Reliability and validity of the alcohol use disorders identification test (AUDIT) imbedded within a general health risk screening questionnaire:: Results of a survey in 332 primary care patients
Reliability and validity of the alcohol use disorders identification test (AUDIT) imbedded within a general health risk screening questionnaire:: Results of a survey in 332 primary care patients
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DOI：
10.1111/j.1530-0277.2000.tb02037.x
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发表时间：
2000-05-01
影响因子：
3.2
通讯作者：
Decrey, H
中科院分区：
文献类型：
--
作者：
Daeppen, JB;Yersin, B;Decrey, H
背景资料：自我管理，一般健康风险筛查问卷，而病人在医生的办公室等待管理可能是一个合理的和省时的方法，以解决预防医学的要求，在一个典型的10分钟的医疗访问。心理测量学特征的酒精使用障碍识别测试（AUDIT）纳入健康问卷（H-AUDIT）尚未examined.Methods：的信度和效度的自我管理的AUDIT进行了比较之间的H-AUDIT和AUDIT作为一个单一的规模（S-AUDIT）在332初级保健患者。在完成H-AUDIT的166名受试者和完成S-AUDIT的166名受试者之间没有发现主要的人口统计学或酒精使用特征。采用斯皮尔曼相关系数估计166名完成H-AUDIT的被试的重测信度（0.88），内部一致性（各项目的总相关系数在0.38 ~ 0.69之间;克朗巴赫α指数0.85），用H-AUDIT的敏感性和特异性来识别受试者操作特征下的危险饮酒区（0.77）和酒精依赖者受试者操作特征下的脑区（0.89）]与完成S-AUMIT的166名个人获得的相同测量结果相似。结论：AUDIT纳入健康风险筛查问卷是一个可靠和有效的自我管理的工具，以确定风险饮酒者和酒精-初级保健机构中的受抚养人。
Background: Self-administered, general health risk screening questionnaires that are administered while patients wait in the doctor's office may be a reasonable and timesaving approach to address the requirements of preventive medicine in a typical 10-min medical visit. The psychometric characteristics of the Alcohol Use Disorders Identification Test (AUDIT) incorporated within a health questionnaire (H-AUDIT) have not been examined.Methods: The reliability and validity of the self-administered AUDIT were compared between the H-AUDIT and the AUDIT used as a single scale (S-AUDIT) in 332 primary care patients.Results: No major demographic or alcohol use characteristics were found between the 166 subjects who completed the H-AUDIT and the 166 individuals who completed the S-AUDIT. The test-retest reliability of the 166 subjects who completed the H-AUDIT [estimated by Spearman correlation coefficient at a 6-week interval (0.88), internal consistency (total correlation coefficients for all items ranged from 0.38 to 0.69; Cronbach alpha index 0.85), and the sensitivity and specificity of the H-AUDIT were used to identify at-risk drinkers' areas under receiver operating characteristic (0.77) and alcohol-dependent subjects' areas under receiver operating characteristic (0.89)] was similar to the same measurements obtained with the 166 individuals who completed the S-AUDIT.Conclusions: The AUDIT incorporated in a health risk screening questionnaire is a reliable and valid self-administered instrument to identify at-risk drinkers and alcohol-dependent individuals in primary care settings.