Anthony Spirito1, Julie R Bromberg2,3, T Charles Casper4, Thomas H Chun2,3, Michael J Mello2,3, J Michael Dean4, James G Linakis5,3. 1. Departments of Psychiatry & Human Behavior and. 2. Emergency Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island. 3. Department of Emergency Medicine, Rhode Island Hospital, Providence, Rhode Island; and. 4. Department of Pediatrics & PECARN Data Coordinating Center, University of Utah, Salt Lake City, Utah. 5. Emergency Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island; james_linakis_phd@brown.edu.
Abstract
BACKGROUND AND OBJECTIVE: A multisite study was conducted to determine the psychometric properties of the National Institute of Alcohol Abuse and Alcoholism (NIAAA) 2-question alcohol screen within pediatric emergency departments (PEDs). METHODS: Participants (N = 4838) included 12- to 17-year-old subjects treated in 1 of the 16 participating PEDs across the United States. A criterion assessment battery (including the NIAAA 2-question alcohol screen and other measures of alcohol, drug use, and risk behaviors) was self-administered on a tablet computer. A subsample (n = 186) was re-administered the NIAAA 2-question screen 1 week later to assess test-retest reliability. RESULTS: Moderate to good test-retest reliability was demonstrated. A classification of moderate risk or higher on the screen had the best combined sensitivity and specificity for determining a diagnosis of alcohol use disorder (AUD) for all students. Any past year drinking among middle school students increased the odds of a diagnosis of an AUD according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria, whereas the optimal cutoff for high school ages was ≥3 drinking days in the past year. The optimal cutoff for drinking days determining a positive Alcohol Use Disorders Identification Test score among middle school subjects was ≥1 drinking day, whereas the optimal cutoff for high school subjects was ≥2 drinking days. CONCLUSIONS: The NIAAA 2-question screen is a brief, valid approach for alcohol screening in PEDs. A positive screen suggests that referral for further evaluation is indicated to determine if an adolescent has an AUD.
BACKGROUND AND OBJECTIVE: A multisite study was conducted to determine the psychometric properties of the National Institute of Alcohol Abuse and Alcoholism (NIAAA) 2-question alcohol screen within pediatric emergency departments (PEDs). METHODS:Participants (N = 4838) included 12- to 17-year-old subjects treated in 1 of the 16 participating PEDs across the United States. A criterion assessment battery (including the NIAAA 2-question alcohol screen and other measures of alcohol, drug use, and risk behaviors) was self-administered on a tablet computer. A subsample (n = 186) was re-administered the NIAAA 2-question screen 1 week later to assess test-retest reliability. RESULTS: Moderate to good test-retest reliability was demonstrated. A classification of moderate risk or higher on the screen had the best combined sensitivity and specificity for determining a diagnosis of alcohol use disorder (AUD) for all students. Any past year drinking among middle school students increased the odds of a diagnosis of an AUD according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria, whereas the optimal cutoff for high school ages was ≥3 drinking days in the past year. The optimal cutoff for drinking days determining a positive Alcohol Use Disorders Identification Test score among middle school subjects was ≥1 drinking day, whereas the optimal cutoff for high school subjects was ≥2 drinking days. CONCLUSIONS: The NIAAA 2-question screen is a brief, valid approach for alcohol screening in PEDs. A positive screen suggests that referral for further evaluation is indicated to determine if an adolescent has an AUD.
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Authors: Thomas H Chun; Anthony Spirito; William Rakowski; Gail D'Onofrio; Robert H Woolard Journal: Pediatr Emerg Care Date: 2011-09 Impact factor: 1.602
Authors: James G Linakis; Julie R Bromberg; T Charles Casper; Thomas H Chun; Michael J Mello; Hailey Ingebretsen; Anthony Spirito Journal: J Pediatr Date: 2019-04-06 Impact factor: 4.406
Authors: Jonathan G Tubman; Alan Meca; Seth J Schwartz; Maria Rosa Velazquez; Andrew W Egbert; Mary H Soares; Timothy Regan Journal: J Sch Nurs Date: 2019-08-27 Impact factor: 2.835
Authors: Anthony Spirito; Julie R Bromberg; T Charles Casper; Thomas Chun; Michael J Mello; Colette C Mull; Rohit P Shenoi; Cheryl Vance; Fahd Ahmad; Lalit Bajaj; Kathleen M Brown; Lauren S Chernick; Daniel M Cohen; Joel Fein; Timothy Horeczko; Michael N Levas; B McAninch; Michael C Monuteaux; Jackie Grupp-Phelan; Elizabeth C Powell; Alexander Rogers; Brian Suffoletto; James G Linakis Journal: Subst Use Misuse Date: 2019-02-06 Impact factor: 2.164
Authors: James G Linakis; Sarah A Thomas; Julie R Bromberg; T Charles Casper; Thomas H Chun; Michael J Mello; Rachel Richards; Fahd Ahmad; Lalit Bajaj; Kathleen M Brown; Lauren S Chernick; Daniel M Cohen; J Michael Dean; Joel Fein; Timothy Horeczko; Michael N Levas; B McAninch; Michael C Monuteaux; Colette C Mull; Jackie Grupp-Phelan; Elizabeth C Powell; Alexander Rogers; Rohit P Shenoi; Brian Suffoletto; Cheryl Vance; Anthony Spirito Journal: Subst Abus Date: 2021-07-08 Impact factor: 3.716