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, Költő, András, Lee, Sang-Kyu, Lewczuk, Karol, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Milea, Ionut, Miller, Dan J., Orosová, Oľga, Orosz, Gábor, Sungkyunkwan University’s Research Team, Ponce, Fernando P., Quintana, Gonzalo R., Garzola, Gabriel C.Quintero, Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, Scanavino, Marco De Tubino, Schulmeyer, Marion K., Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan J., Strizek, Julian, Ünsal, Berk C., Vaillancourt-Morel, Marie-Pier, Van Hout, Marie Claire, and Bőthe, Beáta (2023) The eleven-item Alcohol, Smoking and Substance Involvement Screening Test (ASSIST-11): Cross-cultural psychometric evaluation across 42 countries. Journal of Psychiatric Research, 165. pp. 16-27.

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Abstract

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.

Item ID:	79339
Item Type:	Article (Research - C1)
ISSN:	1879-1379
Keywords:	addictive behaviors; cross-cultural study; factor structure; measurement invariance; psychometrics
Copyright Information:	© 2023 Elsevier Ltd. All rights reserved.
Date Deposited:	25 Jul 2023 04:17
FoR Codes:	42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified @ 50% 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520302 Clinical psychology @ 50%
SEO Codes:	20 HEALTH > 2004 Public health (excl. specific population health) > 200413 Substance abuse @ 50% 28 EXPANDING KNOWLEDGE > 2801 Expanding knowledge > 280121 Expanding knowledge in psychology @ 50%
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