Evaluation of the AC-OK mental health and substance abuse screening measure in an international sample of Latino immigrants

Ligia M. Chavez, Patrick Shrout, Ye Wang, Francisco Collazos, Rodrigo Carmona, Margarita Alegría

Research output: Contribution to journalArticle

Abstract

Background Early detection and intervention in primary care is integral to behavioral health. Valid, practical screening assessments are scarce, particularly for non-English speaking populations. We address this need by evaluating the psychometric properties of the Spanish version of the AC-OK Screen for Co-occurring Disorders for first and second generation immigrant Latinos in Massachusetts, USA, and Madrid and Barcelona, Spain. Methods 567 Latino participants were recruited in waiting areas of clinics or by referral from Primary Care, Mental Health, Substance Use, and HIV Treatment Clinics, as well as Community Agencies. We use confirmatory factor analyses to evaluate the factor structure, correlation analysis to examine concurrent and discriminant validity, and receiver operating curves (ROC) to determine the ability of the AC-OK to approximate a composite of established instruments designed to measure depression, generalized anxiety, post-traumatic stress disorder symptoms, alcohol, and drugs (including benzodiazepines) as external criteria. Results The original two factor structure was replicated in samples of Latino respondents in the US and Spain. Correlations with other measures followed the expected pattern. In both the US and Spain, ROC analyses suggested that the AC-OK scale was an adequate approximation to other specific measures of mental health (ROC = 0.90) and substance abuse problems (ROC = 0.83). Conclusions The Spanish version of the AC-OK Screen has good to excellent psychometric properties in both its subscales. These findings are robust across sites, gender, and type of clinic. We recommend its use for clinical research and for routine screening at treatment centers.

Original languageEnglish (US)
Pages (from-to)121-128
Number of pages8
JournalDrug and Alcohol Dependence
Volume180
DOIs
StatePublished - Nov 1 2017

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Hispanic Americans
Spain
Substance-Related Disorders
Mental Health
Screening
Health
Psychometrics
Primary Health Care
Benzodiazepines
Health care
Aptitude
Alcohols
Post-Traumatic Stress Disorders
Statistical Factor Analysis
Composite materials
Referral and Consultation
Anxiety
HIV
Pharmaceutical Preparations
Depression

Keywords

  • Immigrant health
  • Latinos
  • Mental Health
  • Psychometric properties
  • Substance Abuse

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

Cite this

Evaluation of the AC-OK mental health and substance abuse screening measure in an international sample of Latino immigrants. / Chavez, Ligia M.; Shrout, Patrick; Wang, Ye; Collazos, Francisco; Carmona, Rodrigo; Alegría, Margarita.

In: Drug and Alcohol Dependence, Vol. 180, 01.11.2017, p. 121-128.

Research output: Contribution to journalArticle

Chavez, Ligia M. ; Shrout, Patrick ; Wang, Ye ; Collazos, Francisco ; Carmona, Rodrigo ; Alegría, Margarita. / Evaluation of the AC-OK mental health and substance abuse screening measure in an international sample of Latino immigrants. In: Drug and Alcohol Dependence. 2017 ; Vol. 180. pp. 121-128.
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