Measuring Alcohol Use Disorders at the Roadside

描述(由申请人提供)：这项提案寻求在国家公路安全和交通管理局(NHSTA)年度国家路边调查(NRS)的参与者中试行测试和完善酒精使用障碍(AUD)的简短筛查。有大量证据表明，在酒后驾车罪犯中，酗酒和酗酒者的比例过高，对公路和交通安全构成了重大威胁。我们寻求试行、测试和改进一个简短的AUD筛查程序，该筛查程序可以与NHTSA赞助的NRS一起使用，作为AUD的快速路边评估。这一筛查将有助于澄清一般司机，更具体地说，通过标准化呼气测试测量出血液酒精浓度升高的司机目前存在酒精问题的程度。如果成功，这项筛查将帮助政策制定者确定对酒后驾车罪犯的适当干预服务，并将横断面袋子读数与酗酒和依赖联系起来，这是未得到满足的治疗需求的信号。基于现有的科学证据，建议使用酒精使用障碍识别测试(AUDIT)的消费子量表和酒精使用障碍及相关残疾访谈时间表(AUDADIS)作为路边AUD的简短筛查工具。这项工作分为三个不同的阶段。第一阶段将需要进行100名司机的迷你可行性测试，以确定选定的受访者是否愿意回答这些问题。其次，将进行一项简短的200名司机的有效性/可靠性研究。第二阶段涉及在NHSTA NRS 600案例试点计划中管理筛选器。第三阶段将需要对数据进行分析，并向NHTSA提供支持，以便将AUD筛选器纳入2006年全国路边调查。这项工作的具体目标是：目标1：衡量路边调查参与者对通过其他调查程序验证的澳元问题的答复率。目标2：验证和改进一种简单的筛查工具，以在现实条件下检测司机的AUD(即路边研究领域，可以对晚上8点之间在高速公路上停留的司机的随机样本进行简短的调查和测试)。和凌晨4点)。目的3：初步评估路边袋子与AUD状态的关系。

DESCRIPTION (provided by applicant): This proposal seeks to pilot test and refine a brief screener for alcohol use disorders (AUDs) among participants in the National Highway Safety and Traffic Administration (NHSTA) Deciannual National Roadside Survey (NRS). There is a body of evidence that purports heavy and problem drinkers are overrepresented in the population of DUI offenders and pose a significant threat to highway and traffic safety. We seek to pilot test and refine a brief AUD screener that could be administered in conjunction with the NHTSA-sponsored NRS that would serve as a rapid roadside assessment of AUDs. This screener will help clarify the extent to which drivers in general, and more specifically, drivers with elevated blood alcohol concentrations as measured by standardized breath tests have current alcohol problems. If successful, this screening will aid policymakers in determining appropriate intervention services for DUI offenders as well as correlate cross-sectional BAG readings with alcohol abuse and dependence, a signal for unmet treatment need. Based on existing scientific evidence, the consumption subscale of the Alcohol Use Disorders Identification Test (AUDIT) and the Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS) are proposed as a brief roadside AUD screener. This work is divided into three distinct phases. Phase 1 will entail a 100-driver mini Feasibility Test to determine if selected respondents are willing to answer the items. Second, a brief 200-driver Validity/Reliability Study will be conducted. Phase 2 involves administration of the screener in the NHSTA NRS 600-case pilot program. Phase 3 will entail an analysis of data and support to NHTSA for inclusion of the AUD screener in the 2006 National Roadside Survey. The specific aims of this work are: Aim 1: To measure the response rate of participants in roadside surveys to AUD questions validated through other survey procedures. Aim 2: To validate and refine a brief screening instrument to detect AUDs among drivers under realistic conditions (i.e., roadside research arenas where brief surveys and tests can be administered to a random sample of motorists stopped on the highway between 8 p.m. and 4 a.m.). Aim 3: To conduct an initial assessment of the relationship between BAG at the roadside and AUD status.