PMID- 25939447
OWN - NLM
STAT- MEDLINE
DCOM- 20160222
LR  - 20191210
IS  - 1530-0277 (Electronic)
IS  - 0145-6008 (Linking)
VI  - 39
IP  - 6
DP  - 2015 Jun
TI  - Validation of the ASSIST for Detecting Unhealthy Alcohol Use and Alcohol Use 
      Disorders in Urgent Care Patients.
PG  - 1093-9
LID - 10.1111/acer.12733 [doi]
AB  - BACKGROUND: Screening and brief intervention (SBI) is effective in reducing 
      alcohol use, particularly among moderate risk patients. Results of SBI are 
      inconsistent among patients with alcohol use disorders (AUDs). The Alcohol, 
      Smoking, and Substance Involvement Screening Test (ASSIST) is used as a screening 
      tool in many existing SBI programs. ASSIST validation studies have identified 
      risk level cutoff scores using criteria for AUD and have not included a criterion 
      measure for at-risk drinking (ARD), the group for whom SBI is most effective. 
      This study examines the ability of the ASSIST to identify unhealthy alcohol use 
      (ARD or AUD) and AUD in patients presenting to urgent care. METHODS: Data were 
      obtained from interviews with 442 adult drinkers presenting to 1 of 3 urgent care 
      clinics. Subjects completed the ASSIST, a 90-day timeline follow-back interview 
      to detect ARD, and a modified Diagnostic Interview Schedule to identify AUD. 
      Validity measures compared the specificity and sensitivity of cutoff scores for 
      the ASSIST in detecting unhealthy alcohol use and AUDs. RESULTS: The optimal 
      ASSIST score for detecting unhealthy alcohol use is 6+ for males (sensitivity and 
      specificity 68 and 66%, respectively) and 5+ for females (62%/70%). Sensitivity, 
      specificity, and receiver operating characteristic values were lower than those 
      previously reported for the Alcohol Use Disorders Identification Test (AUDIT). 
      For AUD, the optimal ASSIST cutoff scores are 10+ for males (63%/85%) and 9+ for 
      females (63%/85%). While higher scores provided increased specificity, thereby 
      reducing the percentage of false positives, sensitivity dropped sharply as scores 
      increased. CONCLUSIONS: Optimal ASSIST cutoff scores for unhealthy alcohol use 
      are lower than those commonly used in many SBI programs. Use of lower ASSIST 
      cutoff scores may increase detection of unhealthy alcohol use and increase the 
      numbers served by SBI programs.
CI  - Copyright (c) 2015 by the Research Society on Alcoholism.
FAU - Johnson, J Aaron
AU  - Johnson JA
AUID- ORCID: 0000-0002-3150-2199
AD  - Georgia Regents University, Augusta, Georgia.
FAU - Bembry, Whitney
AU  - Bembry W
AD  - Mercer University School of Medicine, Macon, Georgia.
FAU - Peterson, Justin
AU  - Peterson J
AD  - Mercer University School of Medicine, Macon, Georgia.
AD  - Medical Center Navicent Health, Navicent Health, Macon, Georgia.
FAU - Lee, Anna
AU  - Lee A
AD  - Mercer University School of Medicine, Macon, Georgia.
AD  - Medical Center Navicent Health, Navicent Health, Macon, Georgia.
FAU - Seale, J Paul
AU  - Seale JP
AD  - Mercer University School of Medicine, Macon, Georgia.
AD  - Medical Center Navicent Health, Navicent Health, Macon, Georgia.
LA  - eng
GR  - T1019545/PHS HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PT  - Validation Study
DEP - 20150502
PL  - England
TA  - Alcohol Clin Exp Res
JT  - Alcoholism, clinical and experimental research
JID - 7707242
SB  - IM
MH  - Adult
MH  - Alcohol Drinking/psychology
MH  - Alcoholism/*diagnosis/*psychology
MH  - *Ambulatory Care
MH  - Female
MH  - Humans
MH  - Male
MH  - Patients/*psychology
MH  - Psychiatric Status Rating Scales/*standards
MH  - ROC Curve
MH  - Sensitivity and Specificity
MH  - Sex Factors
MH  - Young Adult
OTO - NOTNLM
OT  - Alcohol Use Disorders
OT  - Alcohol, Smoking, and Substance Involvement Screening Test
OT  - At-Risk Drinking
OT  - Screening and Brief Intervention
EDAT- 2015/05/06 06:00
MHDA- 2016/02/24 06:00
CRDT- 2015/05/06 06:00
PHST- 2014/10/22 00:00 [received]
PHST- 2015/03/19 00:00 [accepted]
PHST- 2015/05/06 06:00 [entrez]
PHST- 2015/05/06 06:00 [pubmed]
PHST- 2016/02/24 06:00 [medline]
AID - 10.1111/acer.12733 [doi]
PST - ppublish
SO  - Alcohol Clin Exp Res. 2015 Jun;39(6):1093-9. doi: 10.1111/acer.12733. Epub 2015 
      May 2.