吸食大麻的摩洛哥人样本中大麻滥用筛查测试 (CAST) 的心理计量特性

IF 3.7 2区医学 Q1 SUBSTANCE ABUSE

Addiction Science & Clinical Practice Pub Date : 2024-04-03 DOI:10.1186/s13722-024-00459-5

Hicham El Malki, Salma Ghofrane Moutawakkil, Abdelfettah El-Ammari, Mohammed El Amine Ragala, Jaouad El Hilaly, Samir El Gnaoui, Fatima El Houari, Karima El Rhazi, Btissame Zarrouq

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引用次数: 0

摘要

大麻滥用筛查测试（CAST）是一种广泛使用的筛查工具，用于识别对吸食者及其他相关人员的健康或社会造成负面影响的大麻吸食模式。这种简短的筛查工具已被翻译成多种语言，并发表了多项研究，对其心理测量特性进行了检验。然而，有关摩洛哥版 CAST 的因子效度和心理测量学特性的研究尚未发表。本研究的目的是在吸食大麻者中验证经翻译并改编为摩洛哥阿拉伯语方言的 CAST。研究分两个阶段，从非斯市的一家戒毒中心共选取了 370 名参与者作为研究样本。首先，在第一阶段，采用探索性因子分析评估试点样本（n1 = 150）的因子结构。随后，在第二阶段（n2=220），利用确认性因子分析在验证样本中确认这一结构。所有统计分析均使用 R 程序进行。CFA 揭示了一个三因素结构，显示出良好的整体拟合（χ2/df = 2.23、RMSEA = 0.07、SRMR = 0.02、CFI = 0.99、NFI = 0.98）和令人满意的局部参数（标准化因素负荷在 0.72 和 0.88 之间）。综合信度（CR）（0.76-0.88）和平均方差提取率（AVE）（0.62-0.78）分别为可接受值，证明该模型具有令人满意的信度和收敛效度。AVE 的平方根超过了因子对的相关性，相关值的异质-单质（HTMT）比低于 0.85，表明判别效度是可以接受的。信度、收敛效度和区分效度测试均表明，摩洛哥版 CAST 表现良好，可被视为筛查问题大麻使用情况的有效工具。

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Psychometric properties of the cannabis abuse screening test (CAST) in a sample of Moroccans with cannabis use

The Cannabis Abuse Screening Test (CAST) is a widely used screening tool for identifying patterns of cannabis use that have negative health or social consequences for both the user and others involved. This brief screening instrument has been translated into multiple languages, and several studies examining its psychometric properties have been published. However, studies on the factorial validity and psychometric properties of a Moroccan version of the CAST are not yet available. The objective of this study is to validate the CAST, translated, and adapted to the Moroccan Arabic dialect among persons with cannabis use. A total of 370 participants from an addictology center in Fez City, were selected over two phases to form the study sample. First, in phase I, exploratory factor analysis was employed to evaluate the factor structure in the pilot sample (n1 = 150). Subsequently, in the second phase (Phase II), confirmatory factor analysis was utilized to confirm this structure in the validation sample (n2 = 220). All statistical analyses were carried out using the R program. The CFA unveiled a three-factor structure that showed a good overall fit (χ2/df = 2.23, RMSEA = 0.07, SRMR = 0.02, CFI = 0.99, NFI = 0.98) and satisfactory local parameters (standardized factor loadings between 0.72 and 0.88). The model demonstrates satisfactory reliability and convergent validity, as evidenced by the acceptable values of composite reliability (CR) (0.76–0.88) and average variance extracted (AVE) (0.62–0.78), respectively. The square roots of the AVE exceeded the correlations of the factor pairs, and the heterotrait-monotrait (HTMT) ratio of the correlation values was below 0.85, indicating acceptable discriminant validity. The reliability, convergent validity, and discriminant validity tests all demonstrated that the Moroccan version of the CAST performed well and can be considered a valid tool for screening of problematic cannabis use.

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来源期刊

Addiction Science & Clinical Practice Psychology-Clinical Psychology

CiteScore

3.90

自引率

10.80%

发文量

审稿时长

28 weeks

期刊介绍： Addiction Science & Clinical Practice provides a forum for clinically relevant research and perspectives that contribute to improving the quality of care for people with unhealthy alcohol, tobacco, or other drug use and addictive behaviours across a spectrum of clinical settings. Addiction Science & Clinical Practice accepts articles of clinical relevance related to the prevention and treatment of unhealthy alcohol, tobacco, and other drug use across the spectrum of clinical settings. Topics of interest address issues related to the following: the spectrum of unhealthy use of alcohol, tobacco, and other drugs among the range of affected persons (e.g., not limited by age, race/ethnicity, gender, or sexual orientation); the array of clinical prevention and treatment practices (from health messages, to identification and early intervention, to more extensive interventions including counseling and pharmacotherapy and other management strategies); and identification and management of medical, psychiatric, social, and other health consequences of substance use. Addiction Science & Clinical Practice is particularly interested in articles that address how to improve the quality of care for people with unhealthy substance use and related conditions as described in the (US) Institute of Medicine report, Improving the Quality of Healthcare for Mental Health and Substance Use Conditions (Washington, DC: National Academies Press, 2006). Such articles address the quality of care and of health services. Although the journal also welcomes submissions that address these conditions in addiction speciality-treatment settings, the journal is particularly interested in including articles that address unhealthy use outside these settings, including experience with novel models of care and outcomes, and outcomes of research-practice collaborations. Although Addiction Science & Clinical Practice is generally not an outlet for basic science research, we will accept basic science research manuscripts that have clearly described potential clinical relevance and are accessible to audiences outside a narrow laboratory research field.