Validating Consumption-Based Brief Screening for Youth Alcohol and Drug Problems

验证基于消费的青少年酒精和毒品问题的简短筛查

基本信息

批准号：
8790932
负责人：
CHRISTOPHER S MARTIN
金额：
$ 20.09万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-01-10 至 2017-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8790932
关键词：
Adolescent Adolescent and Young Adult Age Age of Onset Alcohol abuse Alcohol consumption Alcohols Area Child Clinical Cohort Studies Communities Consumption DSM-IV Data Data Analyses Data Set Databases Diagnosis Diagnostic and Statistical Manual of Mental Disorders Disease Drug usage Ensure Epidemiology Ethnic Origin Ethnic group Frequencies Friends Future Health Internet Intervention Knowledge Longitudinal Studies Marijuana National Institute on Alcohol Abuse and Alcoholism Outcome Patients Performance Pharmaceutical Preparations Physicians Policies Prevention Primary Health Care Race Reporting Research Respondent Risk Sampling Sampling Studies Schools Sensitivity and Specificity Severities Signal Transduction Specificity Surveys Symptoms Teenagers Testing Time Work Youth addiction adolescent alcohol aged alcohol screening alcohol use disorder base binge drinking brief screening college combat drinking high risk improved innovation interest marijuana use marijuana use disorder performance tests racial and ethnic screening underage drinking web site young adult

项目摘要

DESCRIPTION (provided by applicant): Screening, combined with appropriate intervention and referral, has the potential to significantly reduce alcohol and marijuana problems in youth. However, most screens perform poorly or have not been validated in youth, or are too long and unwieldy to be used in busy clinical settings. There is a great deal of interest in consumption-based youth screens that are developmentally graded and very brief, and that can detect both current substance problems as well as risk for future problems. A primary example is NIAAA's new Alcohol Screening Guide for Children and Adolescents, which uses questions about the frequency of alcohol use, and about friends' drinking, to identify youth that have or are at risk fr alcohol problems. Age-graded cut- points for the alcohol frequency question were derived from analyses of respondents age 12-18 in a representative, cross-sectional national survey using DSM-IV-based outcomes. However, much more work is needed to study the concurrent and predictive validity of such consumption- based screening. We propose to conduct secondary data analyses in five studies (three of which have long-term longitudinal data) to characterize the validity of consumption-based alcohol and marijuana screening in youth aged 8 to 20. We will study the performance of alcohol and marijuana consumption screening questions in children, adolescents and young adults, using epidemiologic samples, and studies of youth in primary care, in addictions treatment, and entering college. We will examine whether consumption-based screening is invariant by race- ethnicity. We will study screening cut-points in the context of proposed DSM-5 criteria for Alcohol and Cannabis Use Disorders, but will emphasize milder forms of substance problems that are more common in youth. We will disseminate our results by making new screening products easily accessed via a web site. Our results will inform NIAAA's ongoing efforts to develop an on-line CME course, and an interactive mobile web screening app, based on the Guide. This project is highly significant because it will greatly increase scientific knowledge supporting use of brief consumption-based alcohol and marijuana screening in youth.

描述（由申请人提供）：筛查，结合适当的干预和推荐，有可能大大减少青年中的酒精和大麻问题。但是，大多数屏幕的表现不佳或未在青年中得到验证，或者太长且笨拙，无法在繁忙的临床环境中使用。在基于消费的青年屏幕上，这些屏幕在发育中得分且非常简短，并且可以检测到当前物质问题以及未来问题的风险。一个主要的例子是NIAAA针对儿童和青少年的新酒精筛查指南，该指南使用有关酒精使用频率以及朋友喝酒的问题，以识别患有或面临危险的饮酒危险的青年。酒精频率问题的年龄级别的切点来自对使用基于DSM-IV的成果的代表，横断面的国家调查中的受访者的分析。但是，需要更多的工作来研究这种基于消费的筛查的并发和预测有效性。我们建议在五项研究（其中三项具有长期纵向数据）中进行次要数据分析，以表征8至20岁青年的基于消费的酒精和大麻筛查的有效性。我们将研究儿童，青少年和年轻人，使用流行病学样品和研究年轻人和研究年轻人和研究成果，并在成熟的小学上，研究了酒精和大麻消费筛查问题。我们将检查基于种族的基于消费的筛查是否不变。我们将在拟议的DSM-5酒精和大麻使用疾病标准的背景下研究筛查点，但将强调青年人更常见的较温和的物质问题。我们将通过通过网站轻松访问新的筛选产品来传播结果。我们的结果将为NIAAA持续开发在线CME课程以及基于指南的交互式移动网络筛选应用程序的持续努力。该项目非常重要，因为它将极大地增加科学知识，以支持对年轻人中简短的基于消费的酒精和大麻筛查的使用。