Asadollahi Abdolrahim, Kaveh Mohammad Hossein, Saberi Laleh Fani, Karimi Masud, Ahmad Nobaya
Department of Gerontology, School of Health, Shiraz University of Medical Science, 3rd Floor, Razi Ave, Shiraz, 43400, Iran.
Australian Centre for Quality of Life, Deakin University, Melbourne, Australia.
J Cross Cult Gerontol. 2023 Mar;38(1):97-109. doi: 10.1007/s10823-023-09470-w. Epub 2023 Feb 16.
The CAGE questionnaire is an instrument, proved useful in helping to make a diagnosis of alcoholism. The questions focus on Cutting down, Annoyance by criticism, Guilty feeling, and Eye-openers. The questionnaire has been more pervasive simple tool than AUDIT and LAST scales to screen in busy medical settings where limited time is considered for adult patient interviews. The present study aimed to determine the reliability and validity of the CAGE questionnaire in Khuzistan province, Iran and evaluate its role in detecting alcohol-related problems. For this purpose, 382 men with mean age of 65 ± 5 were sampled by cluster-random sampling method in convenience model from the medical centers in eight counties of Khuzistan province during 2019 and they responded to the CAGE questionnaire. The coefficients of Cronbach's alpha (α = 0.82), convergent validity (0.73), divergent validity (-0.06), and criterion validity (0.87) were estimated (ρ < 0.01). The exploratory factor analysis demonstrated that the four -items related to the CAGE for the aged samples are organized into one factor, which clarifies 94% of the variance. Based on the results of the second-order confirmatory factor analysis, all factors were matched up well into a principal factor. Finally, the one -factor model was appropriate for the data by using the fit index techniques for adjusting the scale (AGFI = 0.81, TLI = 0.91, GFI = 0.93, RMSEA = 0.006, IFI = 0.94, NFI = 0.91, CFI = 0.97).The results could prove the well-adjusted reliability and validity of the CAGE and its usefulness for the relevant studies.
CAGE问卷是一种已被证明有助于诊断酒精中毒的工具。这些问题聚焦于减少饮酒量、因批评而烦恼、有负罪感以及清晨饮酒。在繁忙的医疗环境中，当考虑到成人患者访谈时间有限时，该问卷比酒精使用障碍识别测试（AUDIT）和酒精筛查测试（LAST）量表更具普遍性且使用更简便。本研究旨在确定CAGE问卷在伊朗胡齐斯坦省的信效度，并评估其在检测酒精相关问题中的作用。为此，2019年采用整群随机抽样法，从胡齐斯坦省八个县的医疗中心以便利抽样模式抽取了382名平均年龄为65±5岁的男性，他们对CAGE问卷进行了作答。估计了Cronbach's α系数（α = 0.82）、收敛效度（0.73）、发散效度（-0.06）和效标效度（0.87）（ρ < 0.01）。探索性因素分析表明，老年样本中与CAGE相关的四个项目被组织成一个因素，该因素解释了94%的方差。基于二阶验证性因素分析的结果，所有因素都很好地匹配到一个主因素中。最后，通过使用用于调整量表的拟合指数技术，单因素模型适用于这些数据（AGFI = 0.81，TLI = 0.91，GFI = 0.93，RMSEA = 0.006，IFI = 0.94，NFI = 0.91，CFI = 0.97）。结果可以证明CAGE具有良好的信效度，并且对相关研究有用。
