Knight John R, Harris Sion K, Sherritt Lon, Van Hook Shari, Lawrence Nohelani, Brooks Traci, Carey Peggy, Kossack Robert, Kulig John
Departmernt of Pediatrics, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Subst Abus. 2007;28(4):107-17. doi: 10.1300/J465v28n04_03.
To assess adolescents' preferences for substance abuse screening in primary medical care settings.
DESIGN/METHODS: Twelve- to 18-year-old patients (N = 2133) arriving for routine care at a network of primary care sites completed an interview that included demographic items, the CRAFFT screen, and a questionnaire assessing preferences for screening method (paper questionnaire, computer, oral interview by nurse or doctor). A subgroup (n = 222) completed the CRAFFT directly on the computer.
Across the entire sample, paper was the screening administration method most preferred (mean rank (MR) = 2.92, 95%CI 2.87-2.96) vs. computer (MR = 2.38, 2.33-2.43), nurse (MR = 2.43, 2.39-2.47), and doctor (MR = 2.30, 2.25-2.35). Among the participants who received the screening on the computer, however, computer (MR = 3.08, 95%CI 2.42-2.52) was statistically tied with paper (MR = 2.88, 2.75-3.02) and both were ranked significantly higher than nurse (MR = 2.06, 1.94-2.17) and doctor (MR = 1.98, 1.82-2.14). The findings were similar for participants' reports of being "very likely" to be honest when answering substance abuse screening questions.
Adolescents should ideally be screened for substance abuse using paper or computer questionnaires.
评估青少年在初级医疗保健机构中对药物滥用筛查方式的偏好。
设计/方法：在一个初级保健机构网络中接受常规护理的12至18岁患者（N = 2133）完成了一项访谈，其中包括人口统计学项目、CRAFFT筛查，以及一份评估筛查方式偏好的问卷（纸质问卷、电脑、护士或医生进行的口头访谈）。一个亚组（n = 222）直接在电脑上完成了CRAFFT筛查。
在整个样本中，纸质问卷是最受青睐的筛查管理方式（平均排名（MR）= 2.92，95%置信区间2.87 - 2.96），相比之下，电脑（MR = 2.38，2.33 - 2.43）、护士（MR = 2.43，2.39 - 2.47）和医生（MR = 2.30，2.25 - 2.35）的方式较不受青睐。然而，在通过电脑进行筛查的参与者中，电脑（MR = 3.08，95%置信区间2.42 - 2.52）在统计学上与纸质问卷（MR = 2.88，2.75 - 3.02）相当，且两者的排名均显著高于护士（MR = 2.06，1.94 - 2.17）和医生（MR = 1.98，1.82 - 2.14）。对于参与者报告在回答药物滥用筛查问题时“非常可能”诚实的情况，研究结果相似。
理想情况下，应该使用纸质或电脑问卷对青少年进行药物滥用筛查。
