Historique
Article de Périodique
A new brief screen for adolescent substance abuse (1999)
Auteur(s) :
K. R. KNIGHT ;
L. A. SHRIER ;
T. D. BRAVENDER ;
M. FARRELL ;
J. VANDER BILT ;
H. J. SHAFFER
Article en page(s) :
591-596
Refs biblio. :
35
Domaine :
Alcool / Alcohol ; Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
ADOLESCENT
;
PSYCHOMETRIE
;
EPIDEMIOLOGIE DESCRIPTIVE
;
ECHELLE D'EVALUATION
;
REPERAGE PRECOCE
;
POSIT
;
CRAFFT
;
TEST
;
DEPISTAGE
;
EFFICACITE
Résumé :
OBJECTIVE. To develop a brief alcohol and other drug (AOD) screening test for adolescents.
METHODS. A 9-item test was constructed by combining and modifying items from several AOD assessments, and administered concurrently with the Personal Involvement With Chemicals Scale (PICS), the criterion standard.
SETTING. A hospital-based adolescent clinic.
SUBJECTS. Fourteen- to 18-year-old patients consecutively arriving for routine medical care who were known to have used AOD.
MEASURES. Internal consistency of the 9 items was calculated using the Cronbach α. The relationship between the brief screen and PICS raw score was determined by stepwise linear regression analysis. The PICS T score has been shown to correctly classify substance abuse treatment need as no treatment (T RESULTS. Ninety-nine adolescents were tested (70.7% female, 36.4% black, 32.3% white, 19.2% Hispanic, mean age, 16.3 years). The 9 items had good internal consistency (Cronbach α=.79). Stepwise linear regression analysis identified 6 items whose total combined score was highly correlated with PICS (Pearson r=0.84, P<.01 this model correctly classified of subjects according to the pics criteria. two or more yes answers had a sensitivity and specificity for intensive aod treatment need. items were arranged into mnemonic> CONCLUSIONS. Further research must confirm the test's psychometric properties in a general clinic population. However, CRAFFT seems promising as a brief AOD screening test.
METHODS. A 9-item test was constructed by combining and modifying items from several AOD assessments, and administered concurrently with the Personal Involvement With Chemicals Scale (PICS), the criterion standard.
SETTING. A hospital-based adolescent clinic.
SUBJECTS. Fourteen- to 18-year-old patients consecutively arriving for routine medical care who were known to have used AOD.
MEASURES. Internal consistency of the 9 items was calculated using the Cronbach α. The relationship between the brief screen and PICS raw score was determined by stepwise linear regression analysis. The PICS T score has been shown to correctly classify substance abuse treatment need as no treatment (T RESULTS. Ninety-nine adolescents were tested (70.7% female, 36.4% black, 32.3% white, 19.2% Hispanic, mean age, 16.3 years). The 9 items had good internal consistency (Cronbach α=.79). Stepwise linear regression analysis identified 6 items whose total combined score was highly correlated with PICS (Pearson r=0.84, P<.01 this model correctly classified of subjects according to the pics criteria. two or more yes answers had a sensitivity and specificity for intensive aod treatment need. items were arranged into mnemonic> CONCLUSIONS. Further research must confirm the test's psychometric properties in a general clinic population. However, CRAFFT seems promising as a brief AOD screening test.
Affiliation :
Children's Hospital. 300 Longwood Ave, Boston, MA 02115, USA