Development and Validation of the Cheers Attitudes Towards Non-drinkers Scale (CANS)

Overview

Journal J Health Psychol

Publisher Sage Publications

Specialty Psychology

Date 2024 Jan 29

PMID 38284405

Authors

Christopher Cheers

Amy Pennay

Xochitl De la Piedad Garcia

Sarah Callinan

Affiliations

Soon will be listed here.

Abstract

Non-drinkers report experiencing stigma, which can act as a barrier to non-drinking. Two studies were undertaken to develop and test a new scale to measure attitudes towards non-drinkers. In Study 1, 29 items were presented to 426 Australian drinkers. In Study 2, the refined 12-item Cheers Attitudes to Non-drinkers Scale (CANS) was presented to 389 drinkers. Alcohol consumption, Harm and the Regan Attitudes towards Non-drinkers Scale (RANDS) were presented for scale validation. Exploratory factor analysis revealed three factors representing the Threats to Fun, Connection and Self that drinkers perceive non-drinkers to pose. Confirmatory factor analysis showed that the scale meets the required fit indices and had good reliability (α = 0.842). Evidence of validity was shown through significant correlations with Alcohol Consumption, Harm and the RANDS. These studies show the CANS to be a reliable and valid measure that could be utilised to understand and modify the stigma experienced by non-drinkers.

References

Saunders J, Aasland O, Babor T, De la Fuente J, Grant M . Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction. 1993; 88(6):791-804. DOI: 10.1111/j.1360-0443.1993.tb02093.x. View

Bartram A, Eliott J, Crabb S . 'Why can't I just not drink?' A qualitative study of adults' social experiences of stopping or reducing alcohol consumption. Drug Alcohol Rev. 2016; 36(4):449-455. DOI: 10.1111/dar.12461. View

Bentler P . Comparative fit indexes in structural models. Psychol Bull. 1990; 107(2):238-46. DOI: 10.1037/0033-2909.107.2.238. View

Regan D, Morrison T . Adolescents' negative attitudes towards non-drinkers: a novel predictor of risky drinking. J Health Psychol. 2012; 18(11):1465-77. DOI: 10.1177/1359105312464676. View

Zimmermann F, Sieverding M . Young adults' images of abstaining and drinking: prototype dimensions, correlates and assessment methods. J Health Psychol. 2010; 16(3):410-20. DOI: 10.1177/1359105310373412. View

Zimmermann F, Sieverding M . Young adults' social drinking as explained by an augmented theory of planned behaviour: the roles of prototypes, willingness, and gender. Br J Health Psychol. 2009; 15(Pt 3):561-81. DOI: 10.1348/135910709X476558. View

Conroy D, de Visser R . Being a non-drinking student: an interpretative phenomenological analysis. Psychol Health. 2013; 29(5):536-51. DOI: 10.1080/08870446.2013.866673. View

Rivis A, Sheeran P, Armitage C . Augmenting the theory of planned behaviour with the prototype/willingness model: predictive validity of actor versus abstainer prototypes for adolescents' health-protective and health-risk intentions. Br J Health Psychol. 2006; 11(Pt 3):483-500. DOI: 10.1348/135910705X70327. View

McCabe S, Arterberry B, Dickinson K, Evans-Polce R, Ford J, Ryan J . Assessment of Changes in Alcohol and Marijuana Abstinence, Co-Use, and Use Disorders Among US Young Adults From 2002 to 2018. JAMA Pediatr. 2020; 175(1):64-72. PMC: 7551219. DOI: 10.1001/jamapediatrics.2020.3352. View

10.

Conroy D, de Visser R . 'Man up!' Discursive constructions of non-drinkers among UK undergraduates. J Health Psychol. 2012; 18(11):1432-44. DOI: 10.1177/1359105312463586. View

11.

Li C . Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behav Res Methods. 2015; 48(3):936-49. DOI: 10.3758/s13428-015-0619-7. View

12.

Conroy D, de Visser R . Understanding the Association Between Relative Sociability Prototypes and University Students' Drinking Intention. Subst Use Misuse. 2016; 51(14):1831-7. DOI: 10.1080/10826084.2016.1197939. View

13.

van Lettow B, de Vries H, Burdorf A, Norman P, van Empelen P . Associations between abstainer, moderate and heavy drinker prototypes and drinking behaviour in young adults. Psychol Health. 2013; 28(12):1407-23. DOI: 10.1080/08870446.2013.821473. View

14.

Clark L, Watson D . Constructing validity: New developments in creating objective measuring instruments. Psychol Assess. 2019; 31(12):1412-1427. PMC: 6754793. DOI: 10.1037/pas0000626. View

15.

Young C, DiBello A, Steers M, Quist M, Foster D, Bryan J . I like people who drink like me: Perceived appeal as a function of drinking status. Addict Behav. 2015; 53:125-31. PMC: 4679654. DOI: 10.1016/j.addbeh.2015.10.003. View

16.

Greenfield T, Kerr W, Bond J, Ye Y, Stockwell T . Graduated Frequencies alcohol measures for monitoring consumption patterns: Results from an Australian national survey and a US diary validity study. Contemp Drug Probl. 2011; 36(3-4). PMC: 3011820. DOI: 10.1177/009145090903600320. View

17.

Steiger J . Structural Model Evaluation and Modification: An Interval Estimation Approach. Multivariate Behav Res. 2016; 25(2):173-80. DOI: 10.1207/s15327906mbr2502_4. View

18.

Davies E, Martin J, Foxcroft D . Age differences in alcohol prototype perceptions and willingness to drink in U.K. adolescents. Psychol Health Med. 2015; 21(3):317-29. DOI: 10.1080/13548506.2015.1051556. View

19.

Robertson K, Tustin K . Students Who Limit Their Drinking, as Recommended by National Guidelines, Are Stigmatized, Ostracized, or the Subject of Peer Pressure: Limiting Consumption Is All But Prohibited in a Culture of Intoxication. Subst Abuse. 2018; 12:1178221818792414. PMC: 6081750. DOI: 10.1177/1178221818792414. View

20.

Litt D, Lewis M . Examining the role of abstainer prototype favorability as a mediator of the abstainer-norms-drinking-behavior relationship. Psychol Addict Behav. 2014; 29(2):467-72. PMC: 4451453. DOI: 10.1037/adb0000042. View