Suitability of the PROMIS alcohol use short form for screening in a HIV clinical care setting
Suitability of the PROMIS alcohol use short form for screening in a HIV clinical care setting
复制标题
DOI：
10.1016/j.drugalcdep.2016.04.038
复制
发表时间：
2016-07-01
影响因子：
4.2
通讯作者：
Crane, Paul K.
中科院分区：
文献类型：
--
作者：
Gibbons, Laura E.;Fredericksen, Rob;Crane, Paul K.
背景：在临床环境中识别高风险饮酒对于促进干预措施非常重要。患者报告结果测量信息系统 (PROM'S) 酒精使用简表是通过项目反应理论过程开发的，但其作为临床护理中筛选工具的实用性尚未报道。目标：确定 PROMIS 酒精使用简表识别酒精使用障碍识别测试消费 (AUDIT-C) 仪器所定义的当前或未来有酒精使用风险的人的能力。方法：对 4 岁时临床护理中的艾滋病毒感染者 (PLWH) 进行观察性研究美国各地的网站。患者在预约就诊之前，先完成基于平板电脑的临床评估。我们使用了临床相关高危饮酒的 3 种定义，并确定了 PROMIS 仪器识别出的当前或未来高危饮酒的 PLWH 的比例。结果：在 2497 名在过去 12 个月内认可饮酒 >= 1 次的 PLWH 中，1500 名 PLWH (60%) 对所有 PROMIS 项目认可“从不”。在该组中，26% 的人有由一项或多项 AUDIT-C 定义定义的临床相关高危饮酒行为。随访时 (N = 1608)，高基线 PROMIS 评分对于基线时有饮酒风险的人来说，对高风险饮酒的敏感度为 55%，对于那些没有基线风险的人来说，敏感度为 22%。结论：PROMIS 酒精使用简表不能单独用于识别具有临床相关的高风险饮酒的 PLWH。对问题饮酒行为的最佳评估尚不清楚，但 PROMIS 仪器在这种临床环境中似乎没有发挥重要作用。 (C) 2016 Elsevier Ireland Ltd. 保留所有权利。
Background: At-risk alcohol use is important to identify in clinical settings to facilitate interventions. The Patient-Reported Outcomes Measurement Information System (PROM'S) Alcohol Use Short Form was developed through an item response theory process, but its utility as a screening instrument in clinical care has not been reported.Objective: To determine the ability of the PROMIS Alcohol Use Short Form to identify people with current or future at-risk alcohol use defined by the Alcohol Use Disorders Identification Test consumption (AUDIT-C) instrument.Methods: Observational study of people living with HIV (PLWH) in clinical care at four sites across the US. Patients completed a tablet-based clinical assessment prior to seeing their providers at clinic appointments. We used 3 definitions of clinically-relevant at-risk alcohol use and determined the proportion of PLWH with current or future at-risk drinking identified by the PROMIS instrument.Results: Of 2497 PLWH who endorsed >= 1 drink in the prior 12 months, 1500 PLWH (60%) endorsed "never" for all PROMIS items. In that group, 26% had clinically-relevant at-risk alcohol use defined by one or more AUDIT-C definitions. At follow-up (N = 1608), high baseline PROMIS scores had 55% sensitivity for at-risk drinking among those with at-risk drinking at baseline, and 22% sensitivity among those without baseline risk.Conclusions: The PROMIS Alcohol Use Short Form cannot be used alone to identify PLWH with clinically relevant at-risk alcohol use. Optimal assessment of problem drinking behavior is not clear, but there does not seem to be an important role for the PROMIS instrument in this clinical setting. (C) 2016 Elsevier Ireland Ltd. All rights reserved.