Abstract
Background and Aims: To address barriers to implementing the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in medical settings, we adapted the traditional interviewer-administered (IA) ASSIST to an audio-guided computer assisted self-interview (ACASI) format. This study sought to validate the ACASI ASSIST by estimating the concordance, correlation and agreement of scores generated using the ACASI versus the reference standard IA ASSIST. Secondary aims were to assess feasibility and compare ASSIST self-report to drug testing results. Design: Participants completed the ACASI and IA ASSIST in a randomly assigned order, followed by drug testing. Setting: Urban safety-net primary care clinic in New York City, USA. Participants: A total of 393 adult patients. Measurements: Scores generated by the ACASI and IA ASSIST; drug testing results from saliva and hair samples. Findings: Concordance between the ACASI and IA ASSIST in identifying moderate-high-risk use was 92-99% for each substance class. Correlation was excellent for global scores [intraclass correlation (ICC)=0.937, confidence interval (CI)=0.924-0.948] and for substance-specific scores for tobacco (ICC=0.927, CI=0.912-0.940), alcohol (ICC=0.912, CI=0.893-0.927) and illicit drugs (ICC=0.854, CI=0.854-0.900) and good for prescription drugs (ICC=0.676, CI=0.613-0.729). Ninety-four per cent of differences in global scores fell within anticipated limits of agreement. Among participants with a positive saliva test, 74% self-reported use on the ACASI ASSIST. The ACASI ASSIST required a median time of 3.7minutes (range 0.7-15.4), and 21 (5.3%) participants requested assistance. Conclusions: The computer self-administered Alcohol, Smoking and Substance Involvement Screening Test appears to be a valid alternative to the interviewer-administered approach for identifying substance use in primary care patients.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 233-244 |
| Number of pages | 12 |
| Journal | Addiction |
| Volume | 111 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 1 2016 |
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Keywords
- ACASI
- Alcohol
- Drugs
- Screening
- Substance abuse
- Tobacco
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Psychiatry and Mental health
Cite this
Validation of an audio computer-assisted self-interview (ACASI) version of the alcohol, smoking and substance involvement screening test (ASSIST) in primary care patients. / McNeely, Jennifer; Strauss, Shiela M.; Rotrosen, John; Ramautar, Arianne; Gourevitch, Marc.
In: Addiction, Vol. 111, No. 2, 01.02.2016, p. 233-244.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Validation of an audio computer-assisted self-interview (ACASI) version of the alcohol, smoking and substance involvement screening test (ASSIST) in primary care patients
AU - McNeely, Jennifer
AU - Strauss, Shiela M.
AU - Rotrosen, John
AU - Ramautar, Arianne
AU - Gourevitch, Marc
PY - 2016/2/1
Y1 - 2016/2/1
N2 - Background and Aims: To address barriers to implementing the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in medical settings, we adapted the traditional interviewer-administered (IA) ASSIST to an audio-guided computer assisted self-interview (ACASI) format. This study sought to validate the ACASI ASSIST by estimating the concordance, correlation and agreement of scores generated using the ACASI versus the reference standard IA ASSIST. Secondary aims were to assess feasibility and compare ASSIST self-report to drug testing results. Design: Participants completed the ACASI and IA ASSIST in a randomly assigned order, followed by drug testing. Setting: Urban safety-net primary care clinic in New York City, USA. Participants: A total of 393 adult patients. Measurements: Scores generated by the ACASI and IA ASSIST; drug testing results from saliva and hair samples. Findings: Concordance between the ACASI and IA ASSIST in identifying moderate-high-risk use was 92-99% for each substance class. Correlation was excellent for global scores [intraclass correlation (ICC)=0.937, confidence interval (CI)=0.924-0.948] and for substance-specific scores for tobacco (ICC=0.927, CI=0.912-0.940), alcohol (ICC=0.912, CI=0.893-0.927) and illicit drugs (ICC=0.854, CI=0.854-0.900) and good for prescription drugs (ICC=0.676, CI=0.613-0.729). Ninety-four per cent of differences in global scores fell within anticipated limits of agreement. Among participants with a positive saliva test, 74% self-reported use on the ACASI ASSIST. The ACASI ASSIST required a median time of 3.7minutes (range 0.7-15.4), and 21 (5.3%) participants requested assistance. Conclusions: The computer self-administered Alcohol, Smoking and Substance Involvement Screening Test appears to be a valid alternative to the interviewer-administered approach for identifying substance use in primary care patients.
AB - Background and Aims: To address barriers to implementing the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in medical settings, we adapted the traditional interviewer-administered (IA) ASSIST to an audio-guided computer assisted self-interview (ACASI) format. This study sought to validate the ACASI ASSIST by estimating the concordance, correlation and agreement of scores generated using the ACASI versus the reference standard IA ASSIST. Secondary aims were to assess feasibility and compare ASSIST self-report to drug testing results. Design: Participants completed the ACASI and IA ASSIST in a randomly assigned order, followed by drug testing. Setting: Urban safety-net primary care clinic in New York City, USA. Participants: A total of 393 adult patients. Measurements: Scores generated by the ACASI and IA ASSIST; drug testing results from saliva and hair samples. Findings: Concordance between the ACASI and IA ASSIST in identifying moderate-high-risk use was 92-99% for each substance class. Correlation was excellent for global scores [intraclass correlation (ICC)=0.937, confidence interval (CI)=0.924-0.948] and for substance-specific scores for tobacco (ICC=0.927, CI=0.912-0.940), alcohol (ICC=0.912, CI=0.893-0.927) and illicit drugs (ICC=0.854, CI=0.854-0.900) and good for prescription drugs (ICC=0.676, CI=0.613-0.729). Ninety-four per cent of differences in global scores fell within anticipated limits of agreement. Among participants with a positive saliva test, 74% self-reported use on the ACASI ASSIST. The ACASI ASSIST required a median time of 3.7minutes (range 0.7-15.4), and 21 (5.3%) participants requested assistance. Conclusions: The computer self-administered Alcohol, Smoking and Substance Involvement Screening Test appears to be a valid alternative to the interviewer-administered approach for identifying substance use in primary care patients.
KW - ACASI
KW - Alcohol
KW - Drugs
KW - Screening
KW - Substance abuse
KW - Tobacco
UR - http://www.scopus.com/inward/record.url?scp=84954387476&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84954387476&partnerID=8YFLogxK
U2 - 10.1111/add.13165
DO - 10.1111/add.13165
M3 - Article
VL - 111
SP - 233
EP - 244
JO - Addiction
JF - Addiction
SN - 0965-2140
IS - 2
ER -