[Determination of the concurrent validity of the CRAFT-d - a screening instrument for problematic alcohol consumption].
OBJECTIVE
The aim of this study was to determine the concurrent validity of the CRAFFT-d alcohol abuse screening test for adolescents.


METHODS
This criterion-related validity study compared the decisions of the CRAFFT-d with the decisions of the concurrently administered Alcohol Use Disorders Identification Test (AUDIT). Data was obtained from an online questionnaire including CRAFFT-d and AUDIT.


RESULTS
Of the 12250 participants, 54.2 % were found to have an alcohol use disorder due to the AUDIT. CRAFFT-d identifies 63.6 % with problematic alcohol consumption. The Phi-coefficient showed high agreement between AUDIT and CRAFFT-d classifications (Phi Phi = .57; chi(2) 3978.671**; df = 1, p > .001). At a score of 2 or higher, CRAFFT showed sensitivity of 88.8 % and specificity of 66.2 %.


CONCLUSIONS
The CRAFFT-d is a valid instrument for screening adolescents for problematic alcohol consumption. However, further comparison of CRAFFT items with diagnostic criteria for adolescents is needed.
Tossmann
Peter
P
delphi-Gesellschaft für Forschung, Beratung und Projektentwicklung mbH, Berlin. tossmann@delphi-gesellschaft.de
Kasten
Lorenz
L
Lang
Peter
P
Strüber
Evelin
E
D000293:Adolescent; D000437:Alcoholism / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D002648:Child; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D042241:Early Diagnosis; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008403:Mass Screening; D011594:Psychometrics / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D014175:Translating