J R Knight1, E Goodman, T Pulerwitz, R H DuRant. 1. Division on Addictions and Department of Pediatrics, Harvard Medical School, Division of General Pediatrics, Children's Hospital, Boston, Massachusetts 02115, USA. knight_j@hub.tch.harvard.edu
Abstract
OBJECTIVE: To determine the internal consistency and 1-week test-retest reliability of the Simple Screening Instrument for Alcohol and Other Drug Abuse (SSI-AOD), the CAGE-AA (CAGE questions adapted for adolescents), and 4 modified items from the Drug and Alcohol Problem QuickScreen (DAP-4) among adolescents. METHODS: Fifteen- to 18-year-old medical patients (n = 173) completed screening tests during a routine medical visit and then again 1 week later. Internal consistency for each test and retest was calculated using Cronbach's alpha, and 1-week test-retest reliability was calculated by using Winer's unbiased estimate of the intraclass correlation coefficient (r). RESULTS: The SSI-AOD has good internal consistency (alpha =.83) and the CAGE-AA questions acceptable internal consistency (alpha =.60). Alpha varied with gender and race, and item analysis indicated the CAGE-AA test could be improved. As expected, the DAP-4 had a lower alpha score (.46). All screening instruments studied had high 1-week test-retest reliabilities (range r =.82-.90). CONCLUSIONS: The SSI-AOD is a reliable substance abuse screening instrument among adolescent medical patients. The CAGE-AA questions must be further revised and tested before their use can be recommended. The DAP-4 questions are likely measuring different, but important, constructs.
OBJECTIVE: To determine the internal consistency and 1-week test-retest reliability of the Simple Screening Instrument for Alcohol and Other Drug Abuse (SSI-AOD), the CAGE-AA (CAGE questions adapted for adolescents), and 4 modified items from the Drug and Alcohol Problem QuickScreen (DAP-4) among adolescents. METHODS: Fifteen- to 18-year-old medical patients (n = 173) completed screening tests during a routine medical visit and then again 1 week later. Internal consistency for each test and retest was calculated using Cronbach's alpha, and 1-week test-retest reliability was calculated by using Winer's unbiased estimate of the intraclass correlation coefficient (r). RESULTS: The SSI-AOD has good internal consistency (alpha =.83) and the CAGE-AA questions acceptable internal consistency (alpha =.60). Alpha varied with gender and race, and item analysis indicated the CAGE-AA test could be improved. As expected, the DAP-4 had a lower alpha score (.46). All screening instruments studied had high 1-week test-retest reliabilities (range r =.82-.90). CONCLUSIONS: The SSI-AOD is a reliable substance abuse screening instrument among adolescent medical patients. The CAGE-AA questions must be further revised and tested before their use can be recommended. The DAP-4 questions are likely measuring different, but important, constructs.
Authors: Kathryn A Atchison; Claudia Der-Martirosian; Thomas R Belin; Edward E Black; Melanie W Gironda Journal: J Oral Maxillofac Surg Date: 2010-08-03 Impact factor: 1.895
Authors: Therese S Richmond; Douglas J Wiebe; Patrick M Reilly; John Rich; Justine Shults; Nancy Kassam-Adams Journal: JAMA Surg Date: 2019-09-01 Impact factor: 14.766
Authors: Dalissa R Sepúlveda; Lisl M Thomas; Sean Esteban McCabe; James A Cranford; Carol J Boyd; Christian J Teter Journal: J Pharm Pract Date: 2011-11-17
Authors: Kathryn A Atchison; Melanie W Gironda; Edward E Black; Stuart Schweitzer; Claudia Der-Martirosian; Alan Felsenfeld; Richard Leathers; Thomas R Belin Journal: J Oral Maxillofac Surg Date: 2007-12 Impact factor: 1.895