A Comparison of Alcohol Screening Instruments Among Under-Aged Drinkers Treated in Emergency Departments

Kelly, Thomas M.; Donovan, James M.; Kinnane, Janet M.; Taylor, David McDonald

doi:10.1093/alcalc/37.5.444

Cited by 63 publications

(44 citation statements)

References 31 publications

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“…Treated students had reduced the amount of alcohol abused per occasion after a 24-month follow-up, and lowered Alcohol Abuse Disorder Identification Test (AUDIT) and RAPI scores in comparison with the non-intervention group. 38 These results reinforce the idea that brief intervention strategies may be an intervention option for youths. The fact that in this study a minimal intervention as the brochure was effective in reducing alcohol consumption deserves to be highlighted.…”

Section: Main Outcomes 1) Alcohol Use Days No Significant Difference supporting

confidence: 64%

Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol related problems: a randomized single blind clinical trial

Segatto¹,

Andreoni²,

Silva³

et al. 2011

Rev. Bras. Psiquiatr.

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Objective: To evaluate the effectiveness of brief motivational interviewing and an educational brochure when delivered in emergency room to reduce alcohol abuse and related problems among adolescents and young adults. Method: A randomized single-blind clinical trial with a three-month follow-up was carried out at three emergency rooms from October 2004 to November 2005; subjects assessed were 16-25 years old treated for alcohol related events up to 6 hours after consumption. Socio-demographic data, quantity, frequency and negative consequences of alcohol consumption, motivation to change habits and future risk perception were evaluated. Statistical analysis was performed on subjects who completed follow-up (completers). ANCOVA model was used to analyze the difference between the intervention groups with statistical significance level α = 5% and confidence interval (CI) of 95%. Results: 186 subjects formed the initial sample, being 175 included and randomized to the educational brochure group (n = 88) or motivational interviewing group (n = 87). Follow-up assessment was performed in 85.2% of the sample. No significant difference between groups was observed. However, significant reductions (p < 0.01) in related problems and alcohol abuse were found in both groups. Conclusion: In this sample a reduction of alcohol use and related problems was observed. Preliminary data indicate that controlled clinical trials with motivational interviewing, educational brochure and nonintervention should be of future interest among Brazilian adolescent populations. Descriptors

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Section: Main Outcomes 1) Alcohol Use Days No Significant Difference supporting

confidence: 64%

Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol related problems: a randomized single blind clinical trial

Segatto¹,

Andreoni²,

Silva³

et al. 2011

Rev. Bras. Psiquiatr.

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“…In a reliability generalization analysis of studies that appeared in 2000 or before, Shields and Caruso (2003) calculated a median reliability of 0.81, with a range of 0.59 to 0.91. Our examination of 18 studies published since 2002 (Bergman and Kallmen, 2002;Bischof et al, 2005;Carey et al, 2003;Chung et al, 2002;Gache et al, 2005;Gomez et al, 2005;Kelly et al, 2002Kelly et al, , 2004Kokotailo et al, 2004;Leonardson et al, 2005;Lima et al, 2005;Neumann et al, 2004;O'Hare et al, 2004;Pal et al, 2004;Rumpf et al, 2002;Selin, 2003;Shields et al, 2004;Tsai et al, 2005), yielded a comparable median reliability coefficient of 0.83, with a range of 0.75 to 0.97.…”

Section: Reliability Of the Auditmentioning

confidence: 88%

The Alcohol Use Disorders Identification Test: An Update of Research Findings

Reinert

Allen

2007

Alcoholism Clin & Exp Res

1,179

922

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Background: The Alcohol Use Disorders Identification Test (AUDIT) has been extensively researched to determine its capability to accurately and practically screen for alcohol problems.Methods: During the 5 years since our previous review of the literature, a large number of additional studies have been published on the AUDIT, abbreviated versions of it, its psychometric properties, and the applicability of the AUDIT for a diverse array of populations. The current article summarizes new findings and integrates them with results of previous research. It also suggests some issues that we believe are particularly in need of further study.Results: A growing body of research evidence supports the criterion validity of English version of the AUDIT as a screen for alcohol dependence as well as for less severe alcohol problems. Nevertheless, the cut-points for effective detection of hazardous drinking as well as identification of alcohol dependence or harmful use in women need to be lowered from the originally recommended value of 8 points. The AUDIT-C, the most popular short version of the AUDIT consisting solely of its 3 consumption items, is approximately equal in accuracy to the full AUDIT. Psychometric properties of the AUDIT, such as test-retest reliability and internal consistency, are quite favorable. Continued research is urged to establish the psychometric properties of non-English versions of the AUDIT, use of the AUDIT with adolescents and with older adults, and selective inclusion of alcohol biomarkers with the AUDIT in some instances.Conclusions: Research continues to support use of the AUDIT as a means of screening for the spectrum of alcohol use disorders in various settings and with diverse populations.

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“…AUDIT helps identify whether an individual exhibits hazardous (or risky) drinking, harmful drinking or alcohol dependence 27 . AUDIT C (the first 3 questions on the AUDIT instrument, which are related to the frequency and amount of alcohol consumed) was used, as this version can be employed as a stand-alone screening measure to detect hazardous drinkers among adolescents 28,29 : (a) "How often did you have a drink containing alcohol in the past year? "; (b) "How many drinks containing alcohol did you have on a typical day when you were drinking?…”

Section: Methodsmentioning

confidence: 99%

Binge drinking and associated factors among adolescents in a city in southeastern Brazil: a longitudinal study

Jorge

Ferreira

et al. 2017

Cad. Saúde Pública

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The aim of this study was to investigate changes in the frequency of binge drinking and associated factors in the city of Belo Horizonte, Minas Gerais State, Brazil. The sample consisted of 436 adolescents. Data collection involved the Alcohol Use Disorders Identification Test and the Alcohol, Smoking and Substance Involvement Screening Test. Ordinal logistic regression was used in the multivariate analysis. An increase in the frequency of binge drinking was found among adolescents who lived in areas of greater social vulnerability (OR = 1.64; 95%CI: 1.01-2.68), those whose mothers consumed alcoholic beverages (OR = 1.75; 95%CI: 1.05-2.92), those whose fathers consumed alcoholic beverages (OR = 2.02; 95%CI: 1.11-3.68), those with an increased risk of tobacco use (OR = 2.82; 95%CI: 1.07-7.42) and those who attended religious services (OR = 2.10; 95%CI: 1.30-3.38). Knowledge regarding factors associated with a change in the frequency of binge drinking among adolescents can assist in the establishment of public policies directed at health promotion and the prevention of adverse health conditions.

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A Comparison of Alcohol Screening Instruments Among Under-Aged Drinkers Treated in Emergency Departments

Cited by 63 publications

References 31 publications

Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol related problems: a randomized single blind clinical trial

Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol related problems: a randomized single blind clinical trial

The Alcohol Use Disorders Identification Test: An Update of Research Findings

Binge drinking and associated factors among adolescents in a city in southeastern Brazil: a longitudinal study

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