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Validating Consumption-Based Brief Screening for Youth Alcohol and Drug Problems

验证基于消费的青少年酒精和毒品问题的简短筛查

基本信息

批准号：
8629914
负责人：
CHRISTOPHER S MARTIN
金额：
$ 21.96万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-01-10 至 2017-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8629914
关键词：
Adolescent Adolescent and Young Adult Age Age of Onset Alcohol abuse Alcohol consumption Alcohols Area Cannabis Child Clinical Cohort Studies Communities Consumption DSM-IV Data Data Analyses Data Set Databases Diagnosis Diagnostic and Statistical Manual of Mental Disorders Disease Drug usage Ensure Epidemiology Ethnic Origin Ethnic group Frequencies Friends Future Health Internet Intervention Knowledge Longitudinal Studies Marijuana Marijuana Smoking National Institute on Alcohol Abuse and Alcoholism Outcome Patients Performance Pharmaceutical Preparations Physicians Policies Prevention Primary Health Care Race Reporting Research Respondent Risk Sampling Sampling Studies Schools Sensitivity and Specificity Severities Signal Transduction Specificity Surveys Symptoms Teenagers Testing Time Work Youth addiction adolescent alcohol aged alcohol screening alcohol use disorder base binge drinking brief screening college combat drinking high risk improved innovation interest performance tests public health relevance racial and ethnic screening underage drinking web site young adult

项目摘要

DESCRIPTION (provided by applicant): Screening, combined with appropriate intervention and referral, has the potential to significantly reduce alcohol and marijuana problems in youth. However, most screens perform poorly or have not been validated in youth, or are too long and unwieldy to be used in busy clinical settings. There is a great deal of interest in consumption-based youth screens that are developmentally graded and very brief, and that can detect both current substance problems as well as risk for future problems. A primary example is NIAAA's new Alcohol Screening Guide for Children and Adolescents, which uses questions about the frequency of alcohol use, and about friends' drinking, to identify youth that have or are at risk fr alcohol problems. Age-graded cut- points for the alcohol frequency question were derived from analyses of respondents age 12-18 in a representative, cross-sectional national survey using DSM-IV-based outcomes. However, much more work is needed to study the concurrent and predictive validity of such consumption- based screening. We propose to conduct secondary data analyses in five studies (three of which have long-term longitudinal data) to characterize the validity of consumption-based alcohol and marijuana screening in youth aged 8 to 20. We will study the performance of alcohol and marijuana consumption screening questions in children, adolescents and young adults, using epidemiologic samples, and studies of youth in primary care, in addictions treatment, and entering college. We will examine whether consumption-based screening is invariant by race- ethnicity. We will study screening cut-points in the context of proposed DSM-5 criteria for Alcohol and Cannabis Use Disorders, but will emphasize milder forms of substance problems that are more common in youth. We will disseminate our results by making new screening products easily accessed via a web site. Our results will inform NIAAA's ongoing efforts to develop an on-line CME course, and an interactive mobile web screening app, based on the Guide. This project is highly significant because it will greatly increase scientific knowledge supporting use of brief consumption-based alcohol and marijuana screening in youth.

描述（由申请人提供）：筛选，结合适当的干预和转诊，有可能显著减少青少年的酒精和大麻问题。然而，大多数筛查效果不佳，或者没有在青少年中得到验证，或者太长、太笨重，无法在繁忙的临床环境中使用。人们对基于消费的青少年筛查非常感兴趣，这种筛查可以根据青少年的发育程度进行分级，而且非常简短，既可以发现当前的物质问题，也可以发现未来问题的风险。一个主要的例子是NIAAA新的儿童和青少年酒精筛查指南，它使用关于酒精使用频率和朋友饮酒的问题来识别有或有酒精问题风险的青少年。酒精频率问题的年龄分级切点来自对12-18岁受访者的分析，这是一项有代表性的全国性横断面调查，使用基于dsm - iv的结果。然而，需要更多的工作来研究这种基于消费的筛查的并发性和预测性有效性。我们建议在五项研究中进行二次数据分析（其中三项具有长期纵向数据），以表征基于消费的酒精和大麻筛查在8至20岁青少年中的有效性。我们将研究酒精和大麻消费筛查问题在儿童、青少年和年轻人中的表现，使用流行病学样本，以及在初级保健、成瘾治疗和进入大学的青少年的研究。我们将研究是否基于消费的筛查是不变的种族-民族。我们将研究拟议的DSM-5酒精和大麻使用障碍标准背景下的筛选切割点，但将强调在青少年中更常见的较温和形式的物质问题。我们会在网站上公布我们的研究结果，使新的筛选产品易于查阅。我们的研究结果将为NIAAA继续开发在线CME课程和基于指南的交互式移动网络筛选应用程序提供信息。这个项目非常重要，因为它将大大增加科学知识，支持在青少年中使用基于消费的短暂酒精和大麻筛查。