The AUDIT alcohol consumption questions: Reliability, validity, and responsiveness to change in older male primary care patients
The AUDIT alcohol consumption questions: Reliability, validity, and responsiveness to change in older male primary care patients
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DOI：
10.1111/j.1530-0277.1998.tb03991.x
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发表时间：
1998-11-01
影响因子：
3.2
通讯作者：
Fihn, SD
中科院分区：
文献类型：
--
作者：
Bradley, KA;McDonell, MB;Fihn, SD
目的：确定可靠性，有效性，并改变AUDIT（酒精使用障碍识别测试）的问题1至3关于酒精消费在初级保健设置的反应。患者：随机选择，男性普通医疗患者（n = 441）从三个VA医疗中心，谁有5个或更多的饮料含有酒精在过去的一年中，并愿意接受采访，他们的壁炉习惯，措施：三个自我管理的审计消费问题进行了比较，电话管理版本的三级世界卫生组织采访酒精消费。结果如下：在393名符合条件的患者中，264名（67%）完成了访谈，根据AUDIT，基线和3个月后重复测量的四个消费维度之间的重测信度相关性在表示他们没有改变饮酒的患者中范围为0.65至0.85（Kendall’s Tau-b），标准效度-AUDIT与访谈在饮酒量四个维度上的相关系数在0.47 ~ 0.66之间（Kendall's Tau-b），区分效度-AUDIT问题具有特异性（90 - 93%），但对于重度饮酒的相应标准仅具有中度敏感性（54 - 79%）。对变化的响应性-AUDIT消费问题的Guyatt响应性统计值为1.04，用于检测7杯/周的变化，表明对变化的响应性极佳。结论：AUDIT问题1至3表现出中等至良好的效度，但良好的信度和变化的反应。虽然他们往往低估了大量饮酒，根据采访，他们表现得足以作为一个替代措施的消费在临床试验中的大量饮酒者在这一人群。
Objectives: To determine the reliability, validity, and responsiveness to change of AUDIT (Alcohol Use Disorders Identification Test) questions 1 to 3 about alcohol consumption in a primary care setting. Patients: Randomly selected, male general medical patients (n = 441) from three VA Medical Centers, who had 5 or more drinks containing alcohol in the past year and were willing to be interviewed about their hearth habits, Measures: Three self-administered AUDIT consumption questions were compared with a telephone-administered version of the trilevel World Health Organization interview about alcohol consumption. Results: Of 393 eligible patients, 264(67%) completed interviews, Test-retest reliability-Correlations between baseline and repeat measures 3 months later for four dimensions of consumption according to the AUDIT, ranged from 0.65 to 0.85 among patients who indicated they had not changed their drinking (Kendall's Tau-b), Criterion validity-Correlations between AUDIT and interview for four dimensions of alcohol consumption ranged from 0.47 to 0.66 (Kendall's Tau-b), Discriminative validity - The AUDIT questions were specific (90 to 93%), but only moderately sensitive (54 to 79%), for corresponding criteria for heavy drinking. Responsiveness to change - The AUDIT consumption questions had a Guyatt responsiveness statistic of 1.04 for detecting a change of 7 drinks/week, suggesting excellent responsiveness to change. Conclusions: AUDIT questions 1 to 3 demonstrate moderate to good validity, but excellent reliability and responsiveness to change. Although they often underestimate heavy alcohol consumption according to interview, they performed adequately to be used as a proxy measure of consumption in a clinical trial of heavy drinkers in this population.