Initial Validation of a Computerized Adaptive Test for Substance Use Disorder Identification in Adolescents
Bibliographic Data
| ID | 21645291 |
|---|---|
| Authors | Zachary W Adams (0000-0001-8336-0797, Indiana University, corresponding author), Leslie A Hulvershorn (0000-0001-5827-4889, Indiana University), Michael P Smoker (0000-0002-6515-7362, Indiana University), Brigid R Marriott (0000-0001-5241-8159, Indiana University), Matthew C Aalsma (0000-0001-5952-6785, Indiana University), Robert D Gibbons (0000-0002-6463-2280, Departments of Medicine and Public Health Sciences, The University of Chicago Biological Sciences) |
| Year | 2024 |
| Volume | 59 |
| Issue | 6 |
| Pages | 867-873 |
| Publication date | 2024-05-11 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Substance Use & Misuse (JOURNAL) |
| Journal identifiers | ISSN: 1082-6084 • E-ISSN: 1532-2491 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10826084.2024.2305801 |
| PMID | 38270342 |
| OpenAlex | W4391229988 |
| Language | EN |
| References cited | 20 |
PURPOSE: Computerized adaptive tests (CATs) are highly efficient assessment tools that couple low patient and clinician time burden with high diagnostic accuracy. A CAT for substance use disorders (CAT-SUD-E) has been validated in adult populations but has yet to be tested in adolescents. The purpose of this study was to perform initial evaluation of the K-CAT-SUD-E (i.e., Kiddy-CAT-SUD-E) in an adolescent sample compared to a gold-standard diagnostic interview. METHODS: tele-videoconferencing platform. The K-CAT-SUD-E assessed both current and lifetime overall SUD and substance-specific diagnoses for nine substance classes. RESULTS: Using the K-CAT-SUD-E continuous severity score and diagnoses to predict the presence of any K-SADS SUD diagnosis, the classification accuracy ranged from excellent for current SUD (AUC = 0.89, 95% CI = 0.81, 0.95) to outstanding (AUC = 0.93, 95% CI = 0.82, 0.97) for lifetime SUD. Regarding current substance-specific diagnoses, the classification accuracy was excellent for alcohol (AUC = 0.82), cannabis (AUC = 0.83) and nicotine/tobacco (AUC = 0.90). For lifetime substance-specific diagnoses, the classification accuracy ranged from excellent (e.g., opioids, AUC = 0.84) to outstanding (e.g., stimulants, AUC = 0.96). K-CAT-SUD-E median completion time was 4 min 22 s compared to 45 min for the K-SADS. CONCLUSIONS: This study provides initial support for the K-CAT-SUD-E as a feasible accurate diagnostic tool for assessing SUDs in adolescents. Future studies should further validate the K-CAT-SUD-E in a larger sample of adolescents and examine its acceptability, feasibility, and scalability in youth-serving settings
Computerized adaptive testing · Psychiatry · Psychometrics · Substance abuse · Substance use · Attention Deficit Hyperactivity Disorder · Clinical Psychology · Medicine · Neurotransmitter Receptor Influence on Behavior · Psychology · Substance Abuse Treatment and Outcomes · Internal Medicine
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| Citation velocity | historical |
|---|---|
| Highly cited | No |