Validation of an Online Version of the Alcohol Use Disorders Identification Test (AUDIT) for Alcohol Screening in Spanish University Students
Por:
Ballester L, Alayo I, Vilagut G, Almenara J, Cebrià AI, Echeburúa E, Gabilondo A, Gili M, Lagares C, Piqueras JA, Roca M, Soto-Sanz V, Blasco MJ, Castellví P, G Forero C, Mortier P and Alonso J
Publicada:
1 may 2021
Ahead of Print:
14 may 2021
Resumen:
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.
Filiaciones:
Ballester L:
Health Services Research Group, IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), 08003 Barcelona, Spain
Department of Psychology, Girona University (UdG), 17004 Girona, Spain
CIBER Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Alayo I:
Health Services Research Group, IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), 08003 Barcelona, Spain
CIBER Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Vilagut G:
Health Services Research Group, IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), 08003 Barcelona, Spain
CIBER Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Almenara J:
Department of Biomedicine, Biotechnology and Public Health, Faculty of Nursing and Physiotherapy, University of Cádiz (UCA), 11009 Cádiz, Spain
Cebrià AI:
Department of Mental Health, Corporació Sanitaria Parc Taulí, 08208 Sabadell, Spain
CIBER Salud Mental (CIBERSAM), 28029 Madrid, Spain
Echeburúa E:
Department of Clinical and Health Psychology, University of the Basque Country (UPV-EHU), 20018 San Sebastián, Spain
BioDonostia Health Research Institute, Osakidetza, 20014 San Sebastián, Spain
Gabilondo A:
BioDonostia Health Research Institute, Osakidetza, 20014 San Sebastián, Spain
Gili M:
Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISBA), University of Balearic Islands (UIB), 07122 Palma de Mallorca, Spain
Lagares C:
Department of Statistic and Operational Research, Faculty of Medicine, University of Cádiz (UCA), 11009 Cádiz, Spain
:
Department of Health Psychology, Center for Applied Psychology, Faculty of Social and Health Sciences, Campus of Elche, Miguel Hernandez University of Elche (UMH), 03202 Elche, Spain
Roca M:
Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISBA), University of Balearic Islands (UIB), 07122 Palma de Mallorca, Spain
Soto-Sanz V:
Department of Health Psychology, Center for Applied Psychology, Faculty of Social and Health Sciences, Campus of Elche, Miguel Hernandez University of Elche (UMH), 03202 Elche, Spain
Blasco MJ:
Health Services Research Group, IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), 08003 Barcelona, Spain
CIBER Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Castellví P:
School of Medicine, International University of Catalonia (UIC), 08195 Sant Cugat del Vallès, Spain
G Forero C:
School of Medicine, International University of Catalonia (UIC), 08195 Sant Cugat del Vallès, Spain
Mortier P:
Health Services Research Group, IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), 08003 Barcelona, Spain
CIBER Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Alonso J:
Health Services Research Group, IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), 08003 Barcelona, Spain
CIBER Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Department of Experimental and Health Sciences, Pompeu Fabra University (UPF), 08003 Barcelona, Spain
Green Published, gold
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