The Alcoholism Denial Assessment Tool (ADAT)

Abstract

The purpose of this study was to develop and test a tool for assessing alcoholic denial. The primary author devised the Alcoholism Denial Assessment Tool (ADAT) based on 2 years of experience. The tool was tested for interrater reliability using chart data of 42 recently discharged alcoholism patients. The test for significance of a proportion, using z scores, indicated significance at the .001 level. Item analysis showed strong interrater reliability on all but 1 of the 16 tool items. The ADAT provides nurses with a practical assessment tool that can be used daily to monitor progress. Recognition that a patient is in denial can allow meaningful and appropriately planned treatment.

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References

Allan, C. A. (1991). Acknowledging alcohol problems: The use of a Visual Analogue Scale to measure denial. Journal of Nervous and Mental Disease, 179(10), 620-625.

Bruning, J. L. , & Kintz, B. L. (1968). Computational handbook of statistics. Glenview, IL: Scott, Foresman.

Chenitz, W. C. , & Swanson, J. M. (1986). From practice to grounded theory: Qualitative research in nursing. Menlo Park, CA: Addison-Wesley.

Connor, S. R. (1986). Measurement of denial in the terminally ill: A critical review. Hospice Journal, 2(4), 51-68.

Denzin, N. (1987). The alcoholic self. Newbury Park, CA: Sage.

Folks, D. G. , Freeman, A. M. , Sokol, R. S. , & Thurstin, A. H. (1988). Denial: Predictor of outcome following coronary bypass surgery. International Journal of Psychiatry in Medicine, 18(1), 57-66.

Forchuk, C. , & Westwell, J. (1987). Denial. Journal of Psychosocial Nursing, 25(6), 8-11, 33, 35.

Glaser, B. , & Strauss, A. L. (1967). The discovery of grounded theory. Chicago: Aldine.

Goldsmith, R. J. , & Green, B. L. (1988). A rating scale for alcoholic denial. Journal of Nervous and Mental Disease, 176(10), 614-620.

10.

Leiker, T. L. (1989). The role of the addiction nurse specialist in a general hospital setting. Nursing Clinics of North America, 24(1), 137-149.

11.

Miller, H. (1990). Addiction in a co-worker: Getting past the denial. American Journal of Nursing, 90(5), 73-75.

12.

Muhlenkamp, A. F. , & Joyner, J. A. (1986). Arthritis patients' self-reported affective states and their caregivers' perceptions. Nursing Research, 35(1), 24-27.

13.

Taylor, S. J. , & Bogdan, R. (1984). Introduction to qualitative research methods. New York: Wiley.

14.

Tweed, S. H. (1989). Identifying the alcoholic client. Nursing Clinics of North America, 24(1), 13-32.

15.

Ward, L. C. , & Rothaus, P. (1991). The measurement of denial and rationalization in male alcoholics. Journal of Clinical Psychology, 47(3), 465-468.

16.

Williams, E. (1989). Strategies for intervention. Nursing Clinics of North America, 24(1), 95-107.

17.

Wing, D. M. (1991). Goal setting and recovery from alcoholism. Archives of Psychiatric Nursing, 5(3), 178-184.

18.

Wing, D. M. (1992). A field study of couples recovering from alcoholism. Issues in Mental Health Nursing, 13(4), 333-348.

19.

Wing, D. M. (1993). Applying the "Model of Recovering Alcoholics Behavior Stages and Goal Setting" to nursing practice. Archives of Psychiatric Nursing, 7(4), 197-202.

20.

Wing, D. M. , & Hammer-Higgins, P. (1993). Determinants of denial: A study of alcoholics. Journal of Psychosocial Nursing and Mental Health Services, 31(2), 13-17.