© 2003 BMJ Publishing Group & Royal College of Nursing
Assessment (screening or diagnosis)
The CRAFFT test was accurate for screening for substance abuse among adolescent clinic patients
Knight JR, Sherritt L, Shrier LA, et al.Validity of the CRAFFT substance abuse screening test among adolescent clinic patients.Arch Pediatr Adolesc Med 2002 ;156:607–14
QUESTION: What is the accuracy of the CRAFFT test in screening for substance abuse among adolescents in a hospital based clinic?
Key Words: substance abuse detection • questionnaires
| The first 150 words of the full text of this article appear below. |
Blinded comparison of the CRAFFT test with a substance use/abuse problem scale and a structured psychiatric diagnostic interview.
A large, hospital based adolescent clinic in Boston, Massachusetts, USA.
538 adolescents between the ages of 14 and 18 years (68% girls) attending the clinic for routine medical care. Exclusion criteria were inability to read or understand English, or acute medical or psychiatric problems.
The 6 item CRAFFT test (table 1
) was administered verbally and the responses to the 6 yes/no questions were recorded. 2 scales were administered concurrently for criterion validity. The first diagnostic standard was the 17 item Substance Use/Abuse Scale from the Problem Oriented Screening Instrument for Teenagers (POSIT), which assesses substance related problems and risks. The second diagnostic standard was the Adolescent Diagnostic Interview (ADI), which yields alcohol and drug related diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition.
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View this table: [in a new window]
Table 1. The CRAFFT questions |
Research Fellow, Clinical Trials Research Unit
University of Auckland Auckland, New Zealand
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Child abuse
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Drugs misuse (including addiction)
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Screening (public health)
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Child and adolescent psychiatry (paedatrics)
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Child and adolescent psychiatry
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