Validation of an Online Version of the Alcohol Use Disorders Identification Test (AUDIT) for Alcohol Screening in Spanish University Students

Online alcohol screening may be helpful in preventing alcohol use disorders. We assessed psychometric properties of an online version of the Alcohol Use Disorders Identification Test (AUDIT) among Spanish university students. We used a longitudinal online survey (the UNIVERSAL project) of first-year...

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Detalhes bibliográficos
Autores: Ballester, Laura, Alayo, Itxaso, Vilagut, Gemma, Almenara, José, Cebriá, Ana Isabel, Echeburúa, Enrique, Gabilondo, Andrea, Gili, Margalida, Lagares, Carolina, Piqueras, José A., Roca, Miquel, Soto-Sanz, Victoria, Blasco, María Jesús, Castellví, Pere, Forero, Carlos G., Mortier, Philippe, Alonso, Jordi, Universal Study Group
Formato: artículo
Fecha de publicación:2021
País:España
Recursos:Universidad Miguel Hernández de Elche
Repositorio:REDIUMH. Depósito Digital de la UMH
OAI Identifier:oai:dnet:rediumh_____::019b16f98c1d334bd986fe0ece10848a
Acesso em linha:https://hdl.handle.net/11000/39849
Access Level:acceso abierto
Palavra-chave:Alcohol Use Disorders Identification Test (AUDIT)
university students
online survey
validity
CDU::1 - Filosofía y psicología::159.9 - Psicología
Descrição
Resumo:Online alcohol screening may be helpful in preventing alcohol use disorders. We assessed psychometric properties of an online version of the Alcohol Use Disorders Identification Test (AUDIT) among Spanish university students. We used a longitudinal online survey (the UNIVERSAL project) of first-year students (18–24 years old) in five universities, including the AUDIT, as part of the WHO World Mental Health International College Student (WMH-ICS) initiative. A reappraisal interview was carried out with the Timeline Followback (TLFB) for alcohol consumption categories and the Mini International Neuropsychiatric Interview (MINI) for alcohol use disorder. Reliability, construct validity and diagnostic accuracy were assessed. Results: 287 students (75% women) completed the MINI, of whom 242 also completed the TLFB. AUDIT’s Cronbach’s alpha was 0.82. The confirmatory factor analysis for the one-factor solution of the AUDIT showed a good fit to the data. Significant AUDIT score differences were observed by TLFB categories and by MINI disorders. Areas under the curve (AUC) were very large for dependence (AUC = 0.96) and adequate for consumption categories (AUC > 0.7). AUDIT cut-off points of 6/8 (women/men) for moderate-risk drinking and 13 for alcohol dependence showed sensitivity/specificity of 76.2%/78.9% and 56%/97.5%, respectively. The online version of the AUDIT is useful for detecting alcohol consumption categories and alcohol dependence in Spanish university students.

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