Title | An Exploratory Factor Analysis of a Brief Self-Report Scale to Detect Neurocognitive Impairment Among Participants Enrolled in Methadone Maintenance Therapy. |
Publication Type | Journal Article |
Year of Publication | 2016 |
Authors | Copenhaver, Michael, Roman Shrestha, Jeffrey A. Wickersham, Damian Weikum, and Frederick L. Altice |
Journal | Journal of substance abuse treatment |
Volume | 63 |
Pagination | 61-5 |
Date Published | 2016 Apr |
ISSN | 1873-6483 |
Abstract | The present study examines the factor structure of the existing Neuropsychological Impairment Scale (NIS) through the use of exploratory factor analysis (EFA). The NIS is a brief, self-report measure originally designed to assess neurocognitive impairment (NCI) by having patients rate a range of items that may influence cognitive functioning. Stabilized patients on methadone maintenance therapy (MMT; N=339) in New Haven, CT who reported drug- or sex-related HIV risk behaviors in the past 6months were administered the full 95-item NIS. An EFA was then conducted using principal axis factoring and orthogonal varimax rotation. The EFA resulted in retaining 57 items, with a 9-factor solution that explained 54.8% of the overall variance. The revised 9-factor measure - now referred to as the Brief Inventory of Neuro-cognitive Impairment (BINI) - showed a diverse set of factors with excellent to good reliability (i.e., F1 α=0.97 to F9 α=0.73). This EFA suggests the potential utility of using the BINI in the context of addiction treatment. Further research should examine the utility of this tool within other clinical care settings. |
DOI | 10.1016/j.jsat.2016.01.002 |
Alternate Journal | J Subst Abuse Treat |