CHAT: Development and Validation of a Computer-Delivered, Self-Report, Substance Use Assessment for Adolescents
Abstract
The current study was conducted to construct and validate a computer-delivered, multimedia, substance use self-assessment for adolescents. Reliability and validity of six problem dimensions were evaluated in two studies, conducted from 2003 to 2008. Study 1 included 192 adolescents from five treatment settings throughout the United States (N = 142) and two high schools from Greater Boston, Massachusetts (N = 50). Study 2 included 356 adolescents (treatment: N = 260; school: N = 94). The final version of Comprehensive Health Assessment for Teens (CHAT) demonstrated relatively strong psychometric properties. The limitations and implications of this study are noted. This study was supported by an SBIR grant.
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Digital interventions for SUDs have demonstrated efficacy for screening and assessment, treatment and recovery, as stand-alone tools or as adjuncts to clinician-delivered interventions.
“Digital interventions for SUDs have demonstrated efficacy for screening and assessment 251- 253 , treatment 254,255 and recovery 250,256 , as stand- alone tools or as adjuncts to clinician- delivered in terventions.”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [252]
Cites
Principles and Practice of Structural Equation Modeling
Tabri, N., & Elliott, C. M. (2012) · Canadian Graduate Journal of Sociology and Criminology · doi:10.15353/cgjsc.v1i1.3787 · Cited by 39,065 · see citing works
Convergent and discriminant validation by the multitrait-multimethod matrix.
Campbell, D. T., & Fiske, D. W. (1959) · Psychological Bulletin · doi:10.1037/h0046016 · Cited by 17,116 · see citing works
Journal of Clinical Psychiatry
(2018) · Journal of Clinical Psychiatry · doi:10.5505/kpd · Cited by 13,703 · see citing works
The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire
HEATHERTON, T. F., KOZLOWSKI, L. T., FRECKER, R. C., & FAGERSTROM, K. (1991) · British Journal of Addiction · doi:10.1111/j.1360-0443.1991.tb01879.x · Cited by 10,738 · see citing works
(2005) · Cited by 6,097 · see citing works
Structural Equation Modeling With AMOS: Basic Concepts, Applications, and Programming, Third Edition
Byrne, B. M. (2016) · doi:10.4324/9781315757421 · Cited by 4,653 · see citing works
New Data from the Addiction Severity Index Reliability and Validity in Three Centers
McLELLAN, A. T., LUBORSKY, L., CACCIOLA, J., GRIFFITH, J., EVANS, F., BARR, H. L., & OʼBRIEN, C. P. (1985) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198507000-00005 · Cited by 1,503 · cited 1× · see citing works
“McLellan et al. (1985) reasoned that 3 days was a long enough interval to reduce instant recall but short enough to reduce the possibility of real clinical change.”
BackgroundFamily environment scale manual : Development,Applications,Research
Moos, R. H., & Moos, B. S. (2002) · Medical Entomology and Zoology · Cited by 475 · see citing works
The design of children's technology
Druin, A. (1998) · Morgan Kaufmann Publishers Inc. eBooks · Cited by 474 · see citing works
The American Journal on Addictions
(2010) · American Journal on Addictions · doi:10.1111/(issn)1521-0391 · Cited by 408 · see citing works
Efficacy of computer technology-based HIV prevention interventions: a meta-analysis
Noar, S. M., Black, H. G., & Pierce, L. B. (2008) · AIDS · doi:10.1097/qad.0b013e32831c5500 · Cited by 385 · see citing works
An Evaluation of Drug Treatments for Adolescents in 4 US Cities
Hser, Y.-I., Grella, C. E., Hubbard, R. L., Hsieh, S.-C., Fletcher, B. W., Brown, B. S., & Anglin, M. D. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.7.689 · Cited by 341 · see citing works
Further Validation of the Multidimensional Students' Life Satisfaction Scale
Huebner, E. S., Laughlin, J. E., Ash, C., & Gilman, R. (1998) · Journal of Psychoeducational Assessment · doi:10.1177/073428299801600202 · Cited by 322 · see citing works
Adolescent Substance Abuse and Psychiatric Comorbidities
Deas, D., & Brown, E. S. (2006) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.0706e02 · Cited by 240 · see citing works
A First Study of the Multidimensional Students’ Life Satisfaction Scale with Adolescents
Gilman, R., Huebner, E. S., & Laughlin, J. E. (2000) · Social Indicators Research · doi:10.1023/a:1007059227507 · Cited by 209 · see citing works
Adolescent drug abuse : clinical assessment and therapeutic interventions
Rahdert, E. R., & Czechowicz, D. J. (1995) · Medical Entomology and Zoology · Cited by 195 · see citing works
Adolescents, Alcohol and Substance Abuse: Reaching Teens through Brief Interventions
Swift, W. (2002) · Addiction · doi:10.1046/j.1360-0443.2002.t01-7-00166.x · Cited by 147 · see citing works
Initial validation of a computer-administered Addiction Severity Index: The ASI–MV.
Bultler, S. F., Budman, S. H., Goldman, R. J., Newman, F. J., Beckley, K. E., Trottier, D., & Cacciola, J. S. (2001) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.15.1.4 · Cited by 127 · see citing works
The Quality of Highly Regarded Adolescent Substance Abuse Treatment Programs
Brannigan, R., Schackman, B. R., Falco, M., & Millman, R. B. (2004) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.158.9.904 · Cited by 124 · see citing works
The role of usability research in designing children's computer products
Hanna, L., Risden, K., Czerwinski, M. P., & Alexander, K. J. (1998) · Morgan Kaufmann Publishers Inc. eBooks · Cited by 113 · see citing works
Hellawell, S. J., & Brewin, C. R. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00080-8 · Cited by 105 · see citing works
Treatment Outcomes In Psychotherapy And Psychiatric Interventions
Sperry, L., Brill, P. L., Howard, K. I., & Grissom, G. R. (2013) · Routledge eBooks · doi:10.4324/9780203766149 · Cited by 103 · see citing works
Gender Differences in the Correlates of Adolescents' Cannabis Use
Tu, A. W., Ratner, P. A., & Johnson, J. L. (2008) · Substance Use & Misuse · doi:10.1080/10826080802238140 · Cited by 98 · see citing works
Sterling, S., & Weisner, C. M. (2005) · Alcoholism Clinical and Experimental Research · doi:10.1097/01.alc.0000164373.89061.2c · Cited by 56 · see citing works
Adolescent tobacco use and substance abuse treatment outcomes
de Dios, M. A., Vaughan, E. L., Stanton, C. A., & NIAURA, R. S. (2008) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2008.09.006 · Cited by 56 · see citing works
Validity of the Drug Use Screening Inventory for Predicting DSM-III-R Substance Use Disorder
Tarter, R. E., & Kirisci, L. (2001) · Journal of Child & Adolescent Substance Abuse · doi:10.1300/j029v10n04_05 · Cited by 47 · see citing works
Characterizing substance abuse programs that treat adolescents
Mark, T. L., Song, X., Vandivort, R., Duffy, S. Q., Butler, J., Coffey, R. M., & Schabert, V. F. (2006) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2006.03.017 · Cited by 46 · see citing works
Gilligan, T. D., & Huebner, E. S. (2007) · Applied Research in Quality of Life · doi:10.1007/s11482-007-9026-2 · Cited by 44 · see citing works
Validation of the Teen Addiction Severity Index (T-ASI): Preliminary Findings
Kaminer, Y., Wagner, E., Plummer, B., & Seifer, R. (1993) · American Journal on Addictions · doi:10.3109/10550499309113946 · Cited by 38 · see citing works
Clinical issues in the assessment of adolescent alcohol and other drug use
Winters, K. C., Latimer, W. W., & Stinchfield, R. D. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(02)00041-4 · Cited by 38 · see citing works
Brodey, B., Rosen, C., Winters, K., Brodey, I. S., Sheetz, B. M., Steinfeld, R., & Kaminer, Y. (2005) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.19.1.54 · Cited by 26 · see citing works
Meyers, K., Hagan, T. A., McDermott, P. A., Webb, A., Randall, M., & Frantz, J. (2006) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990500479464 · Cited by 23 · see citing works
Treatment Outcomes in Psychotherapy and Psychiatric Interventions
Murray, R. (1997) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/0279-3695-19970601-25 · Cited by 17 · see citing works
Flagged first, then by citations
1 of the 34 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Volkow, N. D., & Blanco, C. (2023) · World psychiatry · doi:10.1002/wps.21073 · Cited by 503 · see citing works
Using e-technologies in clinical trials
Rosa, C., Campbell, A. N. C., Miele, G. M., Brunner, M., & Winstanley, E. L. (2015) · Contemporary Clinical Trials · doi:10.1016/j.cct.2015.07.007 · Cited by 147 · see citing works
Ramsey, A. T., & Montgomery, K. L. (2014) · Social Work in Health Care · doi:10.1080/00981389.2014.925531 · Cited by 78 · see citing works
Ramsey, A. T., Lord, S., Torrey, J., Marsch, L. A., & Lardiere, M. R. (2014) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-014-9436-5 · Cited by 77 · see citing works
Self-citationTrudeau, K. J., Black, R. A., Kamon, J. L., & Sussman, S. Y. (2017) · Child & Youth Care Forum · doi:10.1007/s10566-016-9387-5 · Cited by 54 · see citing works
Self-citationLord, S., Moore, S. K., Ramsey, A., Dinauer, S., & Johnson, K. (2016) · JMIR Mental Health · doi:10.2196/mental.4927 · Cited by 47 · see citing works
Self-citationWorkshop on Implementation Science and Digital Therapeutics for Behavioral Health
Lord, S., Campbell, A. N. C., Brunette, M. F., Cubillos, L., Bartels, S. M., Torrey, W. C., Olson, A. L., Chapman, S. H., Batsis, J. A., Polsky, D. E., et al. (2020) · JMIR Mental Health · doi:10.2196/17662 · Cited by 28 · see citing works
Self-citationThe potential of technology for enhancing individual placement and support supported employment.
Lord, S., McGurk, S. R., Nicholson, J., Carpenter-Song, E. A., Tauscher, J. S., Becker, D. R., Swanson, S. J., Drake, R. E., & Bond, G. R. (2014) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000070 · Cited by 25 · see citing works
Self-citationConnolly, S., Govoni, T. D., Jiang, X.-Y., Terranella, A., Guy, G., Green, J. L., & Mikosz, C. A. (2024) · MMWR. Morbidity and mortality weekly report · doi:10.15585/mmwr.mm7305a1 · Cited by 22 · see citing works
Lord, S., & Marsch, L. A. (2005) · American Academy of Pediatrics eBooks · doi:10.1542/9781581107258-ch15 · Cited by 15 · see citing works
Self-citationCassidy, T. A., Oyedele, N. K., Mickle, T. C., Guenther, S. M., & Budman, S. H. (2017) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.4249 · Cited by 13 · see citing works
Digital Presence of a Research Center as a Research Dissemination Platform: Reach and Resources
Lord, S., Seavey, K. M., Oren, S. D., Budney, A. J., & Marsch, L. A. (2019) · JMIR Mental Health · doi:10.2196/11686 · Cited by 13 · see citing works
Self-citationEmpirical insights on technology use for navigating human services
Abu-Ba’are, G. R., DiNicola, K., & Lee, W. (2020) · Journal of Technology in Human Services · doi:10.1080/15228835.2020.1789025 · Cited by 12 · see citing works
Vosburg, S. K., Faraone, S. V., Newcorn, J. H., Rostain, A. L., Findling, R. L., Butler, S. F., Dailey-Govoni, T., & Green, J. L. (2020) · Journal of Attention Disorders · doi:10.1177/1087054720943283 · Cited by 11 · see citing works
Self-citationJiang, X., Guy, G. P., Schmit, K. M., Hoots, B., Roehler, D. R., Dailey-Govoni, T., Mallory, V., & Green, J. L. (2024) · Substance Use & Misuse · doi:10.1080/10826084.2024.2383609 · Cited by 8 · see citing works
Jo, E., Zehrung, R., Genuario, K. E., Papoutsaki, A., & Epstein, D. A. (2024) · Proceedings of the ACM on Human-Computer Interaction · doi:10.1145/3686997 · Cited by 8 · see citing works
Treatment of Opioid Use Disorder in Pediatric Medical Settings
Levy, S., & Camenga, D. R. (2019) · Current Addiction Reports · doi:10.1007/s40429-019-00272-0 · Cited by 6 · see citing works
A scoping review of key domains for youth outcome measurement in alcohol and other drug treatment
van de Ven, K., Stainthorpe, S., Davies, A. J., Cash, R., Ross, P., & Lee, N. (2025) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2025.104744 · Cited by 1 · see citing works
Chapter 29. Digitally Delivered Therapies
Lord, S., Seavey, K. M., Budney, A. J., & Marsch, L. A. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615373970.kb29
Self-citationBesteiro, E. M., Sánchez‐Ortí, J. V., & Tortosa, M. (2025) · Revista Española de Drogodependencias · doi:10.54108/10118
- Authors
- Lord, S. E., Trudeau, K. J., Black, R. A., Lorin, L., Cooney, E., Villapiano, A., & Butler, S. F.
- Affiliations
- National Development and Research Institutes (US)
- Inflexxion (United States) (US)
- Corresponding author
- Trudeau, Kimberlee J.
- Venue
- Substance Use & Misuse
- Publisher
- Informa UK Limited
- Published
- 2010-12-21
- Volume
- 46
- Issue
- 6
- Pages
- 781-794
- ISSN
- 1082-6084 (ISSN-L)
- 1532-2491
- OpenAlex
- W2035924151
- Cited by
- 20
- References
- 34
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 3
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Substance Use & Misuse (publishedVersion)
- PubMed (publishedVersion)
- NSUWorks (Nova Southeastern University) (submittedVersion)
- Funders
- U.S. Public Health Service (5R44D A014139-04)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Education › Health Education and Validation
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- substance use assessment, adolescents, multimedia assessment, psychometric validation, reliability statistics, problematic substance use, classroom assessment, treatment setting
- MeSH terms
- Adolescent, Adolescent Behavior, Diagnosis, Computer-Assisted, Female, Humans, Male, Models, Psychological, Diagnostic Techniques and Procedures, Substance-Related Disorders, Self Report, Diagnostic Self Evaluation
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