Development and preliminary validation of an indirect screener for drug use in the perinatal period.
Aims This study sought to develop and begin validation of an indirect screener for identification of drug use during pregnancy, without reliance on direct disclosure. Design Women were recruited from their hospital rooms after giving birth. Participation involved (i) completing a computerized assess...
| Publicado en: | Addiction Vol. 107; no. 12; pp. 2099 - 2107 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104439572&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104439572 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Dec2012 vid: 107 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104439572 83485235 10.1111/j.1360-0443.2012.03982.x NLM22882721 104439572 ppf: 2099 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Development and preliminary validation of an indirect screener for drug use in the perinatal period. aug: au: Ondersma, Steven J. Svikis, Dace S. Lebreton, James M. Streiner, David L. Grekin, Emily R. Lam, Phebe K. Connors-Burge, Veronica affil: Wayne State University sug: subj: Instrument Validation Substance Abuse, Perinatal Diagnosis Instrument Construction Substance Abuse Detection Methods Clinical Assessment Tools Pregnancy Female Academic Medical Centers Michigan Concurrent Validity Human Validation Studies Descriptive Statistics Internal Consistency Multiple Logistic Regression Chi Square Test Sensitivity and Specificity Predictive Value of Tests Adult Correlation Coefficient ROC Curve Linear Regression Funding Source Adult: 19-44 years Female ab: Aims This study sought to develop and begin validation of an indirect screener for identification of drug use during pregnancy, without reliance on direct disclosure. Design Women were recruited from their hospital rooms after giving birth. Participation involved (i) completing a computerized assessment battery containing three types of items: direct (asking directly about drug use), semi-indirect (asking only about drug use prior to pregnancy) and indirect (with no mention of drug use), and (ii) providing urine and hair samples. An optimal subset of indirect items was developed and cross-validated based on ability to predict urine/hair test results. Setting Obstetric unit of a university-affiliated hospital in Detroit. Participants Four hundred low-income, African American, post-partum women (300 in the developmental sample and 100 in the cross-validation sample); all available women were recruited without consideration of substance abuse risk or other characteristics. Measurements Women first completed the series of direct and indirect items using a Tablet PC; they were then asked for separate consent to obtain urine and hair samples that were tested for evidence of illicit drug use. Findings In the cross-validation sample, the brief screener consisting of six indirect items predicted toxicology results more accurately than direct questions about drug use (area under the ROC curve = 0.74, P < 0.001). Traditional direct screening questions were highly specific, but identified only a small minority of women who used drugs during the last trimester of pregnancy. Conclusions Indirect screening may increase the accuracy of mothers' self-reports of prenatal drug use. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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