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Assessment (screening or diagnosis)
The CRAFFT test was accurate for screening for substance abuse among adolescent clinic patients

https://doi.org/10.1136/ebn.6.1.23

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    Knight JR, Sherritt L, Shrier LA, et al.Validity of the CRAFFT substance abuse screening test among adolescent clinic patients.Arch Pediatr Adolesc Med2002 ;156:607–14OpenUrlCrossRefPubMedWeb of Science

    QUESTION: What is the accuracy of the CRAFFT test in screening for substance abuse among adolescents in a hospital based clinic?

    Design

    Blinded comparison of the CRAFFT test with a substance use/abuse problem scale and a structured psychiatric diagnostic interview.

    Setting

    A large, hospital based adolescent clinic in Boston, Massachusetts, USA.

    Participants

    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 …

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    Footnotes

    • For correspondence: Dr J R Knight, Center for Adolescent Substance Abuse Research, Children’s Hospital Boston, Boston, MA, USA. john.knight{at}tch.harvard.edu

    • Sources of funding: National Institute on Alcohol Abuse and Alcoholism; Substance Abuse and Mental Health Services Administration; Robert Wood Johnson Foundation.