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The eleven-item Alcohol, Smoking and Substance Involvement Screening Test (ASSIST-11): Cross-cultural psychometric evaluation across 42 countries.
Lee, Chih-Ting; Lin, Chung-Ying; Koós, Mónika; Nagy, Léna; Kraus, Shane W; Demetrovics, Zsolt; Potenza, Marc N; Ballester-Arnal, Rafael; Batthyány, Dominik; Bergeron, Sophie; Billieux, Joël; Burkauskas, Julius; Cárdenas-López, Georgina; Carvalho, Joana; Castro-Calvo, Jesús; Chen, Lijun; Ciocca, Giacomo; Corazza, Ornella; Csako, Rita I; Fernandez, David P; Fernandez, Elaine F; Fujiwara, Hironobu; Fuss, Johannes; Gabrhelík, Roman; Gewirtz-Meydan, Ateret; Gjoneska, Biljana; Gola, Mateusz; Grubbs, Joshua B; Hashim, Hashim T; Islam, Md Saiful; Ismail, Mustafa; Jiménez-Martínez, Martha; Jurin, Tanja; Kalina, Ondrej; Klein, Verena; Költo, András; Lee, Sang-Kyu; Lewczuk, Karol; Lochner, Christine; López-Alvarado, Silvia; Lukavská, Katerina; Mayta-Tristán, Percy; Milea, Ionut; Miller, Dan J; Orosová, Olga; Orosz, Gábor; Ponce, Fernando P; Quintana, Gonzalo R; Garzola, Gabriel C Quintero; Ramos-Diaz, Jano.
Affiliation
  • Lee CT; Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
  • Lin CY; Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan. Electronic address: cylin36933@gmail.com.
  • Koós M; Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
  • Nagy L; Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
  • Kraus SW; Department of Psychology, University of Nevada, Las Vegas, Las Vegas, NV, USA.
  • Demetrovics Z; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar.
  • Potenza MN; Yale University School of Medicine, New Haven, CT, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, USA.
  • Ballester-Arnal R; Departmento de Psicología Básica, Clínica y Psicobiología, University Jaume I of Castellón, Spain.
  • Batthyány D; Institute for Behavioural Addictions, Sigmund Freud University Vienna, Austria.
  • Bergeron S; Département de Psychologie, Université de Montréal, Montréal, Canada.
  • Billieux J; Institute of Psychology, University of Lausanne, Lausanne, Switzerland; Center for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV), Lausanne, Switzerland.
  • Burkauskas J; Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Lithuania.
  • Cárdenas-López G; Virtual Teaching and Cyberpsychology Laboratory, School of Psychology, National Autonomous University of Mexico, Mexico.
  • Carvalho J; William James Center for Research, Departamento de Educação e Psicologia, Universidade de Aveiro, Aveiro, Portugal; CPUP: Center for Psychology at Porto University.
  • Castro-Calvo J; Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Spain.
  • Chen L; Department of Psychology, College of Humanity and Social Science, Fuzhou University, China.
  • Ciocca G; Section of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy.
  • Corazza O; Department of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire, United Kingdom; Department of Psychology and Cognitive Science, University of Trento, Italy.
  • Csako RI; Department of Psychology and Neuroscience, Auckland University of Technology, Auckland, New Zealand.
  • Fernandez DP; Nottingham Trent University, United Kingdom.
  • Fernandez EF; HELP University, Malaysia.
  • Fujiwara H; Department of Neuropsychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan; Decentralized Big Data Team, RIKEN Center for Advanced Intelligence Project, Tokyo, Japan.
  • Fuss J; Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany.
  • Gabrhelík R; Charles University, Department of Addictology, Prague, Czech Republic; General University Hospital in Prague, Department of Addictology, Czech Republic.
  • Gewirtz-Meydan A; School of Social Work, University of Haifa, Israel.
  • Gjoneska B; Macedonian Academy of Sciences and Arts, Macedonia.
  • Gola M; Institute of Psychology, Polish Academy of Sciences, Poland; Institute for Neural Computations, University of California San Diego, USA.
  • Grubbs JB; Bowling Green State University, United States.
  • Hashim HT; University of Baghdad, College of Medicine, Iraq.
  • Islam MS; Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh; Centre for Advanced Research Excellence in Public Health, Savar, Dhaka, 1342, Bangladesh.
  • Ismail M; University of Baghdad, College of Medicine, Iraq.
  • Jiménez-Martínez M; Universidad Pedagógca y Tecnológica de Colombia, Colombia; Grupo de Investigación Biomédica y de Patología, Colombia.
  • Jurin T; Department of Psychology, Humanities and Social Sciences, University of Zagreb, Croatia.
  • Kalina O; Department of Educational Psychology and Psychology of Health, Pavol Jozef Safarik University in Kosice, Slovakia.
  • Klein V; School of Psychology, University of Southampton, United Kingdom.
  • Költo A; Health Promotion Research Centre, University of Galway, Ireland.
  • Lee SK; Department of Psychiatry, Hallym University Chuncheon Sacred Heart Hospital, South Korea; Chuncheon Addiction Management Center, South Korea.
  • Lewczuk K; Institute of Psychology, Cardinal Stefan Wyszynski University, Warsaw, Poland.
  • Lochner C; SAMRC Unit on Risk & Resilience in Mental Disorders, Stellenbosch University, South Africa.
  • López-Alvarado S; University of Cuenca, Ecuador.
  • Lukavská K; Charles University, Department of Addictology, Prague, Czech Republic; Charles University, Department of Psychology, Prague, Czech Republic.
  • Mayta-Tristán P; Universidad Científica Del Sur, Lima, Peru.
  • Milea I; Babeș-Bolyai University, Romania.
  • Miller DJ; James Cook University, Australia.
  • Orosová O; Pavol Jozef Safarik University in Kosice, Department of Educational Psychology and Psychology of Health, Slovakia.
  • Orosz G; Artois University, France.
  • Ponce FP; Facultad de Psicología, Universidad de Talca, Chile.
  • Quintana GR; Departamento de Psicología y Filosofía, Universidad de Tarapacá, Arica, Arica y Parinacota, Chile.
  • Garzola GCQ; Florida State University, Panama; Sistema Nacional de Investigación (SNI), SENACYT, Panama.
  • Ramos-Diaz J; Universidad Privada Del Norte, Lima, Peru.
J Psychiatr Res ; 165: 16-27, 2023 09.
Article in En | MEDLINE | ID: mdl-37453212
The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) is an instrument to screen substance-use-related health risks. However, little is known whether the ASSIST could be further shortened while remaining psychometrically sound across different countries, languages, gender identities, and sexual-orientation-based groups. The study aimed to validate a shortened 11-item ASSIST (ASSIST-11). Using the International Sex Survey data, 82,243 participants (M age = 32.39 years) across 42 countries and 26 languages completed questions from the ASSIST-11 regarding gender identity, sexual orientation, and other information. Confirmatory factor analysis (CFA) and multigroup CFA (MGCFA) evaluated the ASSIST-11's structure and tested measurement invariance across groups. Cronbach's α and McDonald's ω were used to examine the internal consistency. Cohen's d and independent t-tests were used to examine known-group validity. The ASSIST-11 was unidimensional across countries, languages, age groups, gender identities (i.e., men, women, and gender-diverse individuals), and sexual orientations (i.e., heterosexual and sexual minority individuals). Cronbach's α was 0.63 and McDonald's ω was 0.68 for the ASSIST-11. Known-group validity was supported by Cohen's d (range between 0.23 and 0.40) with significant differences (p-values<0.001). The ASSIST-11 is a modified instrument with a unidimensional factor structure across different languages, age groups, countries, gender identities, and sexual orientations. The low internal consistency of the ASSIST-11 might be acceptable as it assesses a broad concept (i.e., use of several different substances). Healthcare providers and researchers may use the ASSIST-11 to quickly assess substance-use information from general populations and evaluate the need to follow up with more detailed questions about substance use.
Subject(s)
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cross-Cultural Comparison / Substance-Related Disorders Type of study: Diagnostic_studies / Screening_studies Limits: Adult / Female / Humans / Male Language: En Journal: J Psychiatr Res Year: 2023 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cross-Cultural Comparison / Substance-Related Disorders Type of study: Diagnostic_studies / Screening_studies Limits: Adult / Female / Humans / Male Language: En Journal: J Psychiatr Res Year: 2023 Document type: Article Affiliation country: Country of publication: