Development and validation of Tagalog versions of the Drug Abuse Screening Test-20 (DAST-20) and Stimulant Relapse Risk Scale (SRRS) for drug users in the Philippines

PLoS One. 2023 Jan 6;18(1):e0280047. doi: 10.1371/journal.pone.0280047. eCollection 2023.

Abstract

Methamphetamine use is becoming a major social issue in the Philippines, and this has been attracting international interest. Understanding the characteristics of drug users and the severity of their drug use is an urgent requirement for promoting effective treatment and support; however, in the Philippines, a lack of screening and assessment tools with confirmed reliability and validity is a major obstacle in this regard. Therefore, the aim of this study is to develop Tagalog versions of the Drug Abuse Screening Test-20 (DAST-20), a drug-abuse screening tool used worldwide, and the Stimulant Relapse Risk Scale (SRRS), a tool for quantitatively evaluating relapse among stimulant users, and to confirm their validity and reliability. Participants were 305 patients admitted to the Treatment and Rehabilitation Center (TRC) operated by the Philippines Department of Health for treatment for methamphetamine use. Sufficient internal consistency for the DAST-20 was confirmed, with a Cronbach's alpha value of 0.81. Concerning validity, receiver-operating-characteristic analysis, featuring diagnoses from independent doctors, returned an acceptable area-under-curve value of 0.62. Sufficient internal consistency was also confirmed for the SRRS, with a Cronbach's alpha value of 0.89. Correlation analysis of subjective drug craving (measured using a visual analog scale) and the SRRS revealed a significant positive correlation (r = 0.19, p < 0.001), confirming a certain level of validity. The Tagalog versions of the DAST-20 and SRRS developed in this study were confirmed to be reliable and valid. These scales could be effective for use in clinical settings and for research purposes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Central Nervous System Agents
  • Chronic Disease
  • Drug Users*
  • Humans
  • Methamphetamine*
  • Philippines
  • Psychometrics
  • Recurrence
  • Reproducibility of Results
  • Substance Abuse Detection
  • Surveys and Questionnaires

Substances

  • diethylaminosulfur trifluoride
  • Central Nervous System Agents
  • Methamphetamine

Associated data

  • Dryad/10.5061/dryad.dz08kprv3

Grants and funding

TH received the research fund from the Japan International Cooperation Agency (https://www.jica.go.jp/english/index.html). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.