On the meaning and measurement of engagement in youth residential treatment centers

Objective: This study describes the development of an engagement scale for use with youth in residential treatment centers. Engagement includes attitude about treatment, bond with providers, and participation in treatment activities. Method: Interview data were collected at the midpoint in residence of 130 youth in two centers. Items were selected to capture practitioners' description of three related concepts in a logic model. The authors conducted confirmatory factor analysis and examined interitem reliability. Results: Results indicate a single underlying factor, which the authors label engagement, an acceptable level of reliability, and strong content validity. Conclusion: The scale integrates several concepts in the treatment process literature and might serve to assess youth engagement in residential settings. Additional study should examine construct and construct validity.