{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:47:24Z","timestamp":1790858844381,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,11,20]],"date-time":"2014-11-20T00:00:00Z","timestamp":1416441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,11,20]],"date-time":"2014-11-20T00:00:00Z","timestamp":1416441600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"crossref","award":["3R01DA026003-03S1"],"award-info":[{"award-number":["3R01DA026003-03S1"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2015,2]]},"abstract":"Abstract<\/jats:title>\n \n Background and Aims<\/jats:title>\n \n The\n W<\/jats:styled-content>\n orld\n H<\/jats:styled-content>\n ealth\n O<\/jats:styled-content>\n rganization's\n A<\/jats:styled-content>\n lcohol,\n S<\/jats:styled-content>\n moking and\n S<\/jats:styled-content>\n ubstance\n I<\/jats:styled-content>\n nvolvement\n S<\/jats:styled-content>\n creening\n T<\/jats:styled-content>\n est (\n ASSIST<\/jats:styled-content>\n ) has strong support as a clinical screening tool and research instrument, but has only been validated with adults. This study evaluated the\n ASSIST<\/jats:styled-content>\n and\n ASSIST<\/jats:styled-content>\n \u2010\n L<\/jats:styled-content>\n ite in an adolescent population.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n \n Internal consistency, concurrent validity, discriminant validity and diagnostic accuracy were examined for tobacco, alcohol and cannabis\n ASSIST<\/jats:styled-content>\n scores. An abbreviated version (the\n ASSIST<\/jats:styled-content>\n \u2010\n L<\/jats:styled-content>\n ite) was evaluated for cannabis.\n <\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n Three community health centers in\n B<\/jats:styled-content>\n altimore,\n MD<\/jats:styled-content>\n ,\n USA<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n A total of 525 primary care patients, ages 12\u201317 years.<\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Measures included the\n ASSIST<\/jats:styled-content>\n , the\n CRAFFT<\/jats:styled-content>\n screening tool and items from the\n C<\/jats:styled-content>\n omposite\n I<\/jats:styled-content>\n nternational\n D<\/jats:styled-content>\n iagnostic\n I<\/jats:styled-content>\n nterview (\n CIDI<\/jats:styled-content>\n ) corresponding to substance use disorder criteria in the\n D<\/jats:styled-content>\n iagnostic and\n S<\/jats:styled-content>\n tatistical\n M<\/jats:styled-content>\n anual of\n M<\/jats:styled-content>\n ental\n D<\/jats:styled-content>\n isorders, 5th edition.\n <\/jats:p>\n <\/jats:sec>\n \n Findings<\/jats:title>\n \n The\n ASSIST<\/jats:styled-content>\n had good internal consistency (\u03b1\u2009=\u20090.68\u20130.88), good concurrent validity with the\n CRAFFT<\/jats:styled-content>\n (\n r<\/jats:italic>\n \u2009=\u20090.41\u20130.76;\n P<\/jats:italic>\n \u2009<\u20090.001), and was able to discriminate between gradations of cannabis problem severity. In receiver operating characteristics analysis of optimal clinical cut\u2010points, the\n ASSIST<\/jats:styled-content>\n accurately identified tobacco, alcohol and cannabis use disorders (sensitivities\u2009=\u200995\u2013100%; specificities\u2009=\u200979\u201393%; area under the curve [\n AUC<\/jats:styled-content>\n ]\u2009=\u20090.90\u20130.94), but did so at minimally low cut\u2010points (indicative of any use in the past 3 months). The\n ASSIST<\/jats:styled-content>\n \u2010\n L<\/jats:styled-content>\n ite performed similarly to the\n ASSIST<\/jats:styled-content>\n in identifying cannabis use disorders (sensitivity\u2009=\u200996%; specificity\u2009=\u200988%;\n AUC<\/jats:styled-content>\n \u2009=\u20090.92), also at a minimally low cut\u2010point. However, confirmatory factor analysis of the\n ASSIST<\/jats:styled-content>\n indicated poor model fit.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n The\n A<\/jats:styled-content>\n lcohol,\n S<\/jats:styled-content>\n moking and\n S<\/jats:styled-content>\n ubstance\n I<\/jats:styled-content>\n nvolvement\n S<\/jats:styled-content>\n creening\n T<\/jats:styled-content>\n est (\n ASSIST<\/jats:styled-content>\n ) is promising as a research and screening\/brief assessment tool with adolescents, but revisions to clinical risk thresholds are warranted. The\n ASSIST<\/jats:styled-content>\n \u2010\n L<\/jats:styled-content>\n ite is sufficiently informative for rapid clinical screening of adolescents for cannabis use disorders.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/add.12767","type":"journal-article","created":{"date-parts":[[2014,10,14]],"date-time":"2014-10-14T00:19:55Z","timestamp":1413245995000},"page":"240-247","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":94,"title":["Validation and performance of the\n A<\/scp>\n lcohol,\n S<\/scp>\n moking and\n S<\/scp>\n ubstance\n I<\/scp>\n nvolvement\n S<\/scp>\n creening\n T<\/scp>\n est (\n ASSIST<\/scp>\n ) among adolescent primary care patients"],"prefix":"10.1111","volume":"110","author":[{"given":"Jan","family":"Gryczynski","sequence":"first","affiliation":[{"name":"Friends Research Institute Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon M.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Friends Research Institute Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon Gwin","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Friends Research Institute Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arethusa","family":"Kirk","sequence":"additional","affiliation":[{"name":"Total Health Care Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin E.","family":"O'Grady","sequence":"additional","affiliation":[{"name":"University of Maryland College Park MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Friends Research Institute Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,11,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61138-0"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60746-7"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09595230600944453"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2002.00185.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/09595230500170266"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2007.02114.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2011.03740.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.4.635"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.9.986"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2004.00778.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2002.00018.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-140-7-200404060-00017"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1997.012005274.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2007.09.035"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2006.03.012"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2013.03.001"},{"key":"e_1_2_6_18_1","volume-title":"Results from the 2011 National Survey on Drug Use and Health: Summary of National Findings. 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