Effects of item sequence on the performance of the AUDIT in general practices
One important task in identifying subjects with alcohol use disorders (AUDs) in the general medical practice setting is the development of effective screening instruments. Sensitivity of screening questionnaires might differ according to the introductory items. This study compares two versions of th...
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| Veröffentlicht in: | Drug and alcohol dependence 2005-09, Vol.79 (3), p.373-377 |
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| creator | Bischof, G. Reinhardt, S. Grothues, J. Dybek, I. Meyer, C. Hapke, U. John, U. Rumpf, H.-J. |
| description | One important task in identifying subjects with alcohol use disorders (AUDs) in the general medical practice setting is the development of effective screening instruments. Sensitivity of screening questionnaires might differ according to the introductory items. This study compares two versions of the alcohol use disorders identification test (AUDIT) with varied item sequence randomly applied to patients derived from a sample of general practitioners (GP) patients.
Participants were recruited from general practices in two northern German cities; they received two different versions of the AUDIT, one group receiving the original version starting with three items addressing frequency and quantity of alcohol use (AUDIT1), and a second group receiving a version in which these items were put at the end of the questionnaire (AUDIT2). In total, 10.803 screenings were conducted (refusal rate: 5%). Alcohol use disorders were diagnosed using the Munich-Composite International Diagnostic Interview (M-CIDI).
Logistic regression analysis revealed that AUDIT1 subjects had higher scores in the consumption items of the AUDIT, whereas AUDIT2 subjects scored higher on items focussing on symptoms of alcohol dependence or abuse.
The sequence upon which items of the AUDIT are presented influences the report of drinking patterns and symptoms of alcohol use disorders in GP patients. |
| doi_str_mv | 10.1016/j.drugalcdep.2005.03.002 |
| format | Article |
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Participants were recruited from general practices in two northern German cities; they received two different versions of the AUDIT, one group receiving the original version starting with three items addressing frequency and quantity of alcohol use (AUDIT1), and a second group receiving a version in which these items were put at the end of the questionnaire (AUDIT2). In total, 10.803 screenings were conducted (refusal rate: 5%). Alcohol use disorders were diagnosed using the Munich-Composite International Diagnostic Interview (M-CIDI).
Logistic regression analysis revealed that AUDIT1 subjects had higher scores in the consumption items of the AUDIT, whereas AUDIT2 subjects scored higher on items focussing on symptoms of alcohol dependence or abuse.
The sequence upon which items of the AUDIT are presented influences the report of drinking patterns and symptoms of alcohol use disorders in GP patients.</description><identifier>ISSN: 0376-8716</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2005.03.002</identifier><identifier>PMID: 16102379</identifier><identifier>CODEN: DADEDV</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Addictive behaviors ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Alcohol ; Alcohol abuse ; Alcohol Drinking - epidemiology ; Alcohol Drinking - psychology ; Alcohol-Related Disorders - diagnosis ; Alcohol-Related Disorders - epidemiology ; Alcohol-Related Disorders - psychology ; Biological and medical sciences ; Drug addiction ; Factor Analysis, Statistical ; Family Practice - methods ; Female ; General practice ; Germany ; Germany - epidemiology ; Humans ; Item order effect ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Psychiatric Status Rating Scales - statistics & numerical data ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology. Psychiatry ; Screening ; Sensitivity and Specificity ; Sequences ; Surveys and Questionnaires ; Toxicology</subject><ispartof>Drug and alcohol dependence, 2005-09, Vol.79 (3), p.373-377</ispartof><rights>2005 Elsevier Ireland Ltd</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-ae44d64257003d65358248fc76d7b81ed77fb56895a5128b9e5013f53669a2e3</citedby><cites>FETCH-LOGICAL-c433t-ae44d64257003d65358248fc76d7b81ed77fb56895a5128b9e5013f53669a2e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.drugalcdep.2005.03.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,30979,45974</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17051053$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16102379$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bischof, G.</creatorcontrib><creatorcontrib>Reinhardt, S.</creatorcontrib><creatorcontrib>Grothues, J.</creatorcontrib><creatorcontrib>Dybek, I.</creatorcontrib><creatorcontrib>Meyer, C.</creatorcontrib><creatorcontrib>Hapke, U.</creatorcontrib><creatorcontrib>John, U.</creatorcontrib><creatorcontrib>Rumpf, H.-J.</creatorcontrib><title>Effects of item sequence on the performance of the AUDIT in general practices</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>One important task in identifying subjects with alcohol use disorders (AUDs) in the general medical practice setting is the development of effective screening instruments. Sensitivity of screening questionnaires might differ according to the introductory items. This study compares two versions of the alcohol use disorders identification test (AUDIT) with varied item sequence randomly applied to patients derived from a sample of general practitioners (GP) patients.
Participants were recruited from general practices in two northern German cities; they received two different versions of the AUDIT, one group receiving the original version starting with three items addressing frequency and quantity of alcohol use (AUDIT1), and a second group receiving a version in which these items were put at the end of the questionnaire (AUDIT2). In total, 10.803 screenings were conducted (refusal rate: 5%). Alcohol use disorders were diagnosed using the Munich-Composite International Diagnostic Interview (M-CIDI).
Logistic regression analysis revealed that AUDIT1 subjects had higher scores in the consumption items of the AUDIT, whereas AUDIT2 subjects scored higher on items focussing on symptoms of alcohol dependence or abuse.
The sequence upon which items of the AUDIT are presented influences the report of drinking patterns and symptoms of alcohol use disorders in GP patients.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol</subject><subject>Alcohol abuse</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Alcohol Drinking - psychology</subject><subject>Alcohol-Related Disorders - diagnosis</subject><subject>Alcohol-Related Disorders - epidemiology</subject><subject>Alcohol-Related Disorders - psychology</subject><subject>Biological and medical sciences</subject><subject>Drug addiction</subject><subject>Factor Analysis, Statistical</subject><subject>Family Practice - methods</subject><subject>Female</subject><subject>General practice</subject><subject>Germany</subject><subject>Germany - epidemiology</subject><subject>Humans</subject><subject>Item order effect</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Psychiatric Status Rating Scales - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Screening</subject><subject>Sensitivity and Specificity</subject><subject>Sequences</subject><subject>Surveys and Questionnaires</subject><subject>Toxicology</subject><issn>0376-8716</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkE1rGzEQhkVoid0kfyHo0t52O1qtpN2jm7itISUX5yxkaZTI7FeldaH_vnJs8LFzGRiemXl5CKEMSgZMft2XLh5eTWcdTmUFIErgJUB1RZasUW0BUMsPZAlcyaJRTC7Ip5T2kEu2cE0WTDKouGqX5Nfae7RzoqOnYcaeJvx9wMEiHQc6vyGdMPox9uZ95N9Hq5fHzZaGgb7igNF0dIrGzsFiuiUfvekS3p37Ddl-X28ffhZPzz82D6unwtacz4XBunayroQC4E4KLpqqbrxV0qldw9Ap5XdCNq0wglXNrkUBjHvBpWxNhfyGfDmdneKY06ZZ9yFZ7Doz4HhIOt-tW8VlBpsTaOOYUkSvpxh6E_9qBvpoUu_1xaQ-mtTAdTaZV-_PPw67Ht1l8awuA5_PgEnWdD5mRSFdOAWCgeCZ-3biMAv5EzDqZMPRsAsxm9duDP9P8w8aeZTU</recordid><startdate>20050901</startdate><enddate>20050901</enddate><creator>Bischof, G.</creator><creator>Reinhardt, S.</creator><creator>Grothues, J.</creator><creator>Dybek, I.</creator><creator>Meyer, C.</creator><creator>Hapke, U.</creator><creator>John, U.</creator><creator>Rumpf, H.-J.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope></search><sort><creationdate>20050901</creationdate><title>Effects of item sequence on the performance of the AUDIT in general practices</title><author>Bischof, G. ; Reinhardt, S. ; Grothues, J. ; Dybek, I. ; Meyer, C. ; Hapke, U. ; John, U. ; Rumpf, H.-J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-ae44d64257003d65358248fc76d7b81ed77fb56895a5128b9e5013f53669a2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Addictive behaviors</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcohol</topic><topic>Alcohol abuse</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Alcohol Drinking - psychology</topic><topic>Alcohol-Related Disorders - diagnosis</topic><topic>Alcohol-Related Disorders - epidemiology</topic><topic>Alcohol-Related Disorders - psychology</topic><topic>Biological and medical sciences</topic><topic>Drug addiction</topic><topic>Factor Analysis, Statistical</topic><topic>Family Practice - methods</topic><topic>Female</topic><topic>General practice</topic><topic>Germany</topic><topic>Germany - epidemiology</topic><topic>Humans</topic><topic>Item order effect</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Psychiatric Status Rating Scales - statistics & numerical data</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology. Psychiatry</topic><topic>Screening</topic><topic>Sensitivity and Specificity</topic><topic>Sequences</topic><topic>Surveys and Questionnaires</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bischof, G.</creatorcontrib><creatorcontrib>Reinhardt, S.</creatorcontrib><creatorcontrib>Grothues, J.</creatorcontrib><creatorcontrib>Dybek, I.</creatorcontrib><creatorcontrib>Meyer, C.</creatorcontrib><creatorcontrib>Hapke, U.</creatorcontrib><creatorcontrib>John, U.</creatorcontrib><creatorcontrib>Rumpf, H.-J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bischof, G.</au><au>Reinhardt, S.</au><au>Grothues, J.</au><au>Dybek, I.</au><au>Meyer, C.</au><au>Hapke, U.</au><au>John, U.</au><au>Rumpf, H.-J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of item sequence on the performance of the AUDIT in general practices</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2005-09-01</date><risdate>2005</risdate><volume>79</volume><issue>3</issue><spage>373</spage><epage>377</epage><pages>373-377</pages><issn>0376-8716</issn><eissn>1879-0046</eissn><coden>DADEDV</coden><abstract>One important task in identifying subjects with alcohol use disorders (AUDs) in the general medical practice setting is the development of effective screening instruments. Sensitivity of screening questionnaires might differ according to the introductory items. This study compares two versions of the alcohol use disorders identification test (AUDIT) with varied item sequence randomly applied to patients derived from a sample of general practitioners (GP) patients.
Participants were recruited from general practices in two northern German cities; they received two different versions of the AUDIT, one group receiving the original version starting with three items addressing frequency and quantity of alcohol use (AUDIT1), and a second group receiving a version in which these items were put at the end of the questionnaire (AUDIT2). In total, 10.803 screenings were conducted (refusal rate: 5%). Alcohol use disorders were diagnosed using the Munich-Composite International Diagnostic Interview (M-CIDI).
Logistic regression analysis revealed that AUDIT1 subjects had higher scores in the consumption items of the AUDIT, whereas AUDIT2 subjects scored higher on items focussing on symptoms of alcohol dependence or abuse.
The sequence upon which items of the AUDIT are presented influences the report of drinking patterns and symptoms of alcohol use disorders in GP patients.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>16102379</pmid><doi>10.1016/j.drugalcdep.2005.03.002</doi><tpages>5</tpages></addata></record> |
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| subjects | Addictive behaviors Adolescent Adult Adult and adolescent clinical studies Alcohol Alcohol abuse Alcohol Drinking - epidemiology Alcohol Drinking - psychology Alcohol-Related Disorders - diagnosis Alcohol-Related Disorders - epidemiology Alcohol-Related Disorders - psychology Biological and medical sciences Drug addiction Factor Analysis, Statistical Family Practice - methods Female General practice Germany Germany - epidemiology Humans Item order effect Logistic Models Male Medical sciences Middle Aged Psychiatric Status Rating Scales - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Screening Sensitivity and Specificity Sequences Surveys and Questionnaires Toxicology |
| title | Effects of item sequence on the performance of the AUDIT in general practices |
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