Jennifer McNeely|Simon Strauß|John Rotrosen|Arianne Ramautar|Marc N. Gourevitch
Validation of an audio computer-assisted self-interview (ACASI) version of the alcohol, smoking and substance involvement screening test (ASSIST) in primary care patients
New York University|New York College of Health Professions|New York University|New York University|New York University
background aims address barriers implementing alcohol smoking substance involvement screening test assist medical settings adapted traditional intervieweradministered ia assist audioguided computer assisted selfinterview acasi format study sought validate acasi assist estimating concordance correlation agreement scores generated using acasi versus reference standard ia assist secondary aims assess feasibility compare assist selfreport drug testing results design participants completed acasi ia assist randomly assigned order followed drug testing setting urban safetynet primary care clinic new york city usa participants total 393 adult patients measurements scores generated acasi ia assist drug testing results saliva hair samples findings concordance acasi ia assist identifying moderatehighrisk use 9299 substance class correlation excellent global scores intraclass correlation icc 0937 confidence interval ci 09240948 substancespecific scores tobacco icc 0927 ci 09120940 alcohol icc 0912 ci 08930927 illicit drugs icc 0854 ci 08540900 good prescription drugs icc 0676 ci 06130729 ninetyfour per cent differences global scores fell within anticipated limits agreement among participants positive saliva test 74 selfreported use acasi assist acasi assist required median time 37 minutes range 07154 21 53 participants requested assistance conclusions computer selfadministered alcohol smoking substance involvement screening test appears valid alternative intervieweradministered approach identifying substance use primary care patients