Psychometric properties of the Autonomy over Tobacco Scale in German
Wellman, Robert J. ; DiFranza, Joseph R. ; Morgenstern, M. ; Hanewinkel, R. ; Isensee, B. ; Sabiston, Catherine
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Keywords
Factor Analysis, Statistical
Female
Germany
Humans
Male
Personal Autonomy
Psychiatric Status Rating Scales
Psychometrics
Questionnaires
Reproducibility of Results
Smoking
adolescents
smoking
tobacco
assessment
dependence
Germany
autonomy over tobacco
Community Health and Preventive Medicine
Preventive Medicine
Psychiatry and Psychology
Psychology
Substance Abuse and Addiction
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Abstract
BACKGROUND/AIMS: We investigated the psychometric properties of a German translation of the 12-item Autonomy over Tobacco Scale (AUTOS) among 1,195 eighth-grade students.
METHODS: Data for this study were collected as part of the fourth wave of data collection of the Smokefree Class Competition intervention in the Saxony-Anhalt region of Germany. Students from the control arm of the Smokefree Class Competition study who indicated that they had ever smoked 'at least a few puffs' on a cigarette were classified as ever-smokers. They self-completed questionnaires distributed by teachers.
RESULTS: AUTOS scores ranged from 0 to 36 with a distribution highly skewed toward lower-response categories. Inter-item correlations ranged from 0.65 to 0.89 (mean = 0.79, SD = 0.06). Composite reliability for the AUTOS was high (Omega = 0.96) and 3 lower-order factors were also reliable (withdrawal: 0.89, psychological dependence: 0.91, cue-induced cravings: 0.87). Concurrent validity was supported by strong relationships between the AUTOS and both lifetime cigarette consumption and current smoking frequency. Youths were 18 times more likely to be current smokers (95% CI = 11.9-27.2, p < 0.001) if they endorsed any AUTOS item.
CONCLUSION: The German AUTOS is reliable and valid, and the results are consistent with the English AUTOS for use with adolescents.
Source
Eur Addict Res. 2012;18(2):76-82. doi: 10.1159/000334410. Epub 2011 Dec 22. Link to article on publisher's site