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. 2014 Jul;47(1):93-101.
doi: 10.1016/j.jsat.2014.01.007. Epub 2014 Feb 10.

Test-retest reliability of a self-administered Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in primary care patients

Jennifer McNeely  1 , Shiela M Strauss  2 , Shana Wright  3 , John Rotrosen  4 , Rubina Khan  5 , Joshua D Lee  6 , Marc N Gourevitch  7
Affiliations

Test-retest reliability of a self-administered Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in primary care patients

Jennifer McNeely et al. J Subst Abuse Treat. 2014 Jul.

Abstract

The time required to conduct drug and alcohol screening has been a major barrier to its implementation in mainstream healthcare settings. Because patient self-administered tools are potentially more efficient, we translated the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) into an audio guided computer assisted self interview (ACASI) format. This study reports on the test-retest reliability of the ACASI ASSIST in an adult primary care population. Adult primary care patients completed the ACASI ASSIST, in English or Spanish, twice within a 1-4 week period. Among the 101 participants, there were no significant differences between test administrations in detecting moderate to high risk use for tobacco, alcohol, or any other drug class. Substance risk scores from the two administrations had excellent concordance (90-98%) and high correlation (ICC 0.90-0.97) for tobacco, alcohol, and drugs. The ACASI ASSIST has good test-retest reliability, and warrants additional study to evaluate its validity for detecting unhealthy substance use.

Keywords: Addiction; Alcohol use; Primary care; Screening; Substance use.

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References

    1. Ali R, Awwad E, Babor TF, Bradley F, Butau T, Farrell M Grp Who Assist Working. The alcohol, smoking and substance involvement screening test (ASSIST): development, reliability and feasibility. Addiction. 2002;97(9):1183–1194. - PubMed
    1. Babor Thomas F, McRee Bonnie G, Kassebaum Patricia A, Grimaldi Paul L, Ahmed Kazi, Bray Jeremy. Screening, Brief Intervention, and Referral to Treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus. 2007;28(3):7–30. - PubMed
    1. Bernstein JA, Bernstein E, Heeren TC. Mechanisms of change in control group drinking in clinical trials of brief alcohol intervention: implications for bias toward the null. Drug Alcohol Rev. 2010;29(5):498–507. doi: 10.1111/j.1465-3362.2010.00174.x. - DOI - PubMed
    1. Bertollo David N, Alexander Mary Jane, Shinn Marybeth, Aybar Jalila B. Innovations: clinical computing: an audio computer-assisted self-interviewing system for research and screening in public mental health settings. Psychiatr Serv. 2007;58(6):743–745. - PubMed
    1. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307–310. - PubMed

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