Do words matter? Incongruent responses to inconsistently worded AUDIT-C alcohol screening instruments.

Do words matter? Incongruent responses to inconsistently worded AUDIT-C alcohol screening instruments.
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DOI:
10.1080/08897077.2011.600673
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发表时间:
2011-10
期刊:
影响因子:
3.5
通讯作者:
Erlen JA
Erlen JA
中科院分区:
医学3区
文献类型:
--
作者:
Broyles LM;Gordon AJ;Sereika SM;Ryan CM;Erlen JA

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The first three questions of the Alcohol Use Disorders Identification Test (AUDIT-C) are often used as a brief alcohol screening instrument. However, the implications of common modifications made to the original AUDIT questions and response options have not been considered. We examined existing data from a randomized controlled trial of 310 persons with HIV/AIDS which was testing the efficacy of two antiretroviral medication adherence interventions. Logistic regression was used to model the probability of participants having inconsistent AUDIT-C item responses. Three patterns of conflicting responses to the AUDIT-C items were identified. Common item modifications resulted in 14% (n=48) of the parent study sample reporting conflicting responses across related AUDIT-C items. The odds of having conflicting data were three times greater in opioid users [OR=3.139, 95%CI=(1.267–7.777), p=0.01] and greater in persons with higher levels of conscientiousness [OR=1.053, 95%CI=(1.006–1.103), p=0.03]. Inconsistent question format and response options may impede proper scoring and interpretation of the AUDIT-C. Further discussion and consensus-building is needed on the psychometrically ideal version of the AUDIT-C.
DOI: 10.1097/01.alc.0000164374.32229.a2
发表时间: 2005-05-01
期刊: ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH
影响因子: --
作者:
Dawson, DA;Grant, BF;Zhou, Y
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