Faculty Collaboration Database

Methodology and Demographics of a Brief Adolescent Alcohol Screen Validation Study. Pediatr Emerg Care 2019 Nov;35(11):737-744

Date

11/08/2017

Pubmed ID

29112110

Pubmed Central ID

PMC5752626

DOI

10.1097/PEC.0000000000001221

Scopus ID

2-s2.0-85074553673 (requires institutional sign-in at Scopus site)   10 Citations

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.

Author List

Bromberg JR, Spirito A, Chun T, Mello MJ, Casper TC, Ahmad F, Bajaj L, Brown KM, Chernick LS, Cohen DM, Fein J, Horeczko T, Levas MN, McAninch B, Monuteaux M, Mull CC, Grupp-Phelan J, Powell EC, Rogers A, Shenoi RP, Suffoletto B, Vance C, Linakis JG, Pediatric Emergency Care Applied Research Network

Author

Michael Levas MD Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

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
Underage Drinking
United States