The checklist of unit behaviors (CUB): Psychometric properties of a measure of patient milieu engagement on an acute inpatient psychiatric unit
Abstract
Abstract Objective This paper presents the psychometric properties, including factor structure, internal reliability and relative validity of a 16-item questionnaire measuring patients’ relative activation with milieu activities while hospitalised in an acute psychiatric inpatient unit. Method 24 hours after admission, and before discharge, psychiatric inpatients (N = 132) completed a set of validated self-reports and the pilot questionnaire, the Checklist of Unit Behaviors (CUB). The CUB outlines items that reflect the extent to which the patient avoided or engaged with the treatment milieu within the previous 24 hours. Factor analysis, bivariate correlations and repeated-measures t-tests were used to analyse the data. Results Factor analysis identified two factors for the CUB: (1) Behavioural Approach; and (2) Behavioural Avoidance. Psychometric properties were satisfactory (Approach, Cronbach's α = 0.93; Avoidance, Cronbach's α = 0.79). Over the course of treatment, CUB-Approach increased (p < 0.001) and CUB-Avoidance decreased (p < 0.001). The construct validity of the CUB was supported through correlations with measures of positive and negative affect. Conclusions The CUB demonstrates strong psychometric properties, quantifying patients’ behavioural activation in the treatment milieu. Daily use of the CUB provides clinically useful information that has the potential to improve patient care and treatment planning.
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CUB measures level of activity in the inpatient clinic; approach behaviors internal consistency α=0.93, avoidance α=0.79.
“The Checklist of Unit Behaviors (CUB) (Hanson et al., 2013) measures level of activity in the inpatient clinic. CUB consists of two subscales: A) approach behaviors 0 -36 internal consistency ( α = 0.93), and B) avoidance behaviors (0 -28) internal consistency ( α = 0.79).”
From Acceptance and Commitment Therapy for inpatients with psychosis –an acceptability and feasibility single case AB designed study (2022) · cites this paper as Hanson et al., 2013
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- Authors
- Hanson, B., Hoxha, D., Roberts, P., & Gollan, J. K.
- Affiliations
- Northwestern University (US)
- Northwestern Memorial Hospital (US)
- Corresponding author
- Gollan, Jackie K.
- Venue
- Journal of Psychiatric Intensive Care
- Publisher
- Cambridge University Press (CUP)
- Published
- 2013-01-25
- Volume
- 9
- Issue
- 2
- Pages
- 101-109
- ISSN
- 1742-6464 (ISSN-L)
- 1744-2206
- OpenAlex
- W2009289978
- Cited by
- 8
- References
- 18
- Citations by year
- 2022: 1 · 2019: 1 · 2018: 1 · 2017: 3 · 2014: 1 · 2013: 1
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric Intensive Care (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Keywords
- behavioral activation, avoidance behavior, acute psychiatric inpatient unit, psychometric properties, factor structure, construct validity, internal consistency, positive and negative affect, self-report questionnaire
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