Abstract
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.
| Original language | English (US) |
|---|---|
| Article number | e20182001 |
| Journal | Pediatrics |
| Volume | 143 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1 2019 |
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ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Predictive validity of a 2-question alcohol screen at 1-, 2-, and 3-year follow-up. / Linakis, James G.; Bromberg, Julie R.; Casper, T. Charles; Chun, Thomas H.; Mello, Michael J.; Richards, Rachel; Mull, Colette C.; Shenoi, Rohit P.; Vance, Cheryl; Ahmad, Fahd; Bajaj, Lalit; Brown, Kathleen M.; Chernick, Lauren S.; Cohen, Daniel M.; Fein, Joel; Horeczko, Timothy; Levas, Michael N.; McAninch, Brett; Monuteaux, Michael C.; Grupp-Phelan, Jackie; Powell, Elizabeth C.; Rogers, Alexander; Suffoletto, Brian; Dean, J. Michael; Spirito, Anthony.
In: Pediatrics, Vol. 143, No. 3, e20182001, 01.03.2019.Research output: Contribution to journal › Article
}
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
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
UR - http://www.scopus.com/inward/citedby.url?scp=85062765914&partnerID=8YFLogxK
U2 - 10.1542/peds.2018-2001
DO - 10.1542/peds.2018-2001
M3 - Article
C2 - 30783022
AN - SCOPUS:85062765914
VL - 143
JO - Pediatrics
JF - Pediatrics
SN - 0031-4005
IS - 3
M1 - e20182001
ER -