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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Veröffentlicht in:Journal of substance abuse treatment 2013-01, Vol.44 (1), p.34-41
Hauptverfasser: Coleman-Cowger, Victoria H., Ph.D, Dennis, Michael L., Ph.D, Funk, Rodney R., B.S, Godley, Susan H., Rh.D, Lennox, Richard D., Ph.D
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container_end_page 41
container_issue 1
container_start_page 34
container_title Journal of substance abuse treatment
container_volume 44
creator Coleman-Cowger, Victoria H., Ph.D
Dennis, Michael L., Ph.D
Funk, Rodney R., B.S
Godley, Susan H., Rh.D
Lennox, Richard D., Ph.D
description 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.
doi_str_mv 10.1016/j.jsat.2012.02.002
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Drug withdrawal</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug treatment</subject><subject>Effectiveness</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>GAIN</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Postpartum Period</subject><subject>Postpartum women</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - rehabilitation</subject><subject>Pregnant and postpartum women</subject><subject>Pregnant women</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health. Hygiene</subject><subject>Public health. 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subjects 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
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