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测量酒精中毒:一种观察工具的开发、可靠性和有效性。

Measuring alcohol intoxication: the development, reliability and validity of an observational instrument.

作者信息

Teplin L A, Lutz G W

出版信息

J Stud Alcohol. 1985 Nov;46(6):459-66. doi: 10.15288/jsa.1985.46.459.

DOI:10.15288/jsa.1985.46.459
PMID:4087907
Abstract

This study presents an observational instrument designed to assess the presence or absence of alcohol intoxication as well as the level of intoxication. The Alcohol Symptom Checklist (ASC) was validated by comparing the blood alcohol level (BAL) of 672 subjects with the ASC score. The correlation between BAL and ASC for the final version of the scale was .84; alpha reliability = .92; interrater reliability = .93; and mean interitem correlation = .51. These results confirm the scale's reliability, its interrater consistency and its predictive validity. This instrument may be used in place of BAL measures in situations where it would be impractical to obtain samples of blood or alveolar air. The ASC will facilitate naturalistic studies of drinking behavior which previously have been limited by the lack of an unobtrusive method for assessing symptoms of intoxication. In addition, it has potential for use by law enforcement officials in situations where persons suspected of driving while intoxicated refuse to take an evidential breath test. This article examines requirements for training in the use of the ASC, and discusses other potential uses of the instrument.

摘要

本研究展示了一种用于评估酒精中毒存在与否以及中毒程度的观察工具。通过将672名受试者的血液酒精浓度(BAL)与酒精症状清单(ASC)得分进行比较,对该清单进行了验证。该量表最终版本的BAL与ASC之间的相关性为0.84;信度系数α = 0.92;评分者间信度 = 0.93;平均项目间相关性 = 0.51。这些结果证实了该量表的可靠性、评分者间的一致性以及预测效度。在获取血液或肺泡气样本不切实际的情况下,可使用该工具替代BAL测量。ASC将促进对饮酒行为的自然主义研究,此前此类研究因缺乏评估中毒症状的非侵入性方法而受到限制。此外,在涉嫌醉酒驾驶的人员拒绝进行呼气酒精含量测试的情况下,执法人员有可能使用该工具。本文探讨了使用ASC的培训要求,并讨论了该工具的其他潜在用途。

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