The CRAFFT test was accurate for screening for substance abuse among adolescent clinic patients
QUESTION: What is the accuracy of the CRAFFT test in screening for substance abuse among adolescents in a hospital based clinic?
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.
Description of test and diagnostic standards
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. …