The reliability and validity of drug users' self reports of amphetamine use among primarily heroin and cocaine users

Addict Behav. 2010 Apr;35(4):350-4. doi: 10.1016/j.addbeh.2009.12.006. Epub 2009 Dec 16.

Abstract

Relatively few studies have addressed the psychometric properties of self-report measures of amphetamine use. This study examines the reliability and validity of the Risk Behavior Assessment's (RBA) lifetime and recent amphetamine-use questions. To evaluate validity, 4027 out-of-treatment primarily cocaine and heroin users provided urine samples that were compared to self-report data; to evaluate reliability, 218 completed the RBA at two time points, 48h apart. In the overall sample, self-reports demonstrated moderately high validity, with a 95% accuracy rate (kappa=.54). When analysis was restricted to recent amphetamine users validity was slightly lower (71.5% accuracy; kappa=.41). Test-retest data indicated good reliability for self-reports of ever having used amphetamine (kappa=.79), and amphetamine use in the past 30 days (.75<r<.91). Out-of-treatment drug users provided accurate self-reports of amphetamine use. Reliable and valid measures are essential for describing and predicting trends in amphetamine use, evaluating the effectiveness of interventions, and developing policies and programs.

Keywords: Amphetamine; reliability; self-report; validity.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Amphetamine / administration & dosage
  • Amphetamine / urine
  • Amphetamine-Related Disorders / epidemiology*
  • Amphetamine-Related Disorders / psychology
  • Amphetamine-Related Disorders / urine
  • Cocaine-Related Disorders / epidemiology*
  • Female
  • Heroin Dependence / epidemiology*
  • Humans
  • Male
  • Middle Aged
  • Psychometrics
  • Reproducibility of Results
  • Self Disclosure
  • Self Report / standards*
  • Young Adult

Substances

  • Amphetamine