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Cross-Culture Adaptation and Validation of Indonesian version of CRAFFT Substance Abuse Screening Test among adolescents

Jurnal Keperawatan Padjadjaran · Vol. 13 No. 2 (2025) · hlm. 203–210

DOI
10.24198/jkp.v13i2.2551
ISSN
2442-7276, 2338-5324
Terbit
2025-08-30
Penerbit
Faculty of Nursing Universitas Padjadjaran
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0/

Abstrak

Background: Substance abuse among adolescent in Indonesia remains public health problem. The CRFFT is the most widely utilized high-risk drug screening tool. Its use in different countries and contexts shows its enormous potential. Although the CRAFFT has been utilized on occasion by professionals and researchers in Indonesia, no psychometric tests have been conducted to ensure that it works reliably in our country. Objectives: This study aimed to examine the psychometric performance of the CRAFFT screening tool among Indonesian adolescents. Methods: Eighty adolescents aged 15–18 years, recruited from a drug rehabilitation facility in West Java, Indonesia, participated in the research. The CRAFFT instrument underwent a four-step translation and adaptation process. Content validity was assessed using Aiken’s V index. The factorial structure of the instrument was explored through exploratory factor analysis (EFA) and subsequently verified with confirmatory factor analysis (CFA). Internal consistency reliability was evaluated using the Kuder–Richardson 20 (KR-20) coefficient. Results: CRAFTT CVI was 0.80–1.00 with the factor loadings for each of the three scales in the CRAFTT was 0.65–0.88. The results of the confirmatory factor analysis (CFA) for CRAFFT were as follows: I2 = 64.11, p-value = 0.121, and df = 78. Pearson correlation coefficients for the six different subscales ranged from 0.450 to 0.637. KR-20 coefficient of CRAFFT was 0.767. Corrected Homogeneity Index (CHI) ranged from 0.314 to 0.580. Conclusion: The results of this study demonstrate that the CRAFFT instrument can serve as a practical and effective tool for identifying substance use issues among adolescents in Indonesia. Further investigations are recommended to examine its sensitivity and specificity in order to establish stronger evidence for the validity of the CRAFFT within this population.

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Taryudi TaryudiAfiliasi tidak diketahui3
Heni PurnamaAfiliasi tidak diketahui3
Nyayu Nina Putri CalisanieAfiliasi tidak diketahui2
Yiin LaiAfiliasi tidak diketahui2
Wen-Chien KoAfiliasi tidak diketahui2
Jung-Der WangAfiliasi tidak diketahui2
Nai-Ying KoAfiliasi tidak diketahui2
Sugiharto SugihartoAfiliasi tidak diketahui1
Wini HadiyaniAfiliasi tidak diketahui1
Nisha NambiarAfiliasi tidak diketahui1
Faridah binti Mohd SaidAfiliasi tidak diketahui1
Windy RakhmawatiAfiliasi tidak diketahui1
Neti JuniartiAfiliasi tidak diketahui1
Muhammad Rif'anAfiliasi tidak diketahui1
Nenden Nur Asriyani MaryamPadjadjaran University1
Irma DarmawatiAfiliasi tidak diketahui1
Pujowati PujowatiAfiliasi tidak diketahui1
Aan NuraeniAfiliasi tidak diketahui1
Anastasia AnnaAfiliasi tidak diketahui1
Ying-Chin LiaoAfiliasi tidak diketahui1
Iyus YosepPadjadjaran University1
Astri MutiarAfiliasi tidak diketahui1
Anisa Dwi PutriAfiliasi tidak diketahui1
Gilang Dwi PratiwiAfiliasi tidak diketahui1
Vita LucyaAfiliasi tidak diketahui1
Santi SusantiAfiliasi tidak diketahui1
Siti HadijahAfiliasi tidak diketahui1
NovitaAfiliasi tidak diketahui1
Linda Luciana AnggraeniAfiliasi tidak diketahui1
Sapera DamayantiAfiliasi tidak diketahui1
Millah SyafithrieAfiliasi tidak diketahui1
Hesti YantiAfiliasi tidak diketahui1
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Sumber metadata: OAI-PMH (metadata jurnal) http://jkp.fkep.unpad.ac.id/index.php/jkp/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc)
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Cross-Culture Adaptation and Validation of Indonesian version of CRAFFT Substance Abuse Screening Test among adolescents</dc:title>
	<dc:creator>Tuty Yanuarti</dc:creator>
	<dc:creator>Mohd Nazri Bin Mohd Daud</dc:creator>
	<dc:creator>Noor Hassline Binti Mohamed</dc:creator>
	<dc:creator>Azman Bin Atil</dc:creator>
	<dc:creator>Linlin Lindayani</dc:creator>
	<dc:subject xml:lang="en-US">adolescents</dc:subject>
	<dc:subject xml:lang="en-US">CRAFFT</dc:subject>
	<dc:subject xml:lang="en-US">Cross-Culture Adaptation</dc:subject>
	<dc:subject xml:lang="en-US">Substance Abuse</dc:subject>
	<dc:subject xml:lang="en-US">Validation</dc:subject>
	<dc:subject xml:lang="en-US">Indonesia</dc:subject>
	<dc:description xml:lang="en-US">Background: Substance abuse among adolescent in Indonesia remains public health problem. The CRFFT is the most widely utilized high-risk drug screening tool. Its use in different countries and contexts shows its enormous potential. Although the CRAFFT has been utilized on occasion by professionals and researchers in Indonesia, no psychometric tests have been conducted to ensure that it works reliably in our country. 
Objectives: This study aimed to examine the psychometric performance of the CRAFFT screening tool among Indonesian adolescents.
Methods: Eighty adolescents aged 15–18 years, recruited from a drug rehabilitation facility in West Java, Indonesia, participated in the research. The CRAFFT instrument underwent a four-step translation and adaptation process. Content validity was assessed using Aiken’s V index. The factorial structure of the instrument was explored through exploratory factor analysis (EFA) and subsequently verified with confirmatory factor analysis (CFA). Internal consistency reliability was evaluated using the Kuder–Richardson 20 (KR-20) coefficient.
Results: CRAFTT CVI was 0.80–1.00 with the factor loadings for each of the three scales in the CRAFTT was 0.65–0.88. The results of the confirmatory factor analysis (CFA) for CRAFFT were as follows: I2 = 64.11, p-value = 0.121, and df = 78. Pearson correlation coefficients for the six different subscales ranged from 0.450 to 0.637. KR-20 coefficient of CRAFFT was 0.767. Corrected Homogeneity Index (CHI) ranged from 0.314 to 0.580.
Conclusion: The results of this study demonstrate that the CRAFFT instrument can serve as a practical and effective tool for identifying substance use issues among adolescents in Indonesia. Further investigations are recommended to examine its sensitivity and specificity in order to establish stronger evidence for the validity of the CRAFFT within this population.</dc:description>
	<dc:publisher xml:lang="en-US">Faculty of Nursing Universitas Padjadjaran</dc:publisher>
	<dc:date>2025-08-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://jkp.fkep.unpad.ac.id/index.php/jkp/article/view/2551</dc:identifier>
	<dc:identifier>10.24198/jkp.v13i2.2551</dc:identifier>
	<dc:source xml:lang="en-US">Jurnal Keperawatan Padjadjaran; Vol. 13 No. 2 (2025): Jurnal Keperawatan Padjadjaran; 203-210</dc:source>
	<dc:source>2442-7276</dc:source>
	<dc:source>2338-5324</dc:source>
	<dc:source>10.24198/jkp.v13i2</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://jkp.fkep.unpad.ac.id/index.php/jkp/article/view/2551/439</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2025 Tuty Yanuarti, Mohd Nazri Bin Mohd Daud, Noor Hassline Binti Mohamed, Azman Bin Atil, Linlin Lindayani</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0/</dc:rights>
</oai_dc:dc>