- Title
- Psychometric properties of smokeless tobacco dependence measures: A COSMIN systematic review
- Creator
- Thawal, Vaibhav P.; Tzelepis, Flora; Bagade, Tanmay; Paul, Christine
- Relation
- Journal of Substance Use and Addiction Treatment Vol. 147, Issue April 2023, no. 208978
- Publisher Link
- http://dx.doi.org/10.1016/j.josat.2023.208978
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2023
- Description
- Background: A comprehensive assessment of the quality of the psychometric properties of smokeless tobacco (SLT) dependence measures is necessary to help researchers and health professionals decide on the most appropriate measure to use when assessing dependence and planning cessation treatment. The aim of this systematic review was to identify and critically appraise measures for assessing dependence on SLT products. Methods: The study team searched MEDLINE, CINAHL, PsycINFO, EMBASE and SCOPUS databases. We included English-language studies describing the development or psychometric properties of an SLT dependence measure. Two reviewers independently extracted data and appraised risk of bias using the rigorous Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. Results: Sixteen studies assessing 16 unique measures were eligible for assessment. Eleven studies were conducted in the United States; two in Taiwan and one each in Sweden, Bangladesh, and Guam. Of the sixteen measures, none of the measures was rated as “A” (can be recommended for use) as per COSMIN standards primarily due to limitations in structural validity and internal consistency. Nine measures (FTND-ST, FTQ-ST-9, FTQ-ST-10, OSSTD, BQDS, BQDI, HONC, AUTOS and STDS) were rated as “B”: having potential for assessing dependence, although further assessment of psychometric properties is needed. Four measures, MFTND-ST, TDS, GN-STBQ and SSTDS having high quality evidence for an insufficient measurement property were rated as “C” and were not supported for use as per COSMIN standards. The remaining three brief measures HSTI, ST-QFI and STDI (consisting of <3 items) were rated inconclusive due to the inability of assessment of structural validity (minimum 3 items required for factor analysis), which is a prerequisite for assessment of internal consistency per the recommendations by the COSMIN framework. Conclusion: Further validation is required for the current tools that assess dependence on SLT products. Given the concerns related to the structural validity of these tools, a need may also exist to develop new measures for use by clinicians and researchers for assessing dependence on SLT products. PROSPERO: CRD42018105878.
- Subject
- smokeless tobacco; dependence measures; reliability; validity; psychometric properties; Consensus-based Standards for the selection of health Measurement Instruments (COSMIN)
- Identifier
- http://hdl.handle.net/1959.13/1491386
- Identifier
- uon:53075
- Identifier
- ISSN:2949-8759
- Language
- eng
- Reviewed
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