Screening for more with less: Validation of the Global Appraisal of Individual Needs Quick v3 (GAIN-Q3) screeners.
Screening for more with less: Validation of the Global Appraisal of Individual Needs Quick v3 (GAIN-Q3) screeners.
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筛选更多内容，以较少：验证全球对个人需求的评估快速V3（Gain-Q3）筛选器。
DOI：
10.1016/j.jsat.2021.108414
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发表时间：
2021-07
影响因子：
3.9
通讯作者：
Davis JP
中科院分区：
文献类型：
--
作者：
Dennis ML;Davis JP
多种发病率是青少年和成年吸毒者和其他精神障碍患者的常态，需要采取多管齐下的筛查办法。然而，在临床实践中固有的时间限制评估往往缓和的愿望，充分了解多发病率的问题。15至25分钟的个人需求快速全球评估第3版（GAIN-Q3）包括9个常见临床问题的筛选器，这些问题很短（4至10个项目），并提供每个领域问题严重程度的维度测量，这些问题也被分类以指导临床决策。将筛选者相加为总分，代表多重发病率的第10个筛选者。本文提供了GAIN-Q3筛选器的开发背景，其心理测量行为，效率和相对于1 - 2小时完整GAIN-I的预测能力。根据文献显示的差异项目和规模功能的年龄，分别进行了分析，使用的数据从10,625青少年和10,167成人治疗客户。尽管与较长版本相比，筛选措施的长度较短，但就10名青少年筛选者中的6名和10名成人筛选者中的7名的内部一致性而言，可靠性估计值在良好至优秀范围内（.7至.9）。此外，青少年和成人的所有10项比较的部分与整体相关性都很好（0.82至0.96）。此外，有强有力的证据表明这些措施的收敛性和判别有效性和效率（即，在尽可能少的项目中收集最多的信息）。解释性截分的分析提供了具有高灵敏度和特异性的病例的准确识别，从而支持筛查人员的分诊能力。
Multi-morbidity is the norm among adolescents and adults with substance use and other mental disorders and warrants a multi-pronged screening approach. However, the time constraints on assessment inherent in clinical practice often temper the desire for a full understanding of multi-morbidity problems. The 15- to 25-minute Global Appraisal of Individual Needs Quick version 3 (GAIN-Q3) includes screeners for 9 common clinical problems that are short (4 to 10 items) and provide dimensional measures of problem severity in each area that are also categorized to guide clinical decision making. The screeners are summed into a total score that represents a 10th screener for multi-morbidity. This paper provides background on the development of the GAIN-Q3 screeners, their psychometric behaviors, efficiency, and predictive power relative to the 1-2 hour full GAIN-I. Based on literature showing differential item and scale functioning by age, analyses were conducted separately using data from 10,625 adolescent and 10,167 adult treatment clients. Despite the condensed lengths of the screening measures compared with their longer versions, the reliability estimates are within the good to excellent range (.7 to .9) in terms of internal consistency for 6 of the 10 screeners for adolescents and 7 of the 10 screeners for adults. In addition, the part to whole correlation for all 10 comparisons for both adolescents and adults are excellent (.82 to .96). Moreover, there is strong evidence for the measures’ convergent and discriminant validity and efficiency (i.e., maximum information gathered in as few items possible) relative to the full-length scales as well as relative to other scales in the full GAIN-I. Analyses of the interpretive cut-scores provide accurate identification of cases with high sensitivity and specificity, thus supporting the screeners’ capacity to triage.
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影响因子：
25.4
作者：
Clark, Lee Anna;Cuthbert, Bruce;Reed, Geoffrey M.
通讯作者：
Reed, Geoffrey M.
影响因子：
7.2
作者：
de Vet, Henrica C. W.;Mokkink, Lidwine B.;Terwee, Caroline B.
通讯作者：
Terwee, Caroline B.
影响因子：
9.7
作者：
Andrews, Christina M.;Grogan, Colleen M.;Friedmann, Peter D.
通讯作者：
Friedmann, Peter D.
影响因子：
3.9
作者：
Chan, Ya-Fen;Dennis, Michael L.;Funk, Rodney R.
通讯作者：
Funk, Rodney R.
影响因子：
--
作者：
Barnaby, B;Drummond, C;Orrm, N
通讯作者：
Orrm, N