Cross-validation of the alcohol and cannabis use measures in the Global Appraisal of Individual Needs (GAIN) and Timeline Followback (TLFB; Form 90) among adolescents in substance abuse treatment

Oregon Research Institute, Eugene, Oregon, United States
Addiction (Impact Factor: 4.74). 12/2004; 99 Suppl 2(s2):120-8. DOI: 10.1111/j.1360-0443.2004.00859.x
Source: PubMed


To examine the comparability, reliability and predictive validity of two instruments used to assess alcohol use and dependence: the Global Appraisal of Individual Needs (GAIN) and the Form 90 Timeline Followback (TLFB) method.
Adolescents (n = 101) admitted to a residential treatment program in the United States were interviewed at intake with the GAIN, and again within a week with a variation of TLFB, called Form 90. Alcohol and cannabis measures were compared and used to predict the number of past-month substance abuse and dependence symptoms.
Self-report measures of days of alcohol and cannabis use in the 90 days prior to intake, peak number of drinks/joints used, peak blood alcohol content (BAC) and alcohol and cannabis abuse and dependence symptom counts.
Results revealed that the measures had: (a) excellent comparability (r = 0.7-0.8) across the two instruments; (b) deteriorating reliability after reported peak BAC levels exceeded 0.50 and peak joints exceeding 19; and (c) similar and strong relationships between use measures and the number of abuse/dependence symptoms across measures and instruments.
In a sample of 101 adolescents who were admitted to residential treatment for alcohol or drug dependence, the corresponding measures from the two instruments produced comparable results. If the cross-validation of these two measures generalizes to adolescents treated in out-patient settings and other adolescent treatment populations, the GAIN and Form 90 may provide useful core alcohol measures for meta-analyses.

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Available from: Michael L Dennis, Feb 20, 2014
    • "DSM-IV Axis I diagnoses were determined with the Structured Clinical Interview for DSM-IV Non-Patient Edition (SCID; First et al., 2002). The Time-Line Follow-Back Interview (TLFB; Dennis et al., 2004) was used to assess past 60-day number of marijuana use days. Subjective marijuana craving was assessed via a 10-item Marijuana Craving Questionnaire (MCQ; Budney et al., 2003). "
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    • "s were based on client self - report to in - person interviewers using the GAIN , a bio - psychosocial assessment instrument having broad utility within adolescent and adult school , substance , health , mental health , welfare , and justice systems ( Dennis , White , & Ives , 2009 ; Ives , Chan , Modisette , & Dennis , 2010 ; Smith , Cleeland , & Dennis , 2010 ; Womack et al . , 2004 ) . The GAIN is designed to help clinicians diagnose for common psychiatric disorders based on the DSM - IV - TR ("
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    ABSTRACT: The expansion of behavioral health services to school-based health centers under the Affordable Care Act (Public Law 111–148) presents an opportunity to improve access to substance use disorders treatment for youth and reduce their substance use, and emotional, health, and school problems. We explore the feasibility of implementing five to seven sessions of motivational enhancement therapy–cognitive behavioral therapy (MET/CBT) in school settings relative to a matched cohort in community settings. Results indicate that MET/CBT in school settings is feasible, effective, and cost-effective. Moreover, it reaches youth earlier after the onset of substance use and has the possibility to reduce existing health disparities for girls and ethnic minorities.
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    • "Two measures , the substance frequency scale and the substance problem scale were used from the Global Appraisal of Individual Needs - Intake Version ( GAIN I ) , a reliable and valid semi - structured interview ( Buchan , Dennis , Tims , & Diamond , 2002 ; Dennis , Funk , Godley , Godley , & Waldron , 2004 "
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    ABSTRACT: This study investigates the feasibility of adapting empirically-supported family treatments for emerging adult peer dyads. Data were collected (n=84) from emerging adults and their peers. Peers completed measures of substance use, willingness to participate in their friends' treatments, and an adapted version of the Significant Other Behavior Questionnaire (SBQ), which measures concerned significant others' (CSO) responses to another's use such a punishing, supporting, or withdrawing from the user. Peers were more likely to support sobriety or enable use, versus punishing use or withdrawing from their friends. Overall, peers were quite willing to assist in treatment, but heavily using peers were less enthusiastic. For some emerging adults, their current peers may represent untapped resources to integrate into treatment, and providing peer-enhanced treatments may expand the reach of services to non-treatment seeking populations.
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