title: Test-retest reliability of a self-administered Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in primary care patients.
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.
authors.affiliation: Department of Population Health and Department of Medicine, Division of General Internal Medicine, New York University School of Medicine, 550 1st Avenue, VZ30, 6th Floor, New York, NY 10016. Electronic address: jennifer.mcneely@nyumc.org.
authors.forename: Jennifer
authors.initials: J
authors.lastname: McNeely
authors.affiliation: New York University College of Nursing. Electronic address: shiela.strauss@nyu.edu.
authors.forename: Shiela M
authors.initials: SM
authors.lastname: Strauss
authors.affiliation: Department of Population Health, New York University School of Medicine. Electronic address: shana.wright@nyumc.org.
authors.forename: Shana
authors.initials: S
authors.lastname: Wright
authors.affiliation: Department of Psychiatry, New York University School of Medicine. Electronic address: john.rotrosen@nyumc.org.
authors.forename: John
authors.initials: J
authors.lastname: Rotrosen
authors.affiliation: Department of Population Health, New York University School of Medicine. Electronic address: rubina.khan@nyumc.org.
authors.forename: Rubina
authors.initials: R
authors.lastname: Khan
authors.affiliation: Department of Population Health and Department of Medicine, Division of General Internal Medicine, New York University School of Medicine, 550 1st Avenue, VZ30, 6th Floor, New York, NY 10016. Electronic address: Joshua.lee@nyumc.org.
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Lee
authors.affiliation: Department of Population Health, New York University School of Medicine. Electronic address: marc.gourevitch@nyumc.org.
authors.forename: Marc N
authors.initials: MN
authors.lastname: Gourevitch
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D011320:Primary Health Care / Q000379:methods; D015203:Reproducibility of Results; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology*; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Addiction; Alcohol use; Primary care; Screening; Substance use