Karolinska Institutet, Department of Clinical Neuroscience, Center for Research in Psychiatry, Division of Social and Forensic Psychiatry, Huddinge, Sweden.
Addict Behav. 2010 May;35(5):464-70. doi: 10.1016/j.addbeh.2009.12.021. Epub 2010 Jan 4.
A Swedish web-based service (www.escreen.se) offers self-assessment and self-monitoring of alcohol and drug use via on-line screening with the Alcohol Use Disorders Identification Test (AUDIT) and the Drug Use Disorders Identification Test (DUDIT) as well as in-depth risk assessment using extended versions of both tests (Alcohol-E and DUDIT-E). Users receive individualized feedback concerning their alcohol and drug consumption and can follow their alcohol and drug use over time in personal diagrams and by writing in an electronic diary. This study describes user characteristics, service utilization patterns, and psychometric test properties for 2361 individuals who created a valid account over 20 months starting in February 2007. Problematic alcohol use according to AUDIT criteria was indicated for 67.4%, while 46.0% met DUDIT criteria for problematic drug use. Men and women accessed the service equally, with a mean age of 23 years. Internal consistency reliability figures were 0.90 for 1846 first-time AUDIT users and 0.97 for 1211 first-time DUDIT users; among 213 second-time AUDIT users reliability was 0.93, and 0.96 for 97 second-time DUDIT users. Internet-based alcohol and drug monitoring could function as a self-help tool or as a complement to substance abuse treatment.
瑞典的一个网络服务(www.escreen.se)提供了一种自我评估和自我监测酒精和药物使用的方法,即通过在线酒精使用障碍识别测试(AUDIT)和药物使用障碍识别测试(DUDIT)进行在线筛查,以及使用这两个测试的扩展版本进行深入的风险评估(酒精-E 和 DUDIT-E)。用户会收到关于他们的酒精和药物消费的个性化反馈,并且可以在个人图表中跟踪他们的酒精和药物使用情况,并通过电子日记进行记录。本研究描述了自 2007 年 2 月开始的 20 个月内,2361 名创建有效账户的用户的用户特征、服务使用模式和心理测试特性。根据 AUDIT 标准,有 67.4%的人存在酒精使用问题,而根据 DUDIT 标准,有 46.0%的人存在药物使用问题。男性和女性使用该服务的比例相当,平均年龄为 23 岁。对于 1846 名首次使用 AUDIT 的用户,内部一致性可靠性系数为 0.90;对于 1211 名首次使用 DUDIT 的用户,可靠性系数为 0.97;对于 213 名第二次使用 AUDIT 的用户,可靠性系数为 0.93;对于 97 名第二次使用 DUDIT 的用户,可靠性系数为 0.96。基于互联网的酒精和药物监测可以作为自我帮助工具,也可以作为药物滥用治疗的补充。
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