Drinking Frequency as a Brief Screen for Adolescent Alcohol Problems

Chung, Tammy; Smith, Gregory T.; Donovan, James M.; Windle, Michael; Faden, Vivian B.; Chen, Chiung M.; Martin, Christopher S.

doi:10.1542/peds.2011-1828

Cited by 75 publications

(88 citation statements)

References 21 publications

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“…The questions and clinical cut points against alcohol use disorders were established based on national epidemiologic survey data. 28 NIAAA' s screening instrument has been widely disseminated to practitioners across the United States. However, it has yet to be validated in a clinical sample.…”

Section: Discussionmentioning

confidence: 99%

“…The NIAAA' s adolescent alcohol screening tool was empirically developed from epidemiologic data 28 and has been widely disseminated. The current study is the first to examine the performance of the self-reported frequency of use item from this tool in a pediatric patient sample and the first formal extension of this tool to include drug and tobacco use.…”

Section: Discussionmentioning

confidence: 99%

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Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

et al. 2014

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BACKGROUND AND OBJECTIVE: The National Institute on Alcohol Abuse and Alcoholism developed an alcohol screening instrument for youth based on epidemiologic data. This study examines the concurrent validity of this instrument, expanded to include tobacco and drugs, among pediatric patients, as well as the acceptability of its self-administration on an iPad. METHODS: Five hundred and twenty-five patients (54.5% female; 92.8% African American) aged 12 to 17 completed the Brief Screener for Tobacco, Alcohol, and other Drugs (BSTAD) via interviewer-administration or self-administration using an iPad. Diagnostic and Statistical Manual, Fifth Edition substance use disorders (SUDs) were identified using a modified Composite International Diagnostic Interview-2 Substance Abuse Module. Receiver operating characteristic curves, sensitivities, and specificities were obtained to determine optimal cut points on the BSTAD in relation to SUDs. RESULTS: One hundred fifty-nine (30.3%) adolescents reported past-year use of ≥1 substances on the BSTAD: 113 (21.5%) used alcohol, 84 (16.0%) used marijuana, and 50 (9.5%) used tobacco. Optimal cut points for past-year frequency of use items on the BSTAD to identify SUDs were ≥6 days of tobacco use (sensitivity = 0.95; specificity = 0.97); ≥2 days of alcohol use (sensitivity = 0.96; specificity = 0.85); and ≥2 days of marijuana use (sensitivity = 0.80; specificity = 0.93). iPad self-administration was preferred over interviewer administration (z = 5.8; P < .001). CONCLUSIONS: The BSTAD is a promising screening tool for identifying problematic tobacco, alcohol, and marijuana use in pediatric settings. Even low frequency of substance use among adolescents may indicate need for intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

et al. 2014

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“…It has also been shown that a single question screen based on drinking frequency can adequately identify youths with alcohol-related problems. 52,53 Bailey et al 53 used the frequency of binge drinking (question three of the AUDIT tool -six or more drinks in one drinking session) to identify risky drinking in young people. 53 Thus, there is no clear consensus on which screening tool should be used, the validity of lower AUDIT or AUDIT-C cut-off points for use with adolescent populations or as to what this score should be, and whether the AUDIT or AUDIT-C or another measure should be the screening measure of choice.…”

Section: Primary and Secondary Prevention Interventions For Risky Drimentioning

confidence: 99%

A pilot feasibility cluster randomised controlled trial of screening and brief alcohol intervention to prevent hazardous drinking in young people aged 14–15 years in a high school setting (SIPS JR-HIGH)

Newbury‐Birch

Scott

O’Donnell

et al. 2014

Public Health Research

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A pilot feasibility cluster randomised controlled trial of screening and brief alcohol intervention to prevent hazardous drinking in young people aged 14-15 years in a high school setting (SIPS JR-HIGH) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PHR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/phr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Public Health Research journalReports are published in Public Health Research (PHR) if (1) they have resulted from work for the PHR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Public Health Research are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. PHR programmeThe Public Health Research (PHR) programme, part of the National Institute for Health Research (NIHR), evaluates public health interventions, providing new knowledge on the benefits, costs, acceptability and wider impacts of non-NHS interventions intended to improve the health of the public and reduce inequalities in health. The scope of the programme is multi-disciplinary and broad, covering a range of interventions that improve public health. The Public Health Research programme also complements the NIHR Health Technology Assessment programme which has a growing portfolio evaluating NHS public health interventions.For more information about the PHR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/phr This reportThe research reported in this issue of the journal was funded by the PHR programme as project number 10/3002/07. The contractual start date was in October 2011. The final report began editorial review in September 2013 and was accepted for publication in June 2014. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PHR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the PHR programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors,...

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“…Thus, the frequency and amount of alcohol consumption are associated with alcohol-related risk behaviours (Munro & Learmonth 2004). Frequency of alcohol use has been extensively employed as an indicator of measuring drinking behaviour and has been proved to be an empirically supported brief screen for use with adolescents to identify alcohol-related problems (Chung et al 2012;Clark et al 2006).…”

Section: Alcohol Use Patternsmentioning

confidence: 99%

Socioeconomic inequalities in alcohol use of adolescents: the differences between China and Finland

Yang

Wang

Tynjälä

et al. 2012

Int J Public Health

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Drinking Frequency as a Brief Screen for Adolescent Alcohol Problems

Abstract: Drinking frequency provides an empirically supported brief screen to efficiently identify youth with alcohol-related problems.

Cited by 75 publications

References 21 publications

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

A pilot feasibility cluster randomised controlled trial of screening and brief alcohol intervention to prevent hazardous drinking in young people aged 14–15 years in a high school setting (SIPS JR-HIGH)

Socioeconomic inequalities in alcohol use of adolescents: the differences between China and Finland

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