Validation of the alcohol, smoking and substance involvement screening test (ASSIST)

Validation of the alcohol, smoking and substance involvement screening test (ASSIST)

Author Humeniuk, Rachel Google Scholar
Ali, Robert Google Scholar
Babor, Thomas F. Google Scholar
Farrell, Michael Google Scholar
Formigoni, Maria L. Autor UNIFESP Google Scholar
Jittiwutikarn, Jaroon Google Scholar
Lacerda, Roseli B. de Google Scholar
Ling, Walter Google Scholar
Marsden, John Google Scholar
Monteiro, Maristela Google Scholar
Nhiwatiwa, Sekai Google Scholar
Pal, Hemraj Google Scholar
Poznyak, Vladimir Google Scholar
Simon, Sara Google Scholar
Institution Serv Council
Univ Connecticut
Natl Addict Ctr
Universidade Federal de São Paulo (UNIFESP)
No Drug Dependence Treatment Ctr
Univ Fed Parana
Univ Calif Los Angeles
Univ Zimbabwe
All India Inst Med Sci
Abstract Aim the concurrent, construct and discriminative validity of the World Health Organization's Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) were examined in a multi-site international study. Participants One thousand and 47 participants, recruited from drug treatment (n = 350) and primary health care (PHC) settings (n = 697), were administered a battery of instruments. Measurements Measures included the ASSIST; the Addiction Severity Index-Lite (ASI-Lite); the Severity of Dependence Scale (SDS); the MINI International Neuropsychiatric Interview (MINI-Plus); the Rating of Injection Site Condition (RISC); the Drug Abuse Screening Test (DAST); the Alcohol Use Disorders Identification Test (AUDIT); the Revised Fagerstrom Tolerance Questionnaire (RTQ); and the Maudsley Addiction Profile (MAP). Findings Concurrent validity was demonstrated by significant correlations between ASSIST scores and scores from the ASI-Lite (r = 0.76-0.88), SDS (r = 0.59), AUDIT (r = 0.82) and RTQ (r = 0.78); and significantly greater ASSIST scores for those with MINI-Plus diagnoses of abuse or dependence (P < 0.001). Construct validity was established by significant correlations between ASSIST scores and measures of risk factors for the development of drug and alcohol problems (r = 0.48-0.76). Discriminative validity was established by the capacity of the ASSIST to discriminate between substance use, abuse and dependence. Receiver operating characteristic (ROC) analysis was used to establish cut-off scores with suitable specificities (50-96%) and sensitivities (54-97%) for most substances. Conclusions the findings demonstrated that the ASSIST is a valid screening test for identifying psychoactive substance use in individuals who use a number of substances and have varying degrees of substance use.
Keywords alcohol
illicit drugs
screening test
Language English
Date 2008-06-01
Published in Addiction. Malden: Wiley-Blackwell, v. 103, n. 6, p. 1039-1047, 2008.
ISSN 0965-2140 (Sherpa/Romeo, impact factor)
Publisher Wiley-Blackwell
Extent 1039-1047
Access rights Closed access
Type Article
Web of Science ID WOS:000255914400027

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