Linda M. Martin, Robert Triscari, Rosemary Boisvert, Kristi Hipp, Jennifer Gersten, Rachel C. West, Elizabeth Kisling, Aaron Donham, Naomi Kollar, Patricia Escobar; Development and Evaluation of the Lifestyle History Questionnaire (LHQ) for People Entering Treatment for Substance Addictions. Am J Occup Ther 2015;69(3):6903250010. https://doi.org/10.5014/ajot.2015.014050
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© 2021 American Occupational Therapy Association
OBJECTIVE. We developed and investigated the psychometric properties of the Lifestyle History Questionnaire (LHQ), a self-report instrument designed to measure the extent of occupational dysfunction attributable to substance abuse.
METHOD. The instrument was developed using concepts in the ecological models of occupational therapy and in the work of William L. White, who defined addiction culture in terms of the patterns of life in context. We analyzed data from two field tests using both classical test theory and item response theory.
RESULTS. The final version of the instrument has 70 items, 1 unifying construct, and 8 subscales. We found it to be valid and reliable (α = .93) for measuring the extent of occupational dysfunction and specific areas of strengths and weaknesses.
CONCLUSION. The LHQ is a promising new instrument, the first of its kind to measure occupational dysfunction in context for people with substance addictions.
The LHQ is a promising new assessment of occupational dysfunction for people entering treatment for substance abuse.
The LHQ contains factors that reflect the concerns of occupational therapy practitioners with clients’ performance in context.
The instrument may be an efficient way to gather information regarding clients’ history and performance patterns, but its use should be considered experimental at present, and practitioners should not rely solely on the LHQ for client evaluation.
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