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

Jennifer McNeely, Shiela M. Strauss, Shana Wright, John Rotrosen, Rubina Khan, Joshua D. Lee, Marc N. Gourevitch

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)93-101
Number of pages9
JournalJournal of Substance Abuse Treatment
Volume47
Issue number1
DOIs
StatePublished - Jul 2014

Keywords

  • Addiction
  • Alcohol use
  • Primary care
  • Screening
  • Substance use

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

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