Psychometric properties of alcohol screening tests in the emergency department in Argentina, Mexico and the United States.
The objective of this article is to report psychometric characteristics of the AUDIT, CAGE, RAPS4, and TWEAK and to compare them across three countries: Argentina, Mexico, and the United States which used a similar protocol and methodology. Probability samples of patients 18 years and older were drawn from emergency departments in Mar del Plata, Argentina (n=780), Pachuca, Mexico (n=1624) and Santa Clara, U.S. (n=1220). Concurrent validity was assessed by comparing their performance against a diagnosis of alcohol dependence (DSM-IV) obtained through the Composite International Diagnostic Interview, and for the briefer measures, also by their correlation with the AUDIT. The internal consistency of the CAGE, RAPS4, and TWEAK scores was estimated by the KR-20 formula and by Cronbach's Alpha for the AUDIT. Corrected item-total correlation and D-values were used as item discrimination measures. In Argentina and Mexico the AUDIT and the RAPS4 showed the highest validity. Reliability of all instruments was higher in the US than in Argentina or Mexico. In all three countries, reliability of the TWEAK was lowest, while the AUDIT was highest. With a few exceptions, all items showed good discrimination powers.
Cremonte
Mariana
M
Consejo Nacional de Investigaciones Científicas y Técnicas, Facultad de Psicología Universidad Nacional de Mar del Plata, Centro Interdiscipliario de Investigaciones en Psicología Matemática y Experimental, (7600) Mar del Plata, Argentina. mcremont@mdp.edu.ar
Ledesma
Rubén Daniel
RD
Cherpitel
Cheryl J
CJ
Borges
Guilherme
G
D000328:Adult; D019973:Alcohol-Related Disorders / Q000175:diagnosis* / Q000523:psychology; D001118:Argentina; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000592:standards*; D008800:Mexico; D011594:Psychometrics; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires / Q000592:standards*; D014481:United States
Am J Drug Alcohol Abuse. 2000 Nov;26(4):683-702
11097199
J Stud Alcohol. 2005 Mar;66(2):165-73
15957667
Alcohol Clin Exp Res. 2003 May;27(5):826-34
12766628
Alcohol Alcohol. 2002 May-Jun;37(3):261-8
12003915
Clin Invest Med. 2007;30(1):33-41
17716538
Recent Dev Alcohol. 1998;14:383-96
9751955
Alcohol Clin Exp Res. 2007 Feb;31(2):185-99
17250609
Alcohol Alcohol. 2002 Sep-Oct;37(5):444-50
12217936
Subst Use Misuse. 2008;43(1):125-38
18189209
Arch Intern Med. 1998 Sep 14;158(16):1789-95
9738608
JAMA. 1984 Oct 12;252(14):1905-7
6471323
Alcohol Alcohol. 2005 Nov-Dec;40(6):584-9
16143704
Br J Gen Pract. 2001 Mar;51(464):206-17
11255902
Alcohol Alcohol. 2004 Nov-Dec;39(6):552-8
15351747
Rev Clin Esp. 1998 Jan;198(1):11-4
9534342
Alcohol Clin Exp Res. 2008 Feb;32(2):306-13
18162067
Alcohol Clin Exp Res. 2002 Feb;26(2):272-9
11964568
Arch Intern Med. 2000 Jul 10;160(13):1977-89
10888972
Ann Surg. 2005 Apr;241(4):541-50
15798453
Drug Alcohol Depend. 2003 Sep 10;71(3):275-80
12957345
Alcohol Clin Exp Res. 1993 Dec;17(6):1188-92
8116829
Am J Psychiatry. 1972 Sep;129(3):342-5
5053717
Alcohol Clin Exp Res. 2004 Jun;28(6):921-30
15201635
Addiction. 1993 Mar;88(3):349-62
8461852
Arch Psychiatr Nurs. 2008 Aug;22(4):190-9
18640538
Alcohol Clin Exp Res. 2003 Dec;27(12):1971-8
14691385
Am J Med. 1993 May;94(5):520-523
8498397
Behav Res Methods. 2009 Nov;41(4):1161-8
19897824
Drug Alcohol Depend. 2005 Nov 1;80(2):201-7
15896929
Pediatrics. 2000 Apr;105(4 Pt 2):948-53
10742352
Alcohol Clin Exp Res. 2005 Nov;29(11):2001-7
16340457
J Gen Intern Med. 2008 Jun;23(6):781-7
18421511
Drug Alcohol Depend. 1995 Dec;40(2):133-7
8745135
Drug Alcohol Depend. 2005 Sep 1;79(3):373-7
16102379
J Stud Alcohol. 2005 May;66(3):428-32
16047534
J Stud Alcohol. 2000 May;61(3):447-9
10807217