Confirmatory factor analysis of the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in community health center patients

Am J Addict. 2016 Jun;25(4):259-63. doi: 10.1111/ajad.12360. Epub 2016 Apr 1.

Abstract

Background and objectives: To investigate the factor structure of the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST).

Methods: Secondary analysis on an adult primary care sample (N = 2,599).

Results and discussion: Factor analysis of the tobacco, alcohol, and cannabis items did not yield an acceptable oblique, three-factor solution, due in part to floor effects and limited variability. A short form comprises three items (past-3-month frequency of use, urge to use, and whether others have expressed concern for use), that showed good psychometrics.

Scientific significance: Supports the need for further investigation of the ASSIST factor structure and a short form. (Am J Addict 2016;25:259-263).

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Community Health Centers
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Middle Aged
  • Primary Health Care
  • Psychometrics
  • Substance Abuse Detection / methods*
  • Substance-Related Disorders / diagnosis*
  • Young Adult