BSCQ Pre and Post-test Assessments With Patients

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At Evolutions Treatment Center we are invested in providing evidenced based clinical interventions. To ensure the efficacy of our practices we conduct pre and post-test assessments with patients to determine treatment outcomes. At the current time we utilize two measures that have strong psychometric properties (The BSCQ and the BASIS-24), which are administered at admission and discharge.

Taken together, these two instruments assess our patient’s confidence level in high risk and potentially triggering situations as well as to examine self-reported change over the course of our co-occurring substance abuse and/or mental health treatment.

This information has been gathered over an extensive period of time and has been amalgamated into simple graphs and is currently being organized into a longitudinal and ongoing research study to ensure the efficacy of our clinical programming and outcomes of our treatment program.

THE BRIEF SITUATIONAL CONFIDENCE QUESTIONNAIRE (BSCQ)

The Brief Situational Confidence Questionnaire (BSCQ) was developed as a state dependent measure to assess self-confidence in varied situations that might evoke cravings or the urge to use substances or alcohol. The eight situations that are assessed include:

  • Negative emotional states
  • Negative physical states
  • Positive emotional states
  • Testing personal control
  • Urges and temptations
  • Interpersonal conflict
  • Social pressure
  • Pleasant times with others

The individual is asked to assess where their confidence is at in the current moment with regard to resisting the urge to abuse drugs or alcohol in those situations. The score is derived from a Likert scale that measures from no confidence at 0% to totally confident at 100%.

The psychometric properties of the Brief Situational Confidence Questionnaire (BSCQ) were determined through studies conducted by the developer of the scale and colleagues (Breslina, Sobell , Sobell & Agrawald, 2000).  Correlation coefficients for the subscales ranged from 0.56 to 0.80 and the Cronbach’s alpha coefficients was 0.85 for the BSCQ indicating a high level of internal consistency for this 8-item instrument (Nunnally, 1970).

Below are the full results of the BSCQ.

BSCQ Total Mean Differences

The overall findings of the Brief Situational Confidence Questionnaire (BSCQ) indicate that when patients first admitted to Evolutions Treatment Center, their overall confidence level in being able to cope with eight different types of problematic situations (Negative emotional states, Negative physical states, Positive emotional states, Testing personal control, Urges and temptations, Interpersonal conflict, Social pressure, Pleasant times with others) was approximately sixty five percent (65.4188). Upon discharge, patients’ overall confidence level in being able to cope with eight different types of problematic situations increased to approximately eighty five percent (85.3825). This difference in confidence was statistically significant when conducting a two tailed paired samples T-Test with a 95% confidence interval.

See Outcomes Summary Page

  • Treatment Difference
  • Patients reported significantly improved confidence in being able to cope with problematic situations.
Paired Samples Statistics
MeanNStd. DeviationStd. Error Mean
Pair 1MEANSOFPREBSCQ65.418885.610041.98345
MEANSOFPOSTBSCQ85.382583.740991.32264
Paired Samples Correlations
NCorrelationSig.
Pair 1MEANSOFPREBSCQ & MEANSOFPOSTBSCQ8.857.007
Paired Samples Test
Paired Differences
95% Confidence Interval of the Difference
MeanStd. DeviationStd. Error MeanLowerUppertdfSig. (2-tailed)
Pair 1MEANSOFPREBSCQ – Q1 MEANSOFPOSTBSCQ-19.963753.084521.09054-22.54247-17.38503-18.3067.000

Unpleasant Emotions Pre-Post Test

This section of the Brief Situational Confidence Questionnaire (BSCQ) indicates that when patients first admitted to Evolutions Treatment Center, their overall confidence level in being able to cope with being depressed with things in general or if everything was going badly for them without relapsing was approximately sixty three percent (63.03) and upon discharge was approximately eighty four percent (84.43). This difference in confidence was statistically significant when conducting a two tailed paired samples T-Test with a 95% confidence interval with an N of 70 paired pre and posttest participants.

See Outcomes Summary Page

  • Treatment Difference
  • Overall confidence in coping with depressing thoughts and feelings without relapsing increased.
Paired Samples Statistics
MeanNStd. DeviationStd. Error Mean
Pair 1Q1 Unpleasant Emotions – PRE63.037028.9913.465
Q1 Unpleasant Emotions – POST84.437019.5452.336
Paired Samples Correlations
NCorrelationSig.
Pair 1Q1 Unpleasant Emotions – PRE & Q1 Unpleasant Emotions – POST70.083.493
Paired Samples Test
Paired Differences
95% Confidence Interval of the Difference
MeanStd. DeviationStd. Error MeanLowerUppertdfSig. (2-tailed)
Pair 1Q1 Unpleasant Emotions – PRE – Q1 Unpleasant Emotions – POST-21.40033.5884.014-29.409-13.391-5.33169.000

Physical Discomfort Pre-Post Test

This section of the Brief Situational Confidence Questionnaire (BSCQ) indicates that when patients first admitted to Evolutions Treatment Center, their overall confidence level in being able to cope with physical discomfort, including trouble sleeping, feeling jumpy and physically tense without relapsing was approximately sixty two percent (62.45) and upon discharge was approximately eight five percent (85.71). This difference in confidence was statistically significant when conducting a two tailed paired samples T-Test with a 95% confidence interval with an N of 73 paired pre and posttest participants.

See Outcomes Summary Page

  • Treatment Difference
  • Patients’ confidence in managing physical discomfort without relapse improved significantly.
Paired Samples Statistics
MeanNStd. DeviationStd. Error Mean
Pair 1Q2 Physical Discomfort – PRE62.457332.9133.852
Q2 Physical Discomfort – POST85.717324.2582.839
Paired Samples Correlations
NCorrelationSig.
Pair 1Q2 Physical Discomfort – PRE & Q2 Physical Discomfort – POST73.031.797
Paired Samples Test
Paired Differences
95% Confidence Interval of the Difference
MeanStd. DeviationStd. Error MeanLowerUppertdfSig. (2-tailed)
Pair 1Q2 Physical Discomfort – PRE – Q2 Physical Discomfort – POST-23.26040.2834.715-32.659-13.862-4.93372.000

Pleasant Emotions Pre-Post Test

This section of the Brief Situational Confidence Questionnaire (BSCQ) indicates that when patients first admitted to Evolutions Treatment Center, their overall confidence level in being able to cope with pleasant emotions, for example if something good happens and they feel like celebrating, or if everything was going well, without relapsing was approximately seventy five percent (75.77) and upon discharge was approximately ninety percent (90.14). This difference in confidence was statistically significant when conducting a two tailed paired samples T-Test with a 95% confidence interval with an N of 70 paired pre and posttest participants.

See Outcomes Summary Page

  • Treatment Difference
  • Patients’ belief in their ability to celebrate without relapsing significantly increased.
Paired Samples Statistics
MeanNStd. DeviationStd. Error Mean
Pair 1Q3 Pleasant Emotions – PRE75.777030.0813.595
Q3 Pleasant Emotions – POST90.147018.8342.251
Paired Samples Correlations
NCorrelationSig.
Pair 1Q3 Pleasant Emotions – PRE & Q3 Pleasant Emotions – POST70.086.481
Paired Samples Test
Paired Differences
95% Confidence Interval of the Difference
MeanStd. DeviationStd. Error MeanLowerUppertdfSig. (2-tailed)
Pair 1Q3 Pleasant Emotions – PRE – Q3 Pleasant Emotions – POST-14.37134.0974.075-22.502-6.241-3.52669.001

Testing Control Pre-Post Test

This section of the Brief Situational Confidence Questionnaire (BSCQ) indicates that when patients first admitted to Evolutions Treatment Center, their overall confidence level in being able to cope with the thought that the targeted behavior is no longer a problem for them or if they started to feel confident that they could engage in the behavior without problems, that they could manage these thoughts and feelings without relapsing, was approximately fifty six percent (56.04) and upon discharge was approximately seventy seven percent (77.93). This difference in confidence was statistically significant when conducting a two tailed paired samples T-Test with a 95% confidence interval with an N of 70 paired pre and posttest participants.

See Outcomes Summary Page

  • Treatment Difference
  • Patients’ confidence in their ability to manage relapse thoughts and feelings without acting on them improved significantly.
Paired Samples Statistics
MeanNStd. DeviationStd. Error Mean
Pair 1Q4 Testing Control – PRE56.047034.0364.068
Q4 Testing Control – POST77.937030.8683.689
Paired Samples Correlations
NCorrelationSig.
Pair 1Q4 Testing Control – PRE & Q4 Testing Control – POST70.152.209
Paired Samples Test
Paired Differences
95% Confidence Interval of the Difference
MeanStd. DeviationStd. Error MeanLowerUppertdfSig. (2-tailed)
Pair 1Q4 Testing Control – PRE – Q4 Testing Control – POST-21.88642.3335.060-31.980-11.792-4.32569.000

Urges and Temptations Pre-Post Test

This section of the Brief Situational Confidence Questionnaire (BSCQ) indicates that when patients first admitted to Evolutions Treatment Center, their overall confidence level in being able to cope with the sudden urge to engage in the behavior they want to change or if they were in a situation where the behavior had occurred or if they began to think how good it was to engage in the behavior again, without relapsing was approximately sixty two percent (62.77) and upon discharge was approximately eighty three percent (83.47). This difference in confidence was statistically significant when conducting a two tailed paired samples T-Test with a 95% confidence interval with an N of 70 paired pre and posttest participants.

See Outcomes Summary Page

  • Treatment Difference
  • Patients were significantly more assured in their ability to cope with urges without relapsing.
Paired Samples Statistics
MeanNStd. DeviationStd. Error Mean
Pair 1Q5 Urges and Temptations – PRE62.777029.1343.482
Q5 Urges and Temptations – POST83.477022.7632.721
Paired Samples Correlations
NCorrelationSig.
Pair 1Q5 Urges and Temptations – PRE & Q5 Urges and Temptations – POST70.179.138
Paired Samples Test
Paired Differences
95% Confidence Interval of the Difference
MeanStd. DeviationStd. Error MeanLowerUppertdfSig. (2-tailed)
Pair 1Q5 Urges and Temptations – PRE – Q5 Urges and Temptations – POST-20.70033.6054.017-28.713-12.687-5.15469.000

Conflict With Others Pre-Post Test

This section of the Brief Situational Confidence Questionnaire (BSCQ) indicates that when patients first admitted to Evolutions Treatment Center, their overall confidence level in being able to cope with conflict with others, like having an argument with a friend or not getting along with co-workers, without relapsing was approximately sixty seven percent (67.70) and upon discharge was approximately eighty six percent (86.22). This difference in confidence was statistically significant when conducting a two tailed paired samples T-Test with a 95% confidence interval with an N of 69 paired pre and posttest participants.

See Outcomes Summary Page

  • Treatment Difference
  • Patients’ confidence in their ability to cope with interpersonal conflict without relapsing improved significantly.
Paired Samples Statistics
MeanNStd. DeviationStd. Error Mean
Pair 1Q6 Conflict with others – PRE67.706930.9123.721
Q6 Conflict with others – POST86.226921.0502.534
Paired Samples Correlations
NCorrelationSig.
Pair 1Q6 Conflict with others – PRE & Q6 Conflict with others – POST69.030.806
Paired Samples Test
Paired Differences
95% Confidence Interval of the Difference
MeanStd. DeviationStd. Error MeanLowerUppertdfSig. (2-tailed)
Pair 1Q6 Conflict with others – PRE – Q6 Conflict with others – POST-18.52236.8714.439-27.379-9.664-4.17368.000

Social Pressure Pre-Post Test

This section of the Brief Situational Confidence Questionnaire (BSCQ) indicates that when patients first admitted to Evolutions Treatment Center, their overall confidence level in being able to cope with social or peer pressure to engage in the behavior that they want to change, without relapsing was approximately sixty three percent (63.03) and upon discharge was approximately eighty six percent (86.93).This difference in confidence was statistically significant when conducting a two tailed paired samples T-Test with a 95% confidence interval with an N of 70 paired pre and posttest participants.

See Outcomes Summary Page

  • Treatment Difference
  • Patients’ confidence in their ability to cope with peer pressure without relapsing increased.
Paired Samples Statistics
MeanNStd. DeviationStd. Error Mean
Pair 1Q7 Social Pressure to Use – PRE63.037034.2224.090
Q7 Social Pressure to Use – POST86.937020.1242.405
Paired Samples Correlations
NCorrelationSig.
Pair 1Q7 Social Pressure to Use – PRE & Q7 Social Pressure to Use – POST70.069.568
Paired Samples Test
Paired Differences
95% Confidence Interval of the Difference
MeanStd. DeviationStd. Error MeanLowerUppertdfSig. (2-tailed)
Pair 1Q7 Social Pressure to Use – PRE – Q7 Social Pressure to Use – POST-23.90038.4764.599-33.074-14.726-5.19769.000

Pleasant Times With Others Pre-Post Test

This section of the Brief Situational Confidence Questionnaire (BSCQ) indicates that when patients first admitted to Evolutions Treatment Center, their overall confidence level in being able to cope with pleasant times with others, celebrate with a friend, or enjoy themselves at a party when they wanted to feel even better, without relapsing was approximately sixty seven percent (67.94) and upon discharge was approximately eighty seven percent (87.56). This difference in confidence was statistically significant when conducting a two tailed paired samples T-Test with a 95% confidence interval with an N of 70 paired pre and posttest participants.

See Outcomes Summary Page

  • Treatment Difference
  • The belief that the patient can enjoy a pleasant time with others without relapsing increased significantly.
Paired Samples Statistics
MeanNStd. DeviationStd. Error Mean
Pair 1Q8 Pleasant Times w/ others – PRE67.947031.0783.715
Q8 Pleasant Times w/ others – POST87.567020.6112.463
Paired Samples Correlations
NCorrelationSig.
Pair 1Q8 Pleasant Times w/ others – PRE & Q8 Pleasant Times w/ others – POST70.148.221
Paired Samples Test
Paired Differences
95% Confidence Interval of the Difference
MeanStd. DeviationStd. Error MeanLowerUppertdfSig. (2-tailed)
Pair 1Q8 Pleasant Times w/ others – PRE – Q8 Pleasant Times with others – POST-19.61434.6514.142-27.876-11.352-4.73669.000