Psychometric synthesis of the Alcohol Use Disorders Identification Test (AUDIT)

IF 2.3 3区 心理学 Q2 PSYCHOLOGY, APPLIED
Yutong Chen, Leann Wills, Hannah Wise, Bradley T. Erford, Ruonan Yao
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Abstract

Hazardous or harmful alcohol use is very prevalent among the US population. With 15.1 million adults in the United States currently identified as having an alcohol use disorder, identifying hazardous and harmful drinking earlier is necessary for early intervention strategies. The Alcohol Use Disorders Identification Test's (AUDIT) strong psychometric properties lead it to be a screening tool of choice across countries, cultures, and subgroups. A psychometric analysis aggregates all available evidence of reliability and validity to support the use of an instrument for screening, diagnosis, and treatment planning. AUDIT internal consistency for the 10-item total scale was α = 0.817 (n = 247,963). The two-factor model had the most structure validity support and aggregated convergent validity comparisons with other alcohol use assessments ranged from r = 0.578 to r = 0.701. The optimal cutoff score for diagnostic validity was 6/7, rather than the 8 recommended by the AUDIT authors. Clinically appropriate use and interpretation of the AUDIT as well as study limitations and suggestions for future research were discussed.

Abstract Image

酒精使用障碍识别测试(AUDIT)的心理测量学综述
危险或有害饮酒在美国人口中非常普遍。目前,美国有 1510 万成年人被确认患有酒精使用障碍,因此有必要尽早识别危险和有害饮酒,以便采取早期干预策略。酒精使用障碍识别测验(AUDIT)具有很强的心理测量特性,因此在不同国家、文化和亚群体中都是首选的筛查工具。心理测量分析汇总了所有可用的信度和效度证据,以支持使用该工具进行筛查、诊断和治疗规划。AUDIT 10 项总量表的内部一致性为 α = 0.817(n = 247963)。双因素模型的结构效度最高,与其他酒精使用评估的聚合效度比较从 r = 0.578 到 r = 0.701 不等。诊断有效性的最佳临界值为 6/7,而不是 AUDIT 作者推荐的 8。会议讨论了 AUDIT 的临床适当使用和解释,以及研究的局限性和对未来研究的建议。
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来源期刊
CiteScore
5.40
自引率
13.00%
发文量
35
期刊介绍: Journal of Counseling & Development publishes practice, theory, and research articles across 18 different specialty areas and work settings. Sections include research, assessment and diagnosis, theory and practice, and trends.
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