Scale of attitudes toward alcohol - Spanish version: evidences of validity and reliability.
Erika Gisseth León Ramírez, Divane de Vargas
PMID 28793126WHAT IT FOUND
A Spanish version of the EAFAA scale reliably measures nurses' attitudes toward alcohol use disorders.
It identifies positive or negative attitudes with 66.7% sensitivity and 56.6% specificity, offering a validated tool for assessing staff perspectives in Latin American contexts.
Key findings
01The Spanish version of the EAFAA scale demonstrated strong internal consistency with a Cronbach's alpha of 0.80 and McDonald's Omega of 0.97.
02A cut-off point of 3.2 on the scale identified positive or negative attitudes with 66.7% sensitivity and 56.6% specificity.
03One item regarding patient cooperation was excluded because it did not meet the factor loading threshold, leaving a 48-item scale.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was conducted only in Bogota, Colombia, so results may not generalize to all Spanish-speaking regions. The sample size was 303 nurses, which is adequate for psychometric validation but limits the breadth of the findings. The sensitivity and specificity for the cut-off score are moderate, meaning the scale may miss some negative or positive attitudes.
Declared interests
The study was supported by the São Paulo Research Foundation (FAPESP). The authors declared no other conflicts of interest.
The easy way to misread this
Do not assume this scale measures patient outcomes or clinical competence. It only assesses nurses' self-reported attitudes toward alcohol use disorders, which is a psychological construct, not a direct indicator of the quality of care provided.