Cross Cultural Adaptation and Psychometric Validation of the Assessment of Recovery Capital for Indonesian Rehabilitation
Abstract
ntroduction: A comprehensive understanding of recovery capital, the personal and social resources supporting sustained recovery, is essential in addiction rehabilitation. Indonesia lacks a culturally appropriate, psychometrically validated instrument to assess this construct. This study aimed to cross culturally adapt and validate the Assessment of Recovery Capital (ARC) for the Indonesian rehabilitation context.
Methods: A sequential exploratory mixed-method design was employed across an 11- adaptation stage The qualitative phase (steps 1–5) included forward translation, synthesis, expert review, back translation, and harmonization. The quantitative phase (steps 6–10) encompasses content validity (CVI), face validity (FVI) construct validity using exploratory factor analysis (EFA), internal consistency, and test retest reliability, followed by final instrument drafting.
Results: The ARC instrument was successfully adapted into Bahasa Indonesia. Content validity was excellent (S-CVI/Ave = 0.98 for relevance; 0.95 for clarity), Face validity demonstrated high comprehensibility (S-FVI/Ave = 0.94 for comprehension;0.96 for clarity). Construct validity among 250 rehabilitation clients supported a 10-factor structure explaining 70.64% of total variance. EFA identified 31 items meeting the dominant factor loading criterion (?0.40), presented in the factor table for reporting clarity, all 50 items were retained in the final instrument based on content validity and conceptual equivalence. internal consistency was acceptable to strong (Cronbach’s alpha = 0.655–0.860) and test–retest stability was good (ICC = 0.719–0.803). The final instrument comprises demographic data, 50 ARC items across 10 domains, and one open-ended question on recovery support needs. Confirmatory factor Analysis (CFA) is recommended inFuther studies.
Conclusion: The Indonesian ARC demonstrates preliminary validity, reliability, and cultural relevance for assessing recovery capital among individuals in rehabilitation. It has potential utility for monitoring recovery outcomes and informing evidence based addiction recovery practices in Indonesia, although further validation in border setting is warranted.
References
National Institute on Drug Abuse. Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition). Advancing Addiction Science [Internet]. 2018;3(January):1–75. Available from: https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/frequently-asked-questions/what-are-unique-needs-pregnant-women-substance-use
Dewabhrata W, Ahsan A, Bella A, Amalia N, Kusuma D, Pertiwi YBA. Mental Health, Environmental, and Socioeconomic Geographic Factors of Severe Drug Addiction: Analysis of Rehabilitation Center Data in Indonesia. Subst Abuse. 2023 Jan 1;17. https://doi.org/10.1177/11782218231203687
Vilsaint CL, Kelly JF, Bergman BG, Groshkova T, Best D, White W. Development and validation of a Brief Assessment of Recovery Capital (BARC-10) for alcohol and drug use disorder. Drug Alcohol Depend. 2017; 177:71–6. https://doi.org/10.1016/j.drugalcdep.2017.03.022s
Cloud W, Granfield R. Conceptualizing recovery capital: Expansion of a theoretical construct. Substance Use and Misuse. Taylor and Francis Inc.; 2008. p. 1971–86. https://doi.org/10.1080/10826080802289762
Best D, Laudet AB. The Potential of Recovery Capital [Internet]. 2010. Available from: https://www.nbhnetwork.org/wp-content/uploads/2023/05/The-Potential-of-Recovery-Capital.pdf
Best D, Hennessy EA. The science of recovery capital: where do we go from here? Addiction. 2022;117(4):1139–45. https://doi.org/10.1111/add.15732
Cano I, Best D, Edwards M, Lehman J. Recovery capital pathways: Modelling the components of recovery wellbeing. Drug Alcohol Depend. 2017;181(September):11–9. https://doi.org/10.1016/j.drugalcdep.2017.09.002
Room R. Stigma, social inequality and alcohol and drug use. Drug and Alcohol Review. 2005. p. 143–55. https://doi.org/10.1080/09595230500102434
Cruchinho P, López-Franco MD, Capelas ML, Almeida S, Bennett PM, da Silva MM, et al. Translation, Cross-Cultural Adaptation, and Validation of Measurement Instruments: A Practical Guideline for Novice Researchers. J Multidiscip Healthc. 2024;17(May 2024):2701–28. https://doi.org/10.2147/JMDH.S419714
Groshkova T, Best D, White W. The Assessment of Recovery Capital: Properties and psychometrics of a measure of addiction recovery strengths. Drug Alcohol Rev. 2013;32(2):187–94. https://doi.org/10.1111/j.1465-3362.2012.00489.x
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine. 2000;25(24):3186–91. https://doi.org/10.1097/00007632-200012150-00014
Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268–74. https://doi.org/10.1111/j.1365-2753.2010.01434.x
Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value health.2005;8(2):94-104. 2 https://doi.org/10.1111/J.1524-4733.2005.04054.X
De Vellis R, Thorpe C. Scale Development: Theory and Applications. [Internet]. [cited 2026 Mar 10]. Available from: https://us.sagepub.com
Hair JR JF, Black WC, Babin BJ, Andreson RE. Multivariate Data Analysis. 7th ed. Harlow: Pearson Prentice Hall; 2010.
Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL. Best Practices for Developing and Validating Scales for Health, Social, and Behavioral Research: A Primer. Front Public Health. 2018 Jun 11;6. https://doi.org/10.3389/fpubh.2018.00149
Mat Said NA, Bujang SM, Buang NA, Siraj Ramli HH, Awang Besar MN. Critical Thinking Transfer Practice Instrument: A Content Validity Calculation Steps Based on Expert Panel Evaluation. Education in Medicine Journal. 2022;14(3):61–74. https://doi.org/10.21315/eimj2022.14.3.5
Polit DF, Beck CT. The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006 Oct;29(5):489–97. https://doi.org/10.1002/nur.20147
Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Education in Medicine Journal. 2019 Jun 1;11(2):49–54. https://doi.org/10.21315/eimj2019.11.2.6
Buck S, Sandqvist J, Nilsing Strid E, Knibbe HJJ, Enthoven P, Wåhlin C. Translation and cross-cultural adaptation of the risk assessment instrument TilThermometer for a Swedish version – patient handling in the healthcare sector. BMC Musculoskelet Disord. 2022;23(1). https://doi.org/10.1186/s12891-022-05474-8
Vanbuel M, Deygers B. Assessing Receptive Skills in an Adult L2 Learner Population with Diverse Educational Backgrounds. Lang Assess Q. 2024;21(4–5):379–403. https://doi.org/10.1080/15434303.2024.243815
Kaiser HF. An Index Of Factorial Simpllicity Psychometrika.1974;39(1):31-6. https://doi.org/10.1007/BF02291575
Soewin E, Chinda T. Factors affecting construction performance: Exploratory factor analysis. In: IOP Conference Series: Earth and Environmental Science. Institute of Physics Publishing; 2018. https://doi.org/10.1088/1755-1315/140/1/012102
Watkins MW. Exploratory Factor Analysis: A Guide to Best Practice. Journal of Black Psychology. 2018 Apr 1;44(3):219–46. https://doi.org/10.1177/0095798418771807
Cohen J. Statistical Power Analysis for the Behavioral Sciences Second Edition. 2 nd. New York: Lawrence Erlbaum Associates; 1988.
Zijlmans EAO, Tijmstra J, van der Ark LA, Sijtsma K. Item-score reliability as a selection tool in test construction. Front Psychol. 2019 Jan 11;9(JAN). https://doi.org/10.3389/fpsyg.2018.02298
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