TY - JOUR
T1 - Predictive validity of a 2-question alcohol screen at 1-, 2-, and 3-year follow-up
AU - Linakis, James G.
AU - Bromberg, Julie R.
AU - Casper, T. Charles
AU - Chun, Thomas H.
AU - Mello, Michael J.
AU - Richards, Rachel
AU - Mull, Colette C.
AU - Shenoi, Rohit P.
AU - Vance, Cheryl
AU - Ahmad, Fahd
AU - Bajaj, Lalit
AU - Brown, Kathleen M.
AU - Chernick, Lauren S.
AU - Cohen, Daniel M.
AU - Fein, Joel
AU - Horeczko, Timothy
AU - Levas, Michael N.
AU - McAninch, Brett
AU - Monuteaux, Michael C.
AU - Grupp-Phelan, Jackie
AU - Powell, Elizabeth C.
AU - Rogers, Alexander
AU - Suffoletto, Brian
AU - Dean, J. Michael
AU - Spirito, Anthony
N1 - Funding Information:
FUNDING: Supported in part by the National Institute on Alcohol Abuse and Alcoholism (1R01AA021900; Drs Spirito and Linakis). This project is supported in part by the Health Resources and Services Administration, the Maternal and Child Health Bureau, and the Emergency Medical Services for Children Network Development Demonstration Project under cooperative agreements U03MC00008, U03MC00001, U03MC00003, U03MC00006, U03MC00007, U03MC22684, and U03MC22685. This information and/or content and conclusions are those of the authors and should not be construed as the official position or policy of the Health Resources and Services Administration, the US Department of Health and Human Services, or the US government, nor should any endorsements from these entities be inferred. Funded by the National Institutes of Health (NIH).
Publisher Copyright:
Copyright © 2019 by the American Academy of Pediatrics.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - BACKGROUND: The National Institute on Alcohol Abuse and Alcoholism (NIAAA) 2-question screen abstract is a valid adolescent alcohol screening tool. No studies have examined if this tool predicts future alcohol problems. We conducted a study at 16 pediatric emergency departments to determine the tool's predictive validity for alcohol misuse and alcohol use disorders (AUDs). METHODS: Participants (N = 4834) completed a baseline assessment battery. A subsample of participants completed the battery at 1, 2, and 3 years follow up. RESULTS: Of the 2209 participants assigned to follow-up, 1611 (73%) completed a 1-year followup, 1591 (72%) completed a 2-year follow-up, and 1377 (62%) completed a 3-year follow-up. The differences in AUDs between baseline NIAAA screen nondrinkers and lower-risk drinkers were statistically significant at 1 year (P = .0002), 2 years (P, .0001), and 3 years (P = .0005), as were the differences between moderate-and highest-risk drinkers at 1 and 2 years (P, .0001 and P = .0088, respectively) but not at 3 years (P = .0758). The best combined score for sensitivity (86.2% at 1 year, 75.6% at 2 years, and 60.0% at 3 years) and specificity (78.1% at 1 year, 79.2% at 2 years, and 80.0% at 3 years) was achieved by using "lower risk" and higher as a cutoff for the prediction of a Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition diagnosis. CONCLUSIONS: The NIAAA 2-question screen can accurately characterize adolescent risk for future AUDs. Future studies are needed to determine optimaluse of the screen.
AB - BACKGROUND: The National Institute on Alcohol Abuse and Alcoholism (NIAAA) 2-question screen abstract is a valid adolescent alcohol screening tool. No studies have examined if this tool predicts future alcohol problems. We conducted a study at 16 pediatric emergency departments to determine the tool's predictive validity for alcohol misuse and alcohol use disorders (AUDs). METHODS: Participants (N = 4834) completed a baseline assessment battery. A subsample of participants completed the battery at 1, 2, and 3 years follow up. RESULTS: Of the 2209 participants assigned to follow-up, 1611 (73%) completed a 1-year followup, 1591 (72%) completed a 2-year follow-up, and 1377 (62%) completed a 3-year follow-up. The differences in AUDs between baseline NIAAA screen nondrinkers and lower-risk drinkers were statistically significant at 1 year (P = .0002), 2 years (P, .0001), and 3 years (P = .0005), as were the differences between moderate-and highest-risk drinkers at 1 and 2 years (P, .0001 and P = .0088, respectively) but not at 3 years (P = .0758). The best combined score for sensitivity (86.2% at 1 year, 75.6% at 2 years, and 60.0% at 3 years) and specificity (78.1% at 1 year, 79.2% at 2 years, and 80.0% at 3 years) was achieved by using "lower risk" and higher as a cutoff for the prediction of a Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition diagnosis. CONCLUSIONS: The NIAAA 2-question screen can accurately characterize adolescent risk for future AUDs. Future studies are needed to determine optimaluse of the screen.
UR - http://www.scopus.com/inward/record.url?scp=85062765914&partnerID=8YFLogxK
U2 - 10.1542/peds.2018-2001
DO - 10.1542/peds.2018-2001
M3 - Article
C2 - 30783022
AN - SCOPUS:85062765914
SN - 0031-4005
VL - 143
JO - Pediatrics
JF - Pediatrics
IS - 3
M1 - e20182001
ER -