NEW DATA FROM THE ADDICTION SEVERITY INDEX - RELIABILITY AND VALIDITY IN 3 CENTERS
NEW DATA FROM THE ADDICTION SEVERITY INDEX - RELIABILITY AND VALIDITY IN 3 CENTERS
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DOI：
10.1097/00005053-198507000-00005
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发表时间：
1985-01-01
影响因子：
1.9
通讯作者：
OBRIEN, CP
中科院分区：
文献类型：
--
作者：
MCLELLAN, AT;LUBORSKY, L;OBRIEN, CP
成瘾严重程度指数（ASI）是一种临床/研究工具，在过去6年中被广泛用于评估酗酒和吸毒患者的治疗问题。在一项针对男性退伍军人的研究中，对ASI的初步评估表明了可靠性和有效性。本报告提出了这些问题的扩展检查，181名受试者从三个治疗中心进行了研究。同时可靠性研究的结果表明，经过培训的技术人员可以估计患者治疗问题的严重程度，平均一致性为。89.重测研究表明，从ASI获得的信息是一致的，超过3天的时间间隔，即使与不同的采访者。ASI的严重程度评级和综合措施与电池的比较先前验证的测试表明并发和判别有效性的证据。在按年龄、种族、性别、主要药物问题和治疗中心分类的患者亚组中，可靠性和有效性结果一致。作者根据5年的使用情况讨论了该工具的优势和局限性。总的结论是，ASI是一种可靠和有效的工具，具有广泛的临床和研究应用，它可以提供优势，在检查的重要问题，如治疗结果的预测，比较不同形式的治疗，和“匹配”的患者治疗。
The Addiction Severity Index (ASI) is a clinical/research instrument which has been in wide use during the past 6 years to assess the treatment problems found in alcohol-and drug-abusing patients. In a study of male veterans, a preliminary evaluation of the ASI has indicated reliability and validity. The present report presents an expanded examination of these issues; 181 subjects from three treatment centers were studied. Results of concurrent reliability studies indicate that trained technicians can estimate the severity of patients' treatment problems with an average concordance of. 89. Test-retest studies show that the information obtained from the ASI is consistent over a 3-day interval, even with different interviewers. Comparisons of the ASI severity ratings and composite measures with a battery of previously validated tests indicate evidence of concurrent and discriminant validity. The reliability and validity results were consistent across subgroups of patients categorized by age, race, sex, primary drug problem, and treatment center. The authors discuss the strengths and limitations of the instrument based upon 5 years of use. The overall conclusion is that the ASI is a reliable and valid instrument that has a wide range of clinical and research applications, and that it may offer advantages in the examination of important issues such as the prediction of treatment outcome, the comparison of different forms of treatment, and the “matching” of patients to treatments.