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The Client Satisfaction Questionnaire‐8: Psychometric properties in a cross‐sectional survey of people attending residential substance abuse treatment
Abstract
Introduction and Aims: The Client Satisfaction Questionnaire (CSQ‐8) is one of a limited number of standardised satisfaction measures that have been used widely across mental health services. This study examined the CSQ‐8 as a measure of general satisfaction within residential substance abuse treatment. It compared the CSQ‐8 with another established measure of client satisfaction that was developed for substance abuse treatment settings (Treatment Perceptions Questionnaire, TPQ). It also sought to examine the relationship between the CSQ‐8 and commonly used process measures. Design and Methods: Cross‐sectional data was collected from across 14 Australian residential medium‐to‐long term alcohol and other drug treatment facilities (N = 1378). Demographic, substance abuse and mental health characteristics were collected, as well as process measures of craving, general functioning, self‐perceptions, recovery and symptom distress. Results: A confirmatory factory analysis established that the CSQ‐8 retains a single factor. The scale was strongly correlated with the TPQ, suggesting high concurrent validity. However, while the TPQ was normally distributed, the CSQ‐8 was highly negatively skewed. Significant associations were found between the CSQ‐8 and cross‐sectional process measures. Discussion and Conclusions: Results suggest that that CSQ‐8 is an appropriate measure to be used in residential substance abuse treatment settings. However, because of the high levels of negative skew, it is likely that the TPQ is more accurate in capturing clients' dissatisfaction than the CSQ‐8. Future research should include longitudinal studies of satisfaction in order to examine how changes in satisfaction may be related to client characteristics, outcome measures, dropout or re‐engagement in treatment. [Kelly PJ, Kyngdon F, Ingram I, Deane FP, Baker AL, Osborne BA. The Client Satisfaction Questionnaire‐8: Psychometric properties in a cross‐sectional survey of people attending residential substance abuse treatment. Drug Alcohol Rev 2018;37:79–86]
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“The scale has demonstrated adequate psychometric properties in previous studies [25, 30].”
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“A score of 22 or above has previously been used to indicate adequate satisfaction with treatment [25].”
From Internet videoconferencing delivered cognitive behavior therapy for generalized anxiety disorder: protocol for a randomized controlled trial (2022) · cites this paper as [25]
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Metadata
- Authors
- Kelly, P. J., Kyngdon, F., Ingram, I., Deane, F. P., Baker, A. L., & Osborne, B. A.
- Affiliations
- University of Wollongong (AU)
- University of Newcastle Australia (AU)
- Corresponding author
- Kelly, Peter J.
- Venue
- Drug and Alcohol Review
- Publisher
- Wiley
- Published
- 2017-05-07
- Volume
- 37
- Issue
- 1
- Pages
- 79-86
- ISSN
- 0959-5236 (ISSN-L)
- 1465-3362
- OpenAlex
- W2610642509
- Cited by
- 159
- References
- 38
- Citations by year
- 2026: 23 · 2025: 33 · 2024: 24 · 2023: 23 · 2022: 20 · 2021: 16 · 2020: 8 · 2019: 9 · 2018: 3
- FWCI
- 4.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug and Alcohol Review (publishedVersion)
- PubMed (publishedVersion)
- Research Online (University of Wollongong) (submittedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Funders
- We Help Ourselves
- The Salvation Army
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- client satisfaction, residential addiction treatment, psychometric properties, alcohol and other drug treatment, treatment discontinuation
- MeSH terms
- Adolescent, Adult, Aged, Australia, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Psychometrics, Surveys and Questionnaires, Residential Treatment, Patient Satisfaction, Substance-Related Disorders, Young Adult
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