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The eleven-item Alcohol, Smoking and Substance Involvement Screening Test (ASSIST-11): Cross-cultural psychiatric evaluation across 43 countries

Lee, CT, Lin, CY, Bőthe, B, Koós, M, Nagy, L, Kraus, M, Demetrovics, Z, Potenza, MN, Ballester-Arnal, R, Batthyány, D, Bergeron, S, Billieux, J, Burkauskas, J, Cárdenas-López, G, Carvalho, J, Castro-Calvo, J, Chen, L, Ciocca, G, Corazza, O, Csako, RI , Fernandez, DP, Fernandez, EF, Fujiwara, H, Fuss, J, Gabrhelík, R, Gewirtz-Meydan, A, Gjoneska, B, Gola, M, Grubbs, JB, Hashim, HT, Islam, MS, Ismail, M, Jiménez-Martínez, M, Jurin, T, Kalina, O, Klein, V, Költő, A, Lee, S-K, Lewczuk, K, Lochner, C, López-Alvarado, S, Lukavská, K, Mayta-Trist´an, P, Milea, I, Miller, DJ, Orosová, O, Sungkyunkwan University’s Research Team, , Ponce, FP, Quintana, GR, Garzola, GCQ, Ramos-Diaz, J, Rigaud, K, Rousseau, A, Scanavino, MDT, Schulmeyer, MK, Sharan, P, Shibata, M, Shoib, S, Sigre-Leirós, V, Sniewski, L, Spasovski, O, Steibliene, V, Stein, DJ, Strizek, J, Ünsal, BC, Vaillancourt-Morel, M-P, Van Hout, MC and Bőthe, B (2023) The eleven-item Alcohol, Smoking and Substance Involvement Screening Test (ASSIST-11): Cross-cultural psychiatric evaluation across 43 countries. Journal of Psychiatric Research, 165. pp. 16-27. ISSN 0022-3956

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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 ASSIST-11 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 ttests 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.

Item Type: Article
Uncontrolled Keywords: 11 Medical and Health Sciences; 17 Psychology and Cognitive Sciences; Psychiatry
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: Elsevier
SWORD Depositor: A Symplectic
Date Deposited: 03 Jul 2023 12:26
Last Modified: 07 Aug 2023 15:45
DOI or ID number: 10.1016/j.jpsychires.2023.06.033
URI: https://researchonline.ljmu.ac.uk/id/eprint/20083
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