@article{9befc7ff5f8649309f0b84a6040bbbf5,
title = "Methodology and Demographics of a Brief Adolescent Alcohol Screen Validation Study",
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.",
keywords = "SBIRT, adolescent, alcohol screening, brief intervention, referral to treatment",
author = "Bromberg, {Julie R.} and Anthony Spirito and Thomas Chun and Mello, {Michael J.} and Casper, {T. Charles} and Fahd Ahmad and Lalit Bajaj and Brown, {Kathleen M.} and Chernick, {Lauren S.} and Cohen, {Daniel M.} and Joel Fein and Tim Horeczko and Levas, {Michael N.} and Brett McAninch and Michael Monuteaux and Mull, {Colette C.} and Jackie Grupp-Phelan and Powell, {Elizabeth C.} and Alexander Rogers and Shenoi, {Rohit P.} and Brian Suffoletto and Cheryl Vance and Linakis, {James G.}",
note = "Funding Information: From the *Rhode Island Hospital; †The Warren Alpert Medical School of Brown University, Providence, RI; ‡University of Utah, Salt Lake City, UT; §St Louis Children's Hospital/Washington University, St. Louis, MO; ||Children's Hospital Colorado, Aurora, CO; ¶Children's National Medical Center, Washington, DC; #Columbia University/Children's Hospital of New York-Presbyterian, New York, NY; **Nationwide Children's Hospital, Columbus, OH; ††The Children's Hospital of Philadelphia, Philadelphia, PA; ‡‡Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Los Angeles, CA; §§Medical College of Wisconsin, Milwaukee, WI; ||||University of Pittsburgh/Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA; ¶¶Boston Children's Hospital, Boston, MA; ##Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE; ***Cincinnati Children's Hospital Medical Center, Cincinnati, OH; †††Lurie Children's Hospital of Chicago, Chicago, IL; ‡‡‡University of Michigan, Ann Arbor, MI; §§§Baylor College of Medicine/Texas Children's Hospital, Houston, TX; and ||||||University of California, Davis, CA. Disclosure: The authors declare no conflict of interest. Reprints: Julie R. Bromberg, MPH, Department of Emergency Medicine, Rhode Island Hospital, 593 Eddy St, Claverick Bldg, 2nd Floor, Providence, RI 02903 (e‐mail: jbromberg@lifespan.org). Supported in part by NIAAA 1R01AA021900 to A.S. and J.G.L. This project is supported in part by the Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB), and Emergency Medical Services for Children Network Development Demonstration Program under cooperative agreement number U03MC00008 and is partially support by MCHB cooperative agreements U03MC00001, U03MC00003, U03MC00006, U03MC00007, U03MC22684, and U03MC22685. The information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by, HRSA, HHS, or the US Government. Copyright {\textcopyright} 2017 Wolters Kluwer Health, Inc. All rights reserved. ISSN: 0749-5161 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. Publisher Copyright: {\textcopyright} 2019 Wolters Kluwer Health, Inc. All rights reserved.",
year = "2019",
month = nov,
day = "1",
doi = "10.1097/PEC.0000000000001221",
language = "English (US)",
volume = "35",
pages = "737--744",
journal = "Pediatric Emergency Care",
issn = "0749-5161",
publisher = "Lippincott Williams and Wilkins",
number = "11",
}
