Comparison of the Addiction Severity Index (ASI) and the Global Appraisal of Individual Needs (GAIN) in Predicting the Effectiveness of Drug Treatment Programs for Pregnant and Postpartum Women
Abstract This study conducts a within-subject comparison of the Addiction Severity Index (ASI) and the Global Appraisal of Individual Needs (GAIN) to assess change in alcohol and other drug treatment outcomes for pregnant and postpartum women. Data are from 139 women who were pregnant or who had chi...
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| Published in: | Journal of substance abuse treatment Vol. 44; no. 1; pp. 34 - 41 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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| Abstract | Abstract This study conducts a within-subject comparison of the Addiction Severity Index (ASI) and the Global Appraisal of Individual Needs (GAIN) to assess change in alcohol and other drug treatment outcomes for pregnant and postpartum women. Data are from 139 women who were pregnant or who had children under 11 months old and were admitted to residential drug treatment, then re-interviewed 6 months postdischarge (83% follow-up rate). The ASI and GAIN change measures were compared on their ability to detect changes in alcohol and drug use, medical and HIV risk issues, employment issues, legal problems, family and recovery environment characteristics, and psychological/emotional issues. The measures were similar in their ability to detect treatment outcomes, and ASI and GAIN change scores were moderately correlated with each other. The GAIN scales had equal or slightly higher coefficient alpha values than the ASI composite scores. The GAIN also includes an HIV risk scale, which is particularly important for pregnant and postpartum women. These results suggest that the GAIN is comparable with the ASI and can be used for treatment research with pregnant and postpartum women. |
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| AbstractList | This study conducts a within-subject comparison of the Addiction Severity Index (ASI) and the Global Appraisal of Individual Needs (GAIN) to assess change in alcohol and other drug treatment outcomes for pregnant and postpartum women. Data are from 139 women who were pregnant or who had children under 11 months old and were admitted to residential drug treatment, then re-interviewed 6 months postdischarge (83% follow-up rate). The ASI and GAIN change measures were compared on their ability to detect changes in alcohol and drug use, medical and HIV risk issues, employment issues, legal problems, family and recovery environment characteristics, and psychological/emotional issues. The measures were similar in their ability to detect treatment outcomes, and ASI and GAIN change scores were moderately correlated with each other. The GAIN scales had equal or slightly higher coefficient alpha values than the ASI composite scores. The GAIN also includes an HIV risk scale, which is particularly important for pregnant and postpartum women. These results suggest that the GAIN is comparable with the ASI and can be used for treatment research with pregnant and postpartum women. This study conducts a within-subject comparison of the Addiction Severity Index (ASI) and the Global Appraisal of Individual Needs (GAIN) to assess change in alcohol and other drug treatment outcomes for pregnant and postpartum women. Data are from 139 women who were pregnant or who had children under 11 months old and were admitted to residential drug treatment, then re-interviewed 6 months postdischarge (83% follow-up rate). The ASI and GAIN change measures were compared on their ability to detect changes in alcohol and drug use, medical and HIV risk issues, employment issues, legal problems, family and recovery environment characteristics, and psychological/emotional issues. The measures were similar in their ability to detect treatment outcomes, and ASI and GAIN change scores were moderately correlated with each other. The GAIN scales had equal or slightly higher coefficient alpha values than the ASI composite scores. The GAIN also includes an HIV risk scale, which is particularly important for pregnant and postpartum women. These results suggest that the GAIN is comparable with the ASI and can be used for treatment research with pregnant and postpartum women. [Copyright Elsevier Inc.] Abstract This study conducts a within-subject comparison of the Addiction Severity Index (ASI) and the Global Appraisal of Individual Needs (GAIN) to assess change in alcohol and other drug treatment outcomes for pregnant and postpartum women. Data are from 139 women who were pregnant or who had children under 11 months old and were admitted to residential drug treatment, then re-interviewed 6 months postdischarge (83% follow-up rate). The ASI and GAIN change measures were compared on their ability to detect changes in alcohol and drug use, medical and HIV risk issues, employment issues, legal problems, family and recovery environment characteristics, and psychological/emotional issues. The measures were similar in their ability to detect treatment outcomes, and ASI and GAIN change scores were moderately correlated with each other. The GAIN scales had equal or slightly higher coefficient alpha values than the ASI composite scores. The GAIN also includes an HIV risk scale, which is particularly important for pregnant and postpartum women. These results suggest that the GAIN is comparable with the ASI and can be used for treatment research with pregnant and postpartum women. This study conducts a within-subject comparison of the Addiction Severity Index (ASI) and the Global Appraisal of Individual Needs (GAIN) to assess change in alcohol and other drug treatment outcomes for pregnant and postpartum women. Data are from 139 women who were pregnant or who had children under 11 months old and were admitted to residential drug treatment, then re-interviewed 6 months postdischarge (83% follow-up rate). The ASI and GAIN change measures were compared on their ability to detect changes in alcohol and drug use, medical and HIV risk issues, employment issues, legal problems, family and recovery environment characteristics, and psychological/emotional issues. The measures were similar in their ability to detect treatment outcomes, and ASI and GAIN change scores were moderately correlated with each other. The GAIN scales had equal or slightly higher coefficient alpha values than the ASI composite scores. The GAIN also includes an HIV risk scale, which is particularly important for pregnant and postpartum women. These results suggest that the GAIN is comparable with the ASI and can be used for treatment research with pregnant and postpartum women. [PUBLICATION ABSTRACT] |
| Author | Dennis, Michael L., Ph.D Funk, Rodney R., B.S Coleman-Cowger, Victoria H., Ph.D Lennox, Richard D., Ph.D Godley, Susan H., Rh.D |
| AuthorAffiliation | a Chestnut Health Systems, Normal, IL b Chestnut Global Partners, Bloomington, IL |
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| Cites_doi | 10.1016/S0149-7189(03)00037-5 10.1016/S0029-7844(02)02014-8 10.1111/1469-7610.00166 10.1007/s11414-006-9019-1 10.1037/1082-989X.7.2.147 10.1001/archpsyc.65.7.805 10.1111/j.1552-6909.1998.tb02640.x 10.1016/S0145-2134(03)00169-8 10.1016/S0306-4603(97)00029-4 10.3109/00952990903544810 10.1177/0193841X07307771 10.1016/j.jsat.2006.03.003 10.1177/0193841X07307532 10.1007/BF02519238 10.1016/j.evalprogplan.2004.01.008 10.1016/0740-5472(92)90062-S 10.1080/10550490601006089 10.1111/j.1360-0443.2004.00700.x 10.1016/j.jsat.2004.03.007 10.1097/00005053-198001000-00006 10.1080/10550490601006055 10.1081/ADA-120018838 10.1016/S0740-5472(98)00027-0 10.1016/j.jsat.2006.12.031 10.1016/j.clp.2007.09.001 10.2105/AJPH.80.5.575 10.1046/j.1360-0443.95.11s3.1.x 10.1016/0376-8716(80)90179-9 10.1016/j.jsat.2006.06.001 10.1111/j.1360-0443.2003.00665.x 10.1016/j.drugalcdep.2005.10.016 10.1016/j.drugalcdep.2004.12.005 10.1037/0033-2909.110.2.305 10.1016/j.evalprogplan.2004.01.012 10.1016/S0145-2134(03)00008-5 |
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| Keywords | Pregnant and postpartum women Drug treatment GAIN ASI Human Evaluation Drug addiction Poison withdrawal Prediction Addiction Severity Index Puerperium Pregnancy Need Chemotherapy Treatment Efficiency Individual Adult Female Therapeutic schedule Woman Comparative study Gain |
| Language | English |
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99 Curry (10.1016/j.jsat.2012.02.002_bb0095) 1998; 27 Watkins (10.1016/j.jsat.2012.02.002_bb0270) 1988 Lennox (10.1016/j.jsat.2012.02.002_bb0175) 2006; 83 Centers for Disease Control and Prevention (10.1016/j.jsat.2012.02.002_bb0060) Guttmacher Institute (10.1016/j.jsat.2012.02.002_bb0130) McLellan (10.1016/j.jsat.2012.02.002_bb0190) 2004; 99 National Institute on Drug Abuse (10.1016/j.jsat.2012.02.002_bb0220) 2010 Porowski (10.1016/j.jsat.2012.02.002_bb0230) 2004; 27 National Institute on Alcohol Abuse and Alcoholism (10.1016/j.jsat.2012.02.002_bb0215) 1997 Chan (10.1016/j.jsat.2012.02.002_bb0065) 2008; 34 McLellan (10.1016/j.jsat.2012.02.002_bb0195) 1980; 5 American Psychiatric Association (10.1016/j.jsat.2012.02.002_bb0025) 2000 Daley (10.1016/j.jsat.2012.02.002_bb0100) 1998; 23 Godley (10.1016/j.jsat.2012.02.002_bb0125) 2004; 27 Corse (10.1016/j.jsat.2012.02.002_bb0085) 1998; 15 Allison (10.1016/j.jsat.2012.02.002_bb0005) 2001 Dennis (10.1016/j.jsat.2012.02.002_bb0110) 2007; 31 American Society of Addiction Medicine (10.1016/j.jsat.2012.02.002_bb0035) 2001 Cohen (10.1016/j.jsat.2012.02.002_bb0075) 1988 Kaplan (10.1016/j.jsat.2012.02.002_bb0155) 2007 McLellan (10.1016/j.jsat.2012.02.002_bb0200) 1992; 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| Snippet | Abstract This study conducts a within-subject comparison of the Addiction Severity Index (ASI) and the Global Appraisal of Individual Needs (GAIN) to assess... This study conducts a within-subject comparison of the Addiction Severity Index (ASI) and the Global Appraisal of Individual Needs (GAIN) to assess change in... |
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| SubjectTerms | Addictive behaviors Adolescent Adult Adult and adolescent clinical studies Alcoholism Alcoholism - rehabilitation ASI Biological and medical sciences Desintoxication. Drug withdrawal Drug abuse Drug addiction Drug treatment Effectiveness Female Follow-Up Studies GAIN HIV Human immunodeficiency virus Humans Medical sciences Miscellaneous Outcome Assessment (Health Care) - methods Postpartum Period Postpartum women Pregnancy Pregnancy Complications - rehabilitation Pregnant and postpartum women Pregnant women Psychiatry Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Public health. Hygiene Public health. Hygiene-occupational medicine Residential Treatment - methods Severity Severity of Illness Index Substance abuse treatment Substance-Related Disorders - rehabilitation Treatment Treatment Outcome Treatments Young Adult |
| Title | Comparison of the Addiction Severity Index (ASI) and the Global Appraisal of Individual Needs (GAIN) in Predicting the Effectiveness of Drug Treatment Programs for Pregnant and Postpartum Women |
| URI | https://www.clinicalkey.es/playcontent/1-s2.0-S0740547212000451 https://dx.doi.org/10.1016/j.jsat.2012.02.002 https://www.ncbi.nlm.nih.gov/pubmed/22436533 https://www.proquest.com/docview/1197629909 https://search.proquest.com/docview/1285093504 https://search.proquest.com/docview/1315886550 https://search.proquest.com/docview/1500784869 https://search.proquest.com/docview/1540221385 https://pubmed.ncbi.nlm.nih.gov/PMC4346351 |
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