Confirming the factor structure of the alcohol and alcohol problems questionnaire (AAPPQ) in a sample of baccalaureate nursing students


  • Funding for the Addiction Training for Nurses using SBIRT (ATN-SBIRT) was made possible by Grant D11HP14629 from the Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS).

Correspondence to Lauren Terhorst


The Alcohol and Alcohol Problems Perception Questionnaire (AAPPQ) is a multi-dimensional measure of clinicians' attitudes toward working with patients with alcohol problems. In the past 35 years, five- and six-subscale versions and a short version of the AAPPQ have been published. While the reliability of the AAPPQ subscales has remained acceptable, the factor structure has not been verified using confirmatory techniques. In the current study, we split a sample of 299 baccalaureate nursing students to use exploratory (EFA) and confirmatory factor analyses (CFA). When compared to the original six-factor solution and an imposed six-factor structure in CFA, the EFA seven-factor solution with three original items (19, 20, and 25) removed had the best model fit. © 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 412–422, 2013