Validation of the French version of the alcohol, smoking and substance involvement screening test (ASSIST) in the elderly

Substance Abuse Treatment, Prevention, and Policy

Yasser Khazaal¹  Daniele Zullino¹  Vladimir Poznyak³  Gerard Calzada¹  Barbara Broers²  Audrey Nallet¹  Sophia Achab¹  Gabriel Thorens¹  Anne Chatton¹  Riaz Khan¹ 

[1] Division for Addictology Department of mental health and psychiatry University Hospitals, Geneva University, Geneva, Switzerland;Department of Primary care and community medicine, University Hospitals, Geneva University, Geneva, Switzerland;Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland

关键词: Elderly;    ASSIST;    Alcohol;    Tobacco;    Substance use disorders;    Addiction;   

Others  :  834517
DOI  :  10.1186/1747-597X-7-14

 received in 2011-09-16, accepted in 2012-04-26,  发布年份 2012

【 摘 要 】

Background

Substance use disorders seem to be an under considered health problem amongst the elderly. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), was developed by the World Health Organization to detect substance use disorders. The present study evaluates the psychometric properties of the French version of ASSIST in a sample of elderly people attending geriatric outpatient facilities (primary care or psychiatric facilities).

Methods

One hundred persons older than 65 years were recruited from clients attending a geriatric policlinic day care centre and from geriatric psychiatric facilities. Measures included ASSIST, Addiction Severity Index (ASI), Mini-International Neuropsychiatric Interview (MINI-Plus), Alcohol Use Disorders Identification Test (AUDIT), Revised Fagerstrom Tolerance Questionnaire-Smoking (RTQ) and MiniMental State(MMS).

Results

Concurrent validity was established with significant correlations between ASSIST scores, scores from ASI, AUDIT, RTQ, and significantly higher ASSIST scores for patients with a MINI-Plus diagnosis of abuse or dependence. The ASSIST questionnaire was found to have high internal consistency for the total substance involvement along with specific substance involvement as assessed by Cronbach’s α, ranging from 0.66, to 0.89 .

Conclusions

The findings demonstrate that ASSIST is a valid screening test for identifying substance use disorders in elderly.

【 授权许可】

   
2012 Khan et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Coulton S, Watson J, Bland M, Drummond C, Kaner E, Godfrey C, Hassey A, Morton V, Parrott S, Phillips T, Raistrick D, Rumball D, Tober G: The effectiveness and cost-effectiveness of opportunistic screening and stepped care interventions for older hazardous alcohol users in primary care (AESOPS) - a randomised control trial protocol. BMC Health Serv Res 2008, 8:129. BioMed Central Full Text
• [2]Arndt S, Clayton R, Schultz S: Trends in substance abuse treatment 1998–2008: Increasing older adult first-zime admissions for illicit drugs. Am J Geriatr Psychiatry 2011, 19:704-711.
• [3]Khan N, Wilkinson TJ, Sellman JD, Graham P: Patterns of alcohol use and misuse among elderly rest home residents in Christchurch. N. Z. Med. J 2001, 114:58-61.
• [4]Mann K, Laucht M, Weyerer S: Addiction across the lifespan. Nervenarzt 2009, 80:1293-1301.
• [5]Blazer DG, Wu Li-Tzy: The epidemiology of substance use and disorders among middle aged and elderly community adults: national survey on drug use and health (NSDUH). Am J Geriatr Psychiatry 2009, 17:237-245.
• [6]Weyerer S, Schäufele M, Wiese B, Maier W, Tebarth F, van den Bussche H, Pentzek M, Bickel H, Luppa M, Riedel-Heller SG: Current alcohol consumption and its relationship to incident dementia: results from a 3-year follow-up study among primary care attenders aged 75 years and older. Age Ageing 2011, 40:456-463.
• [7]Alcohol T: Smoking and Substance Involvement Screening Test (ASSIST): development, reliability and feasibility. Addiction 2002, 97:1183-1194.
• [8]McPherson TL, Hersch RK: Brief substance use screening instruments for primary care settings: a review. J Subst Abuse Treat 2000, 18:193-202.
• [9]McLellan AT, Luborsky L, Cacciola J, Griffith J, Evans F, Barr HL, O’Brien CP: New data from the Addiction Severity Index. Reliability and validity in three centers. J. Nerv. Ment. Dis 1985, 173:412-423.
• [10]Brown RL, Rounds LA: Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wis. Med. J 1995, 94:135-140.
• [11]Allen JP, Litten RZ, Fertig JB, Babor T: A review of research on the Alcohol Use Disorders Identification Test (AUDIT). Alcohol Clin Exp Res 1997, 21:613-9.
• [12]Babor TF, Higgins-Biddle JC: Alcohol screening and brief intervention: dissemination strategies for medical practice and public health. Addiction 2000, 95:677-86.
• [13]Humeniuk R, Ali R, Babor TF, Farrell M, Formigoni ML, Jittiwutikarn J, de Lacerda RB, Ling W, Marsden J, Monteiro M, Nhiwatiwa S, Pal H, Poznyak V, Simon S: Validation of the Alcohol, Smoking And Substance Involvement Screening Test (ASSIST). Addiction 2008, 103:1039-1047.
• [14]Khan R, Chatton A, Nallet A, Broers B, Thorens G, Achab-Arigo S, Poznyak V, Fleischmann A, Khazaal Y, Zullino D: Validation of the French Version of the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Eur Addict Res 2011, 17:190-197.
• [15]Krenz S, Dieckmann S, Favrat B, Spagnoli J, Leutwyler J, Schnyder C, Daeppen JB, Besson J: French version of the addiction severity index (5th Edition): validity and reliability among Swiss opiate-dependent patients. French validation of the Addiction Severity Index. Eur Addict Res 2004, 10:173-9.
• [16]Gache P, Michaud P, Landry U, Accietto C, Arfaoui S, Wenger O, Daeppen JB: The Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for excessive drinking in primary care: reliability and validity of a French version. Alcohol Clin Exp Res 2005, 29:2001-7.
• [17]Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO: The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addict 1991, 86:1119-27.
• [18]Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC: The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998, 59(Suppl 20):22-33. quiz 34–57
• [19]Gagnon M, Letenneur L, Dartigues JF, Commenges D, Orgogozo JM, Barberger-Gateau P, Alpérovitch A, Décamps A, Salamon R: Validity of the Mini-Mental State examination as a screening instrument for cognitive impairment and dementia in French elderly community residents. Neuroepidemiology 1990, 9:143-150.
• [20]Streiner DN: Health Measurement Scales. Oxford University Press, New York; 2008.
• [21]Conigliaro J, Kraemer K, McNeil M: Screening and identification of older adults with alcohol problems in primary care. J Geriatr Psychiatry Neurol 2000, 13:106-14.
• [22]Satre DD, Sterling SA, Mackin RS, Weisner C: Patterns of alcohol and drug use among depressed older adults seeking outpatient psychiatric services. Am J Geriatr Psychiatry 2011, 19:695-703.