1. Methodology and Demographics of a Brief Adolescent Alcohol Screen Validation Study
- Author
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Bromberg, Julie R, Spirito, Anthony, Chun, Thomas, Mello, Michael J, Casper, T Charles, Ahmad, Fahd, Bajaj, Lalit, Brown, Kathleen M, Chernick, Lauren S, Cohen, Daniel M, Fein, Joel, Horeczko, Tim, Levas, Michael N, McAninch, Brett, Monuteaux, Michael, Mull, Colette C, Grupp-Phelan, Jackie, Powell, Elizabeth C, Rogers, Alexander, Shenoi, Rohit P, Suffoletto, Brian, Vance, Cheryl, Linakis, James G, and Network, Pediatric Emergency Care Applied Research
- Subjects
Paediatrics ,Biomedical and Clinical Sciences ,Screening And Brief Intervention For Substance Abuse ,Prevention ,Underage Drinking ,Clinical Research ,Emergency Care ,Alcoholism ,Alcohol Use and Health ,Substance Misuse ,Pediatric ,Pediatric Research Initiative ,Mental health ,Good Health and Well Being ,Adolescent ,Child ,Emergency Service ,Hospital ,Female ,Humans ,Male ,Mass Screening ,National Institute on Alcohol Abuse and Alcoholism (U.S.) ,Reproducibility of Results ,Risk Assessment ,Surveys and Questionnaires ,United States ,alcohol screening ,brief intervention ,referral to treatment ,SBIRT ,adolescent ,Pediatric Emergency Care Applied Research Network ,Paediatrics and Reproductive Medicine ,Emergency & Critical Care Medicine - Abstract
OBJECTIVE:The aim of this study was to determine the psychometric properties of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) 2-question alcohol screen within 16 Pediatric Emergency Care Applied Research Network pediatric emergency departments. This article describes the study methodology, sample characteristics, and baseline outcomes of the NIAAA 2-question screen. METHODS:Participants included 12- to 17-year-olds treated in one of the participating pediatric emergency departments across the United States. After enrollment, a criterion assessment battery including the NIAAA 2-question screen and other measures of alcohol, drug use, and risk behavior was self-administered by participants on a tablet computer. Two subsamples were derived from the sample. The first subsample was readministered the NIAAA 2-question screen 1 week after their initial visit to assess test-retest reliability. The second subsample is being reassessed at 12 and 24 months to examine predictive validity of the NIAAA 2-question screen. RESULTS:There were 4834 participants enrolled into the study who completed baseline assessments. Participants were equally distributed across sex and age. Forty-six percent of the participants identified as white, and 26% identified as black. Approximately one quarter identified as Hispanic. Using the NIAAA 2-question screen algorithm, approximately 8% were classified as low risk, 12% were classified as moderate risk, and 4% were classified as highest risk. Alcohol use was less likely to be reported by black participants, non-Hispanic participants, and those younger than 16 years. DISCUSSION:This study successfully recruited a large, demographically diverse sample to establish rates of the NIAAA screen risk categories across age, sex, ethnicity, and race within pediatric emergency departments.
- Published
- 2017