自动电话筛查饮酒问题。

Amy Rubin, Jeffrey P Migneault, Lisa Marks, Edward Goldstein, Kevin Ludena, Robert H Friedman
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引用次数: 34

摘要

目的:本研究评估了自动版本的酒精使用障碍识别测试(AUDIT)的测试重测信度和标准效度,这是一种酒精相关问题的筛选工具。参与者使用该系统了解和改变其饮酒行为的意愿也被评估。方法:参与者是202名通过报纸广告和传单招募的志愿者,这些广告和传单要求志愿者关注他们的饮酒问题,并愿意帮助测试一种筛查和转诊酒精问题的新方法。参与者被分成两组。招募的第一组受试者接受了两次电话连接通信(TLC)审计,间隔一周进行。第二组接受tlc审核一次,人工管理审核一次,间隔也是一周。结果:对102名受试者进行了重测信度评估;两组间审计评分的类内相关系数为0.87;非问题饮酒与问题饮酒的kappa(审计评分8分或以上)为0.89。效度研究将接下来100名参与者的TLC-AUDIT分数与由人类采访者管理的AUDIT问题进行了比较。类内相关系数为0.94;Kappa是0.75。在所有问题饮酒筛查呈阳性的参与者中,75%的人同意他们会“再次与电脑交谈,以更多地了解你的饮酒模式以及如何应对”。结论:自动电话技术可用于审计仪器的管理,具有较高的信度和效度。这项技术可以用于提供行为改变干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Automated telephone screening for problem drinking.

Objective: This study assessed test-retest reliability and criterion validity for an automated version of the Alcohol Use Disorders Identification Test (AUDIT), a screening tool for alcohol-related problems. Participants' willingness to use such a system to learn about and change their drinking behavior was also assessed.

Method: Participants were 202 callers recruited through newspaper ads and flyers asking for volunteers concerned about their drinking and willing to help test a new method of screening and referral for alcohol problems. Participants were divided into two groups. The first group of subjects recruited received the Telephone-Linked Communications (TLC)-AUDIT twice, administered a week apart. The second group received the TLC-AUDIT once and a human-administered AUDIT once, also a week apart.

Results: Test-retest reliability was assessed in 102 participants; the intraclass correlation of AUDIT scores between both administrations was .87; kappa for nonproblem versus problem drinking (AUDIT score of 8 or above) was .89. The validity study compared the TLC-AUDIT scores of the next 100 participants to AUDIT questions administered by a human interviewer. The intraclass correlation was .94; kappa was .75. Seventy-five percent of all participants who screened positive for problem drinking agreed they would "talk to a computer again to learn more about your drinking pattern and how to deal with it".

Conclusions: Automated telephone technology can be used to administer the AUDIT instrument with high levels of reliability and validity. This technology could be used to deliver behavioral change interventions.

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