酒精使用改變量表（親密暴力版）編製研究

Developing a Questionnaire for Change Stages of Alcohol Usage (IPV Version)

親密暴力族群中，有害飲酒者比例頗高；鑒於酒精有促發親密暴力的作用，故得裁 定合併有害飲酒與親密暴力者進行戒酒教育。由於此類案主常有明顯抗拒，故頗需適切 的工具用以評估其停止有害飲酒的狀態，以利在戒酒教育時選擇適切的介入策略，並作 為成效指標之一。然目前可用工具多譯自國外，試題內容與措詞可能較無法貼近國人的 生活經驗，故本研究擬編製一份適用於臺灣的「酒精使用改變量表（親密暴力版）」。本 研究分兩個階段，研究一旨在彙整量表的內涵，先訪談10 位合併有害飲酒與親密暴力、 但其暴行與有害飲酒已經停止半年以上者，再以樣版式分析風格進行文本分析，結果彙 整出停止有害飲酒的五個歷程主題，依序為有關有害飲酒的「合理化」、「覺察」、「決定」、 「行動」與「新抒發法」。研究二為編製量表，首先根據研究一的結果進行「酒精使用 改變量表（親密暴力版）」的題目編寫，並進行專家審核、預測，然後根據101 份的樣 本數據進行題目篩選，本量表經探索性因素分析抽取出四個因素，包括「合理化」、「覺 察」、「行動」、「新抒發法」，每個因素有四題，全量表共16 題，總累積的解釋變異量為 57.96%，內部一致性係數α 在 .75 - .83，顯示本量表具有良好的建構效度與信度。

The proportion of hazardous drinkers is high among the perpetrators of intimate partner violence (IPV). As a result of the role of alcohol usage in IPV， perpetrators who drink hazardously can be sanctioned to attend correctional education to desist from problem drinking. Since such clients usually resist treatment， it is necessary to apply tools to assess the stage of the cessation of hazardous drinking in which they are. Then， suitable interventions in consonance with the client’s stage， which is also an indicator of the effectiveness of treatment， could be selected. However， most of the available tools in Taiwanese are constructed in other countries and translated as well as imported into Taiwan; thus， the content and wording of the items may not accurately reflect the life experience of the Taiwanese perpetrator of IPV. Consequently， a questionnaire for Taiwanese clients， namely， “Change Stages of Alcohol Usage (IPV Version)，” was developed. This research involved two studies. The aim of the first study was to collect content for this questionnaire. Ten interviewees who had been perpetrators of IPV and hazardous drinkers but had stopped for more than six months were recruited. Template Analysis Style was employed for data analysis. The results were categorized into five process themes as follows: Rationalization， Awareness， Decision， Action， and New Expressive Method. The aim of the second study was to develop the items of the questionnaire; the results and interview script of Study One were employed to do so. After a review conducted by experts and a pretest were completed， the data based on 101 participants were used for item screening， and the validity and reliability were tested. Four factors were extracted from the exploratory factor analysis: Rationalization， Awareness， Action， and New Expressive Method. Each factor contains four items and the entire questionnaire consists of 16 items. The total variance explained is 57.96%， and the internal consistency coefficient α is .75–.83， showing that this questionnaire has good construction validity and reliability.