|Titre :||A new brief screen for adolescent substance abuse (1999)|
|Auteurs :||K. R. KNIGHT ; L. A. SHRIER ; T. D. BRAVENDER ; M. FARRELL ; J. VANDER BILT ; H. J. SHAFFER|
|Type de document :||Article : Périodique|
|Dans :||Archives of Pediatrics and Adolescent Medicine (Vol.153, n°6, June 1999)|
|Article en page(s) :||591-596|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus mots-clésADOLESCENT ; PSYCHOMETRIE ; EPIDEMIOLOGIE DESCRIPTIVE ; ECHELLE D'EVALUATION ; REPERAGE PRECOCE ; POSIT ; CRAFFT ; TEST ; DEPISTAGE ; EFFICACITE
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.
|Domaine :||Alcool / Alcohol ; Drogues illicites / Illicit drugs|
|Refs biblio. :||35|
|Affiliation :||Children's Hospital. 300 Longwood Ave, Boston, MA 02115, USA|