期刊
DRUG AND ALCOHOL DEPENDENCE
卷 80, 期 3, 页码 349-360出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.drugalcdep.2005.05.005
关键词
drug and alcohol assessment; self-report; problem severity; brief assessment; addiction
This article describes the development and reliability and validity testing of the Addiction Severity Assessment Tool (ASAT), a brief, 27-item multidimensional self-report measure of problem severity in daily functioning, relational functioning, dysphoric states, dependence severity, recovery skill/self-efficacy, and existential factors for adult Substance abuse clients. Items generated. for an Alpha version were conceptually and empirically evaluated. A Beta version underwent further empirical evaluation and item selection. Cross validation of the final version examined internal consistency, test-retest reliability, factor structure, and convergent/discriminant and known groups validity. Sensitivity to change was evaluated in a 3-month Outcome study. Clients were recruited from inpatient, Outpatient and residential substance abuse treatment centers, and a sample of 238 nonpatients were also recruited from community groups. The Beta version was tested with 201 clients, and cross validation involved 242 clients. Well-known standardized, self-report and interview-based comparison Measures were used to test convergent/discriminant validity of the ASAT. Reliability coefficients for the six ASAT domains were acceptable. Reasonable convergent/discriminant and known groups, construct validity were demonstrated, along with sensitivity to change of the domain scale scores. The ASAT appears to comprise a useful new tool for assessing clinical outcomes of adult clients in Substance abuse treatment. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
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