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Joh S Cacciola - One of the best experts on this subject based on the ideXlab platform.
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Addiction Severity Index asi summary scores comparison of the recent status scores of the asi 6 and the composite scores of the asi 5
Journal of Substance Abuse Treatment, 2013Co-Authors: Cecile Denis, Joh S Cacciola, Arthu I AltermaAbstract:The characteristics and the validity of the Recent Status Scores (RSSs), the new summary scores generated by the sixth version of the Addiction Severity Index (ASI-6), are compared to the fifth version of the ASI summary scores, the Composite Scores (CSs). A sample of 82 randomly selected patients from substance abuse treatment programs were interviewed with the ASI-6, the ASI-5 and were administered a validity battery of questionnaires that included measures corresponding to each of the ASI domains. Each ASI-6 RSS was significantly correlated with its corresponding ASI-5 CS. The intercorrelations among the RSSs are low and none of these correlations were statistically different from the intercorrelations among CSs. In five of the seven areas, the ASI-6 RSSs were more highly correlated to the corresponding validity measures than were the ASI-5 CSs. The ASI-6 offers more comprehensive content in its scales than do those derived with earlier ASIs.
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recent status scores for version 6 of the Addiction Severity Index asi 6
Addiction, 2011Co-Authors: Joh S Cacciola, Arthu I Alterma, Ia Habing, Thomas A MclellaAbstract:Aims To describe the derivation of recent status scores (RSSs) for version 6 of the Addiction Severity Index (ASI-6). Design 118 ASI-6 recent status items were subjected to nonparametric item response theory (NIRT) analyses followed by confirmatory factor analysis (CFA). Generalizability and concurrent validity of the derived scores were determined. Setting and participants A total of 607 recent admissions to variety of substance abuse treatment programs constituted the derivation sample; a subset (n = 252) comprised the validity sample. Measurements The ASI-6 interview and a validity battery of primarily self-report questionnaires that included at least one measure corresponding to each of the seven ASI domains were administered. Findings Nine summary scales describing recent status that achieved or approached both high scalability and reliability were derived; one scale for each of six areas (medical, employment/finances, alcohol, drug, legal, psychiatric) and three scales for the family/social area. Intercorrelations among the RSSs also supported the multi-dimensionality of the ASI-6. Concurrent validity analyses yielded strong evidence supporting the validity of six of the RSSs (medical, alcohol, drug, employment, family/social problems, psychiatric). Evidence was weaker for the legal, family/social support and child problems RSSs. Generalizability analyses of the scales to males versus females and whites versus blacks supported the comparability of the findings, with slight exceptions. Conclusions The psychometric analyses to derive Addiction Severity Index version 6 recent status scores support the multi-dimensionality of the Addiction Severity Index version 6 (i.e. the relative independence of different life functioning areas), consistent with research on earlier editions of the instrument. In general, the Addiction Severity Index version 6 scales demonstrate acceptable scalability, reliability and concurrent validity. While questions remain about the generalizability of some scales to population subgroups, the overall findings coupled with updated and more extensive content in the Addiction Severity Index version 6 support its use in clinical practice and research.
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sixth version of the Addiction Severity Index assessing sensitivity to therapeutic change and retention predictors
International Journal of Clinical and Health Psychology, 2011Co-Authors: Maria Jose Casareslopez, E Diazmesa, Paz Garciaportilla, Pila A Saiz, Maria Teresa Obesbascara, Eduardo Fonsecapedrero, Eduardo Carreno, Pedro Marina, Maria Teresa Ascara, Joh S CacciolaAbstract:Resumen en: The main purpose of this multicenter ex post facto prospective study is to examine the psychometric properties of the Addiction Severity Index version 6....
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initial evidence for the reliability and validity of a lite version of the Addiction Severity Index
Drug and Alcohol Dependence, 2007Co-Authors: Joh S Cacciola, Arthu I Alterma, Thomas A Mclella, Kevi G LynchAbstract:Abstract Purpose To evaluate the psychometric properties of a shortened version of the baseline ASI-5, the ASI-L-VA. Method Two samples were recruited from intensive outpatient treatment and a methadone maintenance clinic. For Sample A ( n = 145), two versions of the Addiction Severity Index (i.e., ASI-5 and ASI-L-VA) were administered several days apart in counterbalanced order by different interviewers. Sample B ( n = 50) was similarly administered the standard ASI-5 twice. Results For Sample A, the internal consistency (coefficient alphas) of 11 of 19 summary scores derived from the ASI-5 were good, 4 fair, and 4 unacceptable. The results for the ASI-L-VA summary scores indicated that eight were good, six fair, and five unacceptable. The correlations between ASI problem areas were generally low for both versions (supporting the independence of the ASI areas), and none of the t -tests comparing corresponding correlations between the ASI-5 and ASI-L-VA approached statistical significance. The Sample A intraclass correlation coefficient (ICC) results evaluating agreement of the summary scores derived from the ASI-5 at one timepoint and those derived from ASI-L-VA at another point (i.e., concurrent validity) revealed at least fair agreement in all but one instance. Additionally, a comparison of the ICC results for Samples A and B (i.e., ASI-L-VA/ASI-5 versus ASI-5/ASI-5, respectively) revealed that in 13 of 26 cases the ICCs were at the same level of agreement. When level of agreement was discordant, in nine cases the ICCs comparing the ASI-5 and ASI-L-VA exhibited greater agreement and in four cases the ICCs comparing two ASI-5 administrations exhibited greater agreement. Conclusions The ASI-L-VA, a reduced item set from the ASI-5, yielded similar information on problem Severity as the standard ASI-5.
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Addiction Severity Index recent and lifetime summary Indexes based on nonparametric item response theory methods
Psychological Assessment, 2007Co-Authors: Arthu I Alterma, Joh S Cacciola, Ia Habing, Kevi G LynchAbstract:Baseline Addiction Severity Index (5th ed.; ASI-5) data of 2,142 substance abuse patients were analyzed with two nonparametric item response theory (NIRT) methods: Mokken scaling and conditional covariance techniques. Nine reliable and dimensionally homogeneous Recent Problem Indexes emerged in the ASI-5's seven areas, including two each in the Employment/Support and Family/Social Relationships areas. Lifetime Problem Indexes were derived for five of the areas--Medical, Drug, Alcohol, Legal, and Psychiatric--but not for the Employment/Support and Family/Social Relationships areas. Correlational analyses conducted on a subsample of 586 patients revealed the Indexes for the seven areas to be largely independent. At least moderate correlations were obtained between the Recent and Lifetime Indexes within each area where both existed. Concurrent validity analyses conducted on this same subsample found meaningful relationships, except for the Employment/Support area. NIRT-based methods were able to add to findings produced previously by classical psychometric methods and appear to offer promise for the psychometric analysis of complex, mixed-format instruments such as the ASI-5.
Arthu I Alterma - One of the best experts on this subject based on the ideXlab platform.
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Addiction Severity Index asi summary scores comparison of the recent status scores of the asi 6 and the composite scores of the asi 5
Journal of Substance Abuse Treatment, 2013Co-Authors: Cecile Denis, Joh S Cacciola, Arthu I AltermaAbstract:The characteristics and the validity of the Recent Status Scores (RSSs), the new summary scores generated by the sixth version of the Addiction Severity Index (ASI-6), are compared to the fifth version of the ASI summary scores, the Composite Scores (CSs). A sample of 82 randomly selected patients from substance abuse treatment programs were interviewed with the ASI-6, the ASI-5 and were administered a validity battery of questionnaires that included measures corresponding to each of the ASI domains. Each ASI-6 RSS was significantly correlated with its corresponding ASI-5 CS. The intercorrelations among the RSSs are low and none of these correlations were statistically different from the intercorrelations among CSs. In five of the seven areas, the ASI-6 RSSs were more highly correlated to the corresponding validity measures than were the ASI-5 CSs. The ASI-6 offers more comprehensive content in its scales than do those derived with earlier ASIs.
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recent status scores for version 6 of the Addiction Severity Index asi 6
Addiction, 2011Co-Authors: Joh S Cacciola, Arthu I Alterma, Ia Habing, Thomas A MclellaAbstract:Aims To describe the derivation of recent status scores (RSSs) for version 6 of the Addiction Severity Index (ASI-6). Design 118 ASI-6 recent status items were subjected to nonparametric item response theory (NIRT) analyses followed by confirmatory factor analysis (CFA). Generalizability and concurrent validity of the derived scores were determined. Setting and participants A total of 607 recent admissions to variety of substance abuse treatment programs constituted the derivation sample; a subset (n = 252) comprised the validity sample. Measurements The ASI-6 interview and a validity battery of primarily self-report questionnaires that included at least one measure corresponding to each of the seven ASI domains were administered. Findings Nine summary scales describing recent status that achieved or approached both high scalability and reliability were derived; one scale for each of six areas (medical, employment/finances, alcohol, drug, legal, psychiatric) and three scales for the family/social area. Intercorrelations among the RSSs also supported the multi-dimensionality of the ASI-6. Concurrent validity analyses yielded strong evidence supporting the validity of six of the RSSs (medical, alcohol, drug, employment, family/social problems, psychiatric). Evidence was weaker for the legal, family/social support and child problems RSSs. Generalizability analyses of the scales to males versus females and whites versus blacks supported the comparability of the findings, with slight exceptions. Conclusions The psychometric analyses to derive Addiction Severity Index version 6 recent status scores support the multi-dimensionality of the Addiction Severity Index version 6 (i.e. the relative independence of different life functioning areas), consistent with research on earlier editions of the instrument. In general, the Addiction Severity Index version 6 scales demonstrate acceptable scalability, reliability and concurrent validity. While questions remain about the generalizability of some scales to population subgroups, the overall findings coupled with updated and more extensive content in the Addiction Severity Index version 6 support its use in clinical practice and research.
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initial evidence for the reliability and validity of a lite version of the Addiction Severity Index
Drug and Alcohol Dependence, 2007Co-Authors: Joh S Cacciola, Arthu I Alterma, Thomas A Mclella, Kevi G LynchAbstract:Abstract Purpose To evaluate the psychometric properties of a shortened version of the baseline ASI-5, the ASI-L-VA. Method Two samples were recruited from intensive outpatient treatment and a methadone maintenance clinic. For Sample A ( n = 145), two versions of the Addiction Severity Index (i.e., ASI-5 and ASI-L-VA) were administered several days apart in counterbalanced order by different interviewers. Sample B ( n = 50) was similarly administered the standard ASI-5 twice. Results For Sample A, the internal consistency (coefficient alphas) of 11 of 19 summary scores derived from the ASI-5 were good, 4 fair, and 4 unacceptable. The results for the ASI-L-VA summary scores indicated that eight were good, six fair, and five unacceptable. The correlations between ASI problem areas were generally low for both versions (supporting the independence of the ASI areas), and none of the t -tests comparing corresponding correlations between the ASI-5 and ASI-L-VA approached statistical significance. The Sample A intraclass correlation coefficient (ICC) results evaluating agreement of the summary scores derived from the ASI-5 at one timepoint and those derived from ASI-L-VA at another point (i.e., concurrent validity) revealed at least fair agreement in all but one instance. Additionally, a comparison of the ICC results for Samples A and B (i.e., ASI-L-VA/ASI-5 versus ASI-5/ASI-5, respectively) revealed that in 13 of 26 cases the ICCs were at the same level of agreement. When level of agreement was discordant, in nine cases the ICCs comparing the ASI-5 and ASI-L-VA exhibited greater agreement and in four cases the ICCs comparing two ASI-5 administrations exhibited greater agreement. Conclusions The ASI-L-VA, a reduced item set from the ASI-5, yielded similar information on problem Severity as the standard ASI-5.
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Addiction Severity Index recent and lifetime summary Indexes based on nonparametric item response theory methods
Psychological Assessment, 2007Co-Authors: Arthu I Alterma, Joh S Cacciola, Ia Habing, Kevi G LynchAbstract:Baseline Addiction Severity Index (5th ed.; ASI-5) data of 2,142 substance abuse patients were analyzed with two nonparametric item response theory (NIRT) methods: Mokken scaling and conditional covariance techniques. Nine reliable and dimensionally homogeneous Recent Problem Indexes emerged in the ASI-5's seven areas, including two each in the Employment/Support and Family/Social Relationships areas. Lifetime Problem Indexes were derived for five of the areas--Medical, Drug, Alcohol, Legal, and Psychiatric--but not for the Employment/Support and Family/Social Relationships areas. Correlational analyses conducted on a subsample of 586 patients revealed the Indexes for the seven areas to be largely independent. At least moderate correlations were obtained between the Recent and Lifetime Indexes within each area where both existed. Concurrent validity analyses conducted on this same subsample found meaningful relationships, except for the Employment/Support area. NIRT-based methods were able to add to findings produced previously by classical psychometric methods and appear to offer promise for the psychometric analysis of complex, mixed-format instruments such as the ASI-5.
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predicting dsm iv dependence diagnoses from Addiction Severity Index composite scores
Journal of Substance Abuse Treatment, 2006Co-Authors: Samuel H Rikoo, Joh S Cacciola, Arthu I Alterma, Deni Carise, Thomas A MclellaAbstract:This study, using data from the Drug Evaluation Network System and a study conducted through the Center for Studies on Addiction of the University of Pennsylvania/Philadelphia Veterans Administration Medical Center, sought to determine the potential of the Addiction Severity Index (ASI) to serve as a screening instrument for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) substance dependence. A significant positive correlation was found between ASI composite scores (CSs) and DSM-IV diagnoses of dependence in both the alcohol (r > .7) and drug (r > .5) domains (p < .01). Receiver operating characteristic analyses were run to predict DSM-IV alcohol and drug dependence diagnoses from the respective ASI CSs. Results showed good to strong prediction; ASI CSs identified dependent clients with approximately 85% sensitivity and 80% specificity. We recommend strategies for using ASI CSs as a diagnostic screening instrument in both research and treatment delivery environments.
Thomas A Mclella - One of the best experts on this subject based on the ideXlab platform.
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recent status scores for version 6 of the Addiction Severity Index asi 6
Addiction, 2011Co-Authors: Joh S Cacciola, Arthu I Alterma, Ia Habing, Thomas A MclellaAbstract:Aims To describe the derivation of recent status scores (RSSs) for version 6 of the Addiction Severity Index (ASI-6). Design 118 ASI-6 recent status items were subjected to nonparametric item response theory (NIRT) analyses followed by confirmatory factor analysis (CFA). Generalizability and concurrent validity of the derived scores were determined. Setting and participants A total of 607 recent admissions to variety of substance abuse treatment programs constituted the derivation sample; a subset (n = 252) comprised the validity sample. Measurements The ASI-6 interview and a validity battery of primarily self-report questionnaires that included at least one measure corresponding to each of the seven ASI domains were administered. Findings Nine summary scales describing recent status that achieved or approached both high scalability and reliability were derived; one scale for each of six areas (medical, employment/finances, alcohol, drug, legal, psychiatric) and three scales for the family/social area. Intercorrelations among the RSSs also supported the multi-dimensionality of the ASI-6. Concurrent validity analyses yielded strong evidence supporting the validity of six of the RSSs (medical, alcohol, drug, employment, family/social problems, psychiatric). Evidence was weaker for the legal, family/social support and child problems RSSs. Generalizability analyses of the scales to males versus females and whites versus blacks supported the comparability of the findings, with slight exceptions. Conclusions The psychometric analyses to derive Addiction Severity Index version 6 recent status scores support the multi-dimensionality of the Addiction Severity Index version 6 (i.e. the relative independence of different life functioning areas), consistent with research on earlier editions of the instrument. In general, the Addiction Severity Index version 6 scales demonstrate acceptable scalability, reliability and concurrent validity. While questions remain about the generalizability of some scales to population subgroups, the overall findings coupled with updated and more extensive content in the Addiction Severity Index version 6 support its use in clinical practice and research.
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initial evidence for the reliability and validity of a lite version of the Addiction Severity Index
Drug and Alcohol Dependence, 2007Co-Authors: Joh S Cacciola, Arthu I Alterma, Thomas A Mclella, Kevi G LynchAbstract:Abstract Purpose To evaluate the psychometric properties of a shortened version of the baseline ASI-5, the ASI-L-VA. Method Two samples were recruited from intensive outpatient treatment and a methadone maintenance clinic. For Sample A ( n = 145), two versions of the Addiction Severity Index (i.e., ASI-5 and ASI-L-VA) were administered several days apart in counterbalanced order by different interviewers. Sample B ( n = 50) was similarly administered the standard ASI-5 twice. Results For Sample A, the internal consistency (coefficient alphas) of 11 of 19 summary scores derived from the ASI-5 were good, 4 fair, and 4 unacceptable. The results for the ASI-L-VA summary scores indicated that eight were good, six fair, and five unacceptable. The correlations between ASI problem areas were generally low for both versions (supporting the independence of the ASI areas), and none of the t -tests comparing corresponding correlations between the ASI-5 and ASI-L-VA approached statistical significance. The Sample A intraclass correlation coefficient (ICC) results evaluating agreement of the summary scores derived from the ASI-5 at one timepoint and those derived from ASI-L-VA at another point (i.e., concurrent validity) revealed at least fair agreement in all but one instance. Additionally, a comparison of the ICC results for Samples A and B (i.e., ASI-L-VA/ASI-5 versus ASI-5/ASI-5, respectively) revealed that in 13 of 26 cases the ICCs were at the same level of agreement. When level of agreement was discordant, in nine cases the ICCs comparing the ASI-5 and ASI-L-VA exhibited greater agreement and in four cases the ICCs comparing two ASI-5 administrations exhibited greater agreement. Conclusions The ASI-L-VA, a reduced item set from the ASI-5, yielded similar information on problem Severity as the standard ASI-5.
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predicting dsm iv dependence diagnoses from Addiction Severity Index composite scores
Journal of Substance Abuse Treatment, 2006Co-Authors: Samuel H Rikoo, Joh S Cacciola, Arthu I Alterma, Deni Carise, Thomas A MclellaAbstract:This study, using data from the Drug Evaluation Network System and a study conducted through the Center for Studies on Addiction of the University of Pennsylvania/Philadelphia Veterans Administration Medical Center, sought to determine the potential of the Addiction Severity Index (ASI) to serve as a screening instrument for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) substance dependence. A significant positive correlation was found between ASI composite scores (CSs) and DSM-IV diagnoses of dependence in both the alcohol (r > .7) and drug (r > .5) domains (p < .01). Receiver operating characteristic analyses were run to predict DSM-IV alcohol and drug dependence diagnoses from the respective ASI CSs. Results showed good to strong prediction; ASI CSs identified dependent clients with approximately 85% sensitivity and 80% specificity. We recommend strategies for using ASI CSs as a diagnostic screening instrument in both research and treatment delivery environments.
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the Addiction Severity Index at 25 origins contributions and transitions
American Journal on Addictions, 2006Co-Authors: Thomas A Mclella, Arthu I Alterma, Joh Cacciola, Samuel H Rikoo, Deni CariseAbstract:The Addiction Severity Index (ASI) is a multi-dimensional interview used to measure the substance use, health, and social problems of those with alcohol and other drug problems, both at admission to treatment and subsequently at follow-up contacts. This article first discusses the conceptual and practical importance of the ASI's multi-dimensional approach to measuring Addiction Severity, as illustrated by two case presentations. The second section of the paper reviews how this measurement approach has led to some important findings regarding the prediction and measurement of Addiction treatment effectiveness. The third section describes the historical and practical considerations that have changed the instrument over time, details the problems with the instrument, and describes our efforts to correct those problems with the ASI-6. Finally, some recent ASI data collected from over 8,400 patients admitted to a nationally representative sample of U.S. Addiction treatment programs are presented.
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suggested specifications for a standardized Addiction Severity Index database
Journal of Substance Abuse Treatment, 2001Co-Authors: Deni Carise, Joh S Cacciola, Thomas A Mclella, Megha Love, Terry G Cook, Greg Ovasso, Va LamAbstract:Abstract The Addiction Severity Index (ASI) has become one of the most widely used instruments in the Addictions field. As a result of its wide popularity, there are multiple versions of the instrument in use, and a wide range of computer systems used to collect and/or store ASI data. Thus, it has been difficult for different users and systems to share ASI data. This difficulty significantly reduces the value of the information for treatment providers, policy makers, and researchers. This article provides operational definitions and specifications for a “Standard ASI Database.” Descriptions for standard variable names, data types, field lengths, value labels, range checks, and programming notes for all items in the fifth edition of the ASI are available electronically from the senior. Examples from the full protocol and the rationale for producing the Standard ASI Database elements are illustrated here. It is hoped that the format suggested will become the “industry standard” for ASI data storage among all users of the ASI and that, regardless of the software used or the method of data collection, there will be a single, standard format for all ASI databases. The potential applications from such a database would benefit treatment providers/clinicians and researchers as well as payers and policy makers.
Stephe F Utle - One of the best experts on this subject based on the ideXlab platform.
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a computer adaptive testing version of the Addiction Severity Index multimedia version asi mv the Addiction Severity cat
Psychology of Addictive Behaviors, 2017Co-Authors: Stephe F Utle, Rya A Lack, Stacey A Mccaffrey, Jessica Ainscough, A M DoucetteAbstract:The purpose of this study was to develop and validate a computer adaptive testing (CAT) version of the Addiction Severity Index-Multimedia Version (ASI-MV), the Addiction Severity CAT. This goal was accomplished in 4 steps. First, new candidate items for Addiction Severity CAT domains were evaluated after brainstorming sessions with experts in substance abuse treatment. Next, this new item bank was psychometrically evaluated on a large nonclinical (n = 4,419) and substance abuse treatment (n = 845) sample. Based on these results, final items were selected and calibrated for the creation of the Addiction Severity CAT algorithms. Once the algorithms were developed for the entire assessment, a fully functioning prototype of an Addiction Severity CAT was created. CAT simulations were conducted, and optimal termination criteria were selected for the Addiction Severity CAT algorithms. Finally, construct validity of the CAT algorithms was evaluated by examining convergent and discriminant validity and sensitivity to change. The Addiction Severity CAT was determined to be valid, sensitive to change, and reliable. Further, the Addiction Severity CAT's time of completion was found to be significantly less than the average time of completion for the ASI-MV composite scores. This study represents the initial validation of an Addiction Severity CAT based on item response theory, and further exploration of the Addiction Severity CAT is needed. (PsycINFO Database Record
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the Addiction Severity Index multimedia version an innovative computerized assessment tool for substance abuse treatment
Evidence-Based Adjunctive Treatments, 2011Co-Authors: Simo H Udma, Stephe F Utle, Albe J VillapianoAbstract:Publisher Summary This chapter focuses on the computerized version of the ASI, called the Addiction Severity Index Multimedia Version (ASI-MV). The ASI was designed as a structured clinical interview focusing on many key aspects of a substance abuser's life. Although the ASI is very useful in a variety of ways, it is plagued by a number of important problems. Most of the issues associated with the ASI pertain to the fact that it is a lengthy, structured interview that requires extensive and repeated interviewer training to achieve and maintain reliability. With these ASI problems in mind, the research and development team at Inflexxion began to work on a technological solution in the mid-1990s. With support from National Institute on Drug Abuse (NIDA), the Inflexxion team developed a computerized, client self-administered version of the ASI, with audio and video, entitled the Addiction Severity Index-Multimedia Version (ASI-MV). Because minimal staff time (completion of a basic information screen) is necessary to administer the program, the ASI-MV® can be used for a fraction of the cost of a face-to-face ASI interview. Additionally, staff can focus on developing effective treatment plans rather than administering the ASI. The ASI-MV® is offered in English, Spanish, and now Chinese (Mandarin and Cantonese). It is currently used in over 800 sites in the United States, Canada, and Australia. An online version, ASI-MV® Connect, was launched in the spring of 2007 and an adolescent version was released in mid-2008. The ASI-MV® has proven to be both a cost-effective and a time-saving tool for commercial customers of Inflexxion. Utilization of the ASI-MV represents a potential 72% savings in assessment costs.
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women who abuse prescription opioids findings from the Addiction Severity Index multimedia version connect prescription opioid database
Drug and Alcohol Dependence, 2009Co-Authors: Traci C Gree, Simo H Udma, Jill Grimes M Serrano, Andrea Licari, Stephe F UtleAbstract:Background Evidence suggests gender differences in abuse of prescription opioids. This study aimed to describe characteristics of women who abuse prescription opioids in a treatment-seeking sample and to contrast gender differences among prescription opioid abusers. Methods Data collected November 2005 to April 2008 derived from the Addiction Severity Index Multimedia Version Connect (ASI-MV® Connect) database. Bivariate and multivariable logistic regression examined correlates of prescription opioid abuse stratified by gender. Results 29,906 assessments from 220 treatment centers were included, of which 12.8% (N = 3821) reported past month prescription opioid abuse. Women were more likely than men to report use of any prescription opioid (29.8% females vs. 21.1% males, p < 0.001) and abuse of any prescription opioid (15.4% females vs. 11.1% males, p < 0.001) in the past month. Route of administration and source of prescription opioids displayed gender-specific tendencies. Women-specific correlates of recent prescription opioid abuse were problem drinking, age <54, inhalant use, residence outside of West US Census region, and history of drug overdose. Men-specific correlates were age <34, currently living with their children, residence in the South and Midwest, hallucinogen use, and recent depression. Women prescription opioid abusers were less likely to report a pain problem although they were more likely to report medical problems than women who abused other drugs. Conclusions Gender-specific factors should be taken into account in efforts to screen and identify those at highest risk of prescription opioid abuse. Prevention and intervention efforts with a gender-specific approach are warranted.
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validation of the spanish Addiction Severity Index multimedia version s asi mv
Drug and Alcohol Dependence, 2009Co-Authors: Stephe F Utle, Jose Pedro Redondo, K Fernandez, Albe J VillapianoAbstract:Abstract This study aimed to develop and test the reliability and validity of a Spanish adaptation of the ASI-MV, a computer administered version of the Addiction Severity Index, called the S-ASI-MV. Participants were 185 native Spanish-speaking adult clients from substance abuse treatment facilities serving Spanish-speaking clients in Florida, New Mexico, California, and Puerto Rico. Participants were administered the S-ASI-MV as well as Spanish versions of the general health subscale of the SF-36, the work and family unit subscales of the Social Adjustment Scale Self-Report, the Michigan Alcohol Screening Test, the alcohol and drug subscales of the Personality Assessment Inventory, and the Hopkins Symptom Checklist-90. Three-to-five-day test–retest reliability was examined along with criterion validity, convergent/discriminant validity, and factorial validity. Measurement invariance between the English and Spanish versions of the ASI-MV was also examined. The S-ASI-MV demonstrated good test–retest reliability (ICCs for composite scores between .59 and .93), criterion validity ( r s for composite scores between .66 and .87), and convergent/discriminant validity. Factorial validity and measurement invariance were demonstrated. These results compared favorably with those reported for the original interviewer version of the ASI and the English version of the ASI-MV.
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predicting Addiction Severity Index asi interviewer Severity ratings for a computer administered asi
Psychological Assessment, 1998Co-Authors: Stephe F Utle, Joh S Cacciola, Thomas A Mclella, Simo H Udma, Frederick J Newma, David R Gastfriend, Arlene Frank, Sabrina Ford, Jack Laine, Karla MorasAbstract:The Addiction Severity Index (ASI) is a reliable and valid measure of problem Severity among addicted patients. Concerns have been raised about the reliability of the Interviewer Severity Rating (ISR), a summary score for each of 7 domains. As part of an effort to build a computer-administered ASI, regression equations were developed to predict the ISR. Repeated resampling of a large dataset, consisting of 1,124 ASIs conducted by trained interviewers, permitted derivation of stable regression equations predicting the ISR for each ASI domain from patients' answers to preselected interview items. The resulting 7 Predicted Severity Ratings (PSRs) were tested on 8, standardized vignettes, with gold standard, expert-generated ISRs. Reliabilities compared well with those of intensively trained interviewers. The PSRs could provide an alternative to potentially unreliable interviewer ratings, enhancing the ASI's role in treatment planning and treatment matching and make possible a computer-administered version of the ASI.
Yifrah Kamine - One of the best experts on this subject based on the ideXlab platform.
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psychometric characteristics of the teen Addiction Severity Index two t asi 2
Substance Abuse, 2008Co-Authors: Enjami Odey, Yifrah Kamine, Craig S Rose, Darcy Mcmulli, Ke C Winters, Edward Mossha, Inge S OdeyAbstract:Abstract The Teen Addiction Severity Index-Two (T-ASI-2) was developed as an extension of the T-ASI to assess the Severity of substance abuse and related problems among adolescents (N = 371) 12-19 years of age. The T-ASI-2 consists of 18 domains that assess current use of alcohol, tobacco, marijuana, and other drugs, as well as mental health service utilization, treatment satisfaction, school difficulties, social functioning with family members and peers, substance use by family members and peers, depression, anxiety, attention deficit, hyperactivity, defiant and risky behaviors, and readiness for change. Results show that all domains have adequate to excellent internal consistency (.54 to.88, median.80). New domains assessing psychological factors strongly correlated with gold standard assessments in the respective areas. The T-ASI-2 was designed to be a user friendly, cost-effective, viable assessment of substance use behavior and related factors.
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the teen Addiction Severity Index around the globe the tower of babel revisited
Substance Abuse, 2008Co-Authors: Yifrah KamineAbstract:ABSTRACT The objectives of this article are, first, to provide a brief review of screening and assessment of adolescents substance use and substance use disorders; second, to describe the work done with the Teen Addiction Severity Index (T-ASI) in different countries; and third, to address challenges and opportunities in order to improve international collaboration between health professionals responsible for providing substance abuse services for youth and families. It is recommended that the International Society of Addiction Medicine (ISAM) sponsor and coordinate the efforts to disseminate the benefits accrued from already developed assessment and treatment of substance use disorders of youth into different countries and regions. Addiction professionals representing a myriad of cultures, ethnic, and racial groups would be encouraged to translate the assessments into relevant languages and dialects and with the support of the original authors conduct reverse translation and then test the psychometric pr...
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clinical and research utility of spanish teen Addiction Severity Index t asi
Addictive Behaviors, 2008Co-Authors: Rosa Diaz, Yifrah Kamine, Josefina Castrofornieles, Lourdes Serrano, Laura Gonzalez, Rosa Calvo, Javie Goti, Antoni GualAbstract:Abstract This paper aims to test the clinical and research utility of a Spanish version of the Teen-Addiction Severity Index (T-ASI) in adolescents with psychiatric disorders attending a treatment programme. Eighty adolescents, 12 to 17 years old (Mean = 14.5; SD = 1.48) were evaluated with a research battery including the T-ASI to obtain data on socio-demographics, psychopathology, drug use, family environment and school achievement. The Substance Use scale of the T-ASI correlated significantly (Rho = 0.90, p ≤ 0.01) with an ordinal measure of “pattern of any drug use”, and with “subjective problems with drugs” (rank 0–32) (Rho = 0.69, p ≤ 0.01). All T-ASI scales, except Psychiatric Status, showed significant correlations with externalized scores of the Children's Behavior Checklist (CBC) and also discriminated between patients with and without Substance Use Disorders. To conclude, Spanish version of the T-ASI shows adequate psychometric properties to be used as a clinical and research instrument in Spanish-speaking adolescents with psychiatric disorders.
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conversion and validation of the teen Addiction Severity Index t asi for internet and automated telephone self report administration
Psychology of Addictive Behaviors, 2005Co-Authors: Enjami Odey, Craig S Rose, Ke C Winters, Inge S Odey, Eanne M Sheetz, Robe R Steinfeld, Yifrah KamineAbstract:This study converted the Teen-Addiction Severity Index (T-ASI) into self-report formats using Internet (Net) and interactive voice response (IVR) automated-telephone technologies. Reliability and convergent validity were assessed among 95 inpatient adolescent participants. Current functioning scores obtained by clinician interview correlated well with self-report Net (mean r=.74, SD=.14) and IVR (mean r=.72, SD=.16). Lifetime history items obtained by clinicians were consistent with self-report Net (mean r=.60, SD=.32; mean kappa=.67, SD=.24) and IVR formats (mean r=.60, SD=.30; mean kappa=.64, SD=.26). Participants rated "ease of use" as being high for both Net and IVR formats. These findings suggest that automated T-ASI administration is a valid and potentially less expensive alternative to clinician-administered T-ASI interviews.
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validation of the teen Addiction Severity Index t asi preliminary findings
American Journal on Addictions, 1993Co-Authors: Yifrah Kamine, Eric F Wagne, Arry Plumme, Ronald SeifeAbstract:The Teen Addiction Severity Index (T-ASI) is a semistructured interview that was developed to fill the need for a reliable, valid, and standardized instrument for periodic evaluation of adolescent substance abuse. A preliminary study indicated good clinical utility and satisfactory interrater reliability. This study had three objectives: 1) to determine whether the T-ASI discriminated between hospitalized psychiatric patients with and without comorbid psychoactive substance use disorders (PSUD); 2) to determine whether T-ASI scores were related to other indices of problem behavior, and, 3) to determine whether there was any specificity in the ratings of different domains of the instrument when compared with other criteria. The results of the study providesupportforthe goodpsychometricpropertiesof'the T-ASI.
