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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) · pp. 203–210

DOI
10.24198/jkp.v13i2.2551
ISSN
2442-7276, 2338-5324
Published
2025-08-30
Publisher
Faculty of Nursing Universitas Padjadjaran
Language
eng
License
creativecommons.org/licenses/by-sa/4.0/

Abstract

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.

Keywords

Collaboration network of the authors

39 authors · 108 co-authorship links

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  • Padjadjaran University
  • Affiliation unknown
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Co-authorOrganisationJoint articles
Taryudi TaryudiAffiliation unknown3
Heni PurnamaAffiliation unknown3
Nyayu Nina Putri CalisanieAffiliation unknown2
Yiin LaiAffiliation unknown2
Wen-Chien KoAffiliation unknown2
Jung-Der WangAffiliation unknown2
Nai-Ying KoAffiliation unknown2
Sugiharto SugihartoAffiliation unknown1
Wini HadiyaniAffiliation unknown1
Nisha NambiarAffiliation unknown1
Faridah binti Mohd SaidAffiliation unknown1
Windy RakhmawatiAffiliation unknown1
Neti JuniartiAffiliation unknown1
Muhammad Rif'anAffiliation unknown1
Nenden Nur Asriyani MaryamPadjadjaran University1
Irma DarmawatiAffiliation unknown1
Pujowati PujowatiAffiliation unknown1
Aan NuraeniAffiliation unknown1
Anastasia AnnaAffiliation unknown1
Ying-Chin LiaoAffiliation unknown1
Iyus YosepPadjadjaran University1
Astri MutiarAffiliation unknown1
Anisa Dwi PutriAffiliation unknown1
Gilang Dwi PratiwiAffiliation unknown1
Vita LucyaAffiliation unknown1
Santi SusantiAffiliation unknown1
Siti HadijahAffiliation unknown1
NovitaAffiliation unknown1
Linda Luciana AnggraeniAffiliation unknown1
Sapera DamayantiAffiliation unknown1
Millah SyafithrieAffiliation unknown1
Hesti YantiAffiliation unknown1
Nina Ayu LarasatiAffiliation unknown1
Ika Putri AstutiAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) http://jkp.fkep.unpad.ac.id/index.php/jkp/oai, first harvested 9 Nov 2026, last seen 9 Nov 2026.
Original metadata (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>