivation to change) were investigated to assess concurrent validity. Internal consistency was assessed using Cronbach's alpha coefficients. 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An instrument based on stigma theory assessing individual-level stigma is essential for a comprehensive understanding of their stigma. We evaluated the validity and reliability of the Japanese version of the Substance Use Stigma Mechanism Scale (SU-SMS-J) among a population who had alcohol or drug use problems. Adults with experience in substance use disorders from psychiatry outpatient departments and rehabilitation facilities participated in the self-administered questionnaire survey. Confirmatory factor analysis was conducted to test the structural validity of the 5-factor model proposed in other language versions, and factor loadings and correlation between the subscales were confirmed. The correlations between the SU-SMS-J and psychometric properties related to substance use (e.g., severity of substance use, motivation to change) were investigated to assess concurrent validity. Internal consistency was assessed using Cronbach's alpha coefficients. Data from 126 participants were analyzed. The 5-factor model was acceptable with good or reasonable model fit indices. The correlations between subscales were weak to moderate, and this result suggested the SU-SMS-J assessed different but related components of stigma: enacted, anticipated, and internalized stigma from different stigma sources (family and healthcare workers). The SU-SMS-J and subscales showed moderate concurrent validity. Internal consistency was mostly sufficient, with Cronbach's alpha coefficients of 0.86 for all items and 0.66-0.93 for subscales. The SU-SMS-J is valid and reliable for use among populations with substance use problems in various settings in Japan.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39480854</pmid><doi>10.1371/journal.pone.0310514</doi><tpages>e0310514</tpages><orcidid>https://orcid.org/0000-0001-8363-1235</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Alcohol use
Analysis
Biology and Life Sciences
Care and treatment
Consistency
Correlation
Diagnosis
Distribution
Drug use
East Asian People
Factor analysis
Factor Analysis, Statistical
Female
Humans
Japan
Male
Medical personnel
Medicine and Health Sciences
Middle Aged
People and Places
Prejudice
Psychiatry
Psychometrics - methods
Questionnaires
Reliability
Reproducibility of Results
Self help
Social Sciences
Social Stigma
Stereotypes
Stigma
Stigma (Social psychology)
Substance abuse
Substance abuse treatment
Substance use
Substance use disorder
Substance-Related Disorders - psychology
Support groups
Surveys and Questionnaires
Validity
Well being
Young Adult
title Validity and reliability of the Japanese version of the Substance Use Stigma Mechanism Scale
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