Factorial Structure and Diagnostic Accuracy of a Digital Version of the Alcohol Use Disorders Identification Test (d-AUDIT) to Detect Hazardous and Problematic Drinking in Primary Care

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dc.catalogadoraba
dc.contributor.authorBarticevic Lantadilla, Nicolás A.
dc.contributor.authorPoblete A., Fernando
dc.contributor.authorZuzulich Pavez, María Soledad
dc.contributor.authorRodríguez, Victoria
dc.contributor.authorPedro, Jaime San
dc.contributor.authorBradshaw, Laura
dc.contributor.authorNorambuena, Pablo
dc.date.accessioned2024-07-12T21:20:40Z
dc.date.available2024-07-12T21:20:40Z
dc.date.issued2023
dc.description.abstractObjective: We studied the factorial structure and diagnostic performance in primary care of a digital version of the Alcohol Use Disorders Identification Test (d-AUDIT) for screening for excessive drinking. Method: In two primary care centers in Santiago, Chile, we conducted a cross-sectional study involving 330 people 18 years of age or older who had drunk alcohol six or more times in the last year. The d-AUDIT was developed from the paper version validated in Chile and was self-administered on 7-inch tablets. Trained psychologists evaluated the participants using a 1-year Timeline Followback and the alcohol use disorders section from the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. We used confirmatory factorial analysis to examine the structure of the d-AUDIT and areas under the receiver operating characteristic curves (AUCs) to examine the diagnostic performance of the d-AUDIT. Results: A two-factor model presented good overall fit, with item loads in the 0.53–0.88 range. The correlation among factors was.74, reflecting a good discrimi-nant validity. The total score and the Fast Alcohol Screening Test (FAST) score (i.e., bingeing, role failure, blackouts, and others’ concern items) obtained the best diagnostic performance for problematic drinking, with AUCs of 0.94 (CI [0.91, 0.97]) and 0.92 (CI [0.88, 0.96]), respectively. The FAST could differentiate hazardous drinking (cut point three in men and one in women) from problematic drinking (cut point four in men and two in women). Conclusions: We replicated prior factor analysis findings of a two-factor structure for the d-AUDIT with a good discrimi-nant validity. The FAST obtained excellent diagnostic performance and retained some ability to discriminate between hazardous and problematic drinking.
dc.description.funderFONIS
dc.description.funderChilean National Agency for Research and Development
dc.fechaingreso.objetodigital2024-09-04
dc.fuente.origenScopus
dc.identifier.doi10.15288/jsad.21-00460
dc.identifier.eissn1938-4114
dc.identifier.issn1937-1888
dc.identifier.scopusid2-s2.0-85165519654
dc.identifier.urihttps://doi.org/10.15288/jsad.21-00460
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/87074
dc.information.autorucEscuela de Medicina; Barticevic Lantadilla, Nicolás A.; 0000-0003-0067-0015; 125930
dc.information.autorucEscuela de Medicina; Poblete A., Fernando; S/I; 5451
dc.information.autorucEscuela de Enfermería; Zuzulich Pavez, María Soledad; S/I; 70639
dc.issue.numero3
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final464
dc.pagina.inicio456
dc.revistaJournal of Studies on Alcohol and Drugs
dc.rightsacceso restringido
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleFactorial Structure and Diagnostic Accuracy of a Digital Version of the Alcohol Use Disorders Identification Test (d-AUDIT) to Detect Hazardous and Problematic Drinking in Primary Care
dc.typeartículo
dc.volumen84
sipa.codpersvinculados125930
sipa.codpersvinculados5451
sipa.codpersvinculados70639
sipa.trazabilidadSCOPUS;2023-08-23
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