Validation of Addiction Severity Index (5th Edition) Bahasa Melayu Version (ASI-5-BM)

Abstract

Abbreviations: ASI, addiction severity index; PWUD, people who use drugs; BDI, beck depression inventory; ICCE, international center for credentialing and education for addiction professionals; UTC, universal treatment curriculum.A study by Leonhard et al. 14 on 8,984 participants in the US revealed good Cronbach's alpha coefficient for internal consistency, namely 0.89 for medical status; 0.65 for employment status; 0.84 for alcohol use; 0.69 for drugs use; 0.65 for legal status; 0.74 for family/ social relationships and 0.84 for psychiatric status. A Chinese study by Luo et al. 5 also found good internal consistency of 0.86 for medical status; 0.55 for employment status; 0.79 for alcohol use; 0.49 for drug use; 0.76 for legal status; 0.66 for family/social relationships; and 0.71 for psychiatric status. In another Dutch study among 142 addicts, the internal consistency was also good, namely 0.81 for medical status; 0:58 for employment status; 0.92 for alcohol use; 0.70 for drug use; 0.71 for legal status; 0.53 for family/social relationships; MOJ Addict Med Ther. 2017;4(2):243-247 243 AbstractThe Addiction Severity Index (ASI) is a measurement tool to assess the problems experienced by people who use substance through six domains, namely health/ medical status, employment, drug and alcohol use, legal, family/social relationships, and psychiatric status. This study was conducted to obtain data validation, pertaining validity and reliability of the ASI-5-BM.The study population was clients from the AADK drug treatment and rehabilitation centers. A total of 209 participants were selected from five addiction treatment centers (C & C) and a district rehabilitation center (CCSC).Three instruments were used for validation purposes, namely ASI-5-BM, 12-Item Short Form Health Survey (SF-12) and Beck Depression Inventory (BDI). The study found high and significant coefficient scores for 'convergent' validity. Clients who use drugs are closely correlated with health/medical problems (r=0.145; p<0.05); family problems (r =0.282, p <0.001); and psychiatric morbidities (r=0.207, p<0.01). The use of alcohol is also significantly associated with health/medical problems (r=0.179, p<0.01) and legal problems (r=0.215, p<0.01). The "concurrent" validity was measured with the SF-12, which examines the physical and mental health status of an individual, and the BDI, to confirm the psychiatric domain in the ASI-5-BM. SF-12 has a significant relationship with the medical (r=-0.261, p<0.01) and psychiatric (r=-0.318, p<0.001) domains. BDI was also found to be closely correlated with the psychiatric domain (r=0.219; p<0.01). In terms of reliability, the internal consistency of data through Cronbach's alpha was satisfactory (between 0.581-0.873), and external reliability through inter-rater (0.283-0.7) and test-retest (0.251-0.946) was also good. In conclusion ASI-5-BM had good psychometric values and can be used in Malaysia. Citation: Mohamed MN, Marican S, Othman MH, et al. Validation of addiction severity index (5 th edition) bahasa m...

Assessing emotional intelligence domains and levels in substance use disorders

“…Test-retest reliability and concurrent validity are also favorable, with moderate to high levels of reliability and validity for the ASI composite scores. The ASI is considered a reliable and valid assessment tool [23].…”