Background:Motivational factors are generally regarded as an important ingredient for change in therapy. However, there is currently a lack of available instruments that can measure clients’ readiness for change in therapy.Aim:The objective of this paper was to create an instrument, the Readiness for Therapy Questionnaire (RTQ), which could measure clients’ readiness for change.Method:The RTQ was created by researchers following analysis of themes drawn from a review of the literature and interviews with patients at the end of therapy. This included both people who completed therapy and those who dropped out. As part of the standard assessment process, the RTQ was administered to 349 participants (69.6% female and 30.4% male; mean age 37.1 years; 90.5% Caucasian) who were patients at a psychological therapy service for common mental health difficulties.Result:An initial 12-item scale was reduced to 6 items. This scale significantly correlated with post-therapy PHQ-9 and GAD-7 scores and changes in these scores across therapy. After controlling for baseline scores and demographic variables, a logistic regression showed that scores on this 6-item measure pre-therapy significantly predicted three outcome variables: completing therapy, being recovered on both PHQ-9 and GAD-7 post-therapy, and having a reliable change in both the PHQ-9 and GAD-7 post-therapy. However, receiver operating characteristic (ROC) curve analysis showed the measure had poor sensitivity and specificity. Symptom severity did not have a significant impact on motivation to change.Conclusion:The RTQ is potentially a valid measure with useful clinical applications in treatment of common mental health difficulties.

中文翻译：

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治疗准备问卷 (RTQ) 的开发和验证

背景：动机因素通常被认为是改变治疗的重要因素。然而，目前缺乏可用的工具来衡量客户对改变治疗的准备情况。改变。方法：RTQ 是由研究人员根据对文献回顾和治疗结束时对患者的采访得出的主题分析而创建的。这包括完成治疗的人和辍学的人。作为标准评估过程的一部分，对 349 名参与者（69.6% 女性和 30.4% 男性；平均年龄 37.1 岁；90. 5% 高加索人）是心理治疗服务中常见的心理健康问题的患者。结果：最初的 12 项量表减少到 6 项。该量表与治疗后 PHQ-9 和 GAD-7 评分以及这些评分在治疗期间的变化显着相关。在控制了基线分数和人口统计变量后，逻辑回归显示，治疗前这 6 项测量的分数显着预测了三个结果变量：完成治疗、在 PHQ-9 和 GAD-7 治疗后恢复，以及PHQ-9 和 GAD-7 治疗后的可靠变化。然而，接受者操作特征（ROC）曲线分析显示该测量的敏感性和特异性较差。症状严重程度对改变的动机没有显着影响。结论：