Evidence map›Paper›PMID 37939063›Full record

ArticlePloS one2023

Clinical evaluation of the alcohol use disorders identification test (AUDIT) in Moshi, Tanzania.

Joao Ricardo Nickenig Vissoci, Kaitlyn Friedman, Nayara Malheiros Caruzzo, Leonardo Pestillo de Oliveira, Alena Pauley, Siddhesh Zadey, Vanessa Menegassi, Francis Sakita, Judith Boshe, Catherine A Staton and 1 more

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Joao Ricardo Nickenig VissociDuke Global Health Institute, Duke University, Durham, NC, United States of America.
Kaitlyn FriedmanDuke Global Health Institute, Duke University, Durham, NC, United States of America.
Nayara Malheiros CaruzzoState University of Maringá, Maringá, Paraná, Brazil.
Leonardo Pestillo de OliveiraCesumar Institute for Science, Technology and Innovation, Unicesumar, Maringá, Paraná, Brazil.ORCID 0000-0001-5278-0676
Alena PauleyDuke Global Health Institute, Duke University, Durham, NC, United States of America.
Siddhesh ZadeyDuke Emergency Medicine, Duke University Medical Center, Durham, NC, United States of America.
Vanessa MenegassiState University of Maringá, Maringá, Paraná, Brazil.
Francis SakitaKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Judith BosheKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Catherine A StatonDuke Global Health Institute, Duke University, Durham, NC, United States of America.ORCID 0000-0002-6468-2894
Blandina MmbagaDuke Global Health Institute, Duke University, Durham, NC, United States of America.

Funding

PRACT: A Pragmatic Randomized Adaptive Clinical Trial to Investigate Controlling Alcohol related harms in a Low-Income Setting; Emergency Department Brief Interventions in TanzaniaR01AA027512 · NIAAA · DUKE UNIVERSITY · PI STATON, CATHERINE ANN · 2020 to 2024
$3.1M
Addressing High Risk Alcohol Use Amongst Injury Patients in an Emergency Department in TanzaniaK01TW010000 · FIC · DUKE UNIVERSITY · PI STATON, CATHERINE ANN · 2015 to 2018
$477k
FIC NIH HHS K01 TW010000NIAAA NIH HHS R01 AA027512
6 · The paper itself

Abstract

backgroundAlcohol use disorder is a major cause of morbidity and mortality in low- and middle-income countries. Alcohol screening using a validated tool is a useful way to capture high-risk patients and engage them in early harm reduction interventions. Our objectives were to 1) evaluate the psychometric evidence the Alcohol Use Disorders Identification Test (AUDIT) and its subscales in the general population of Moshi, Tanzania, and 2) evaluate the usefulness of the tool at predicting alcohol-related harms.

methodsTwo hundred and fifty-nine adults living in Moshi, Tanzania were included in the study. We used the AUDIT and its subscales to determine the classification of harmful and hazardous drinking. To analyze the internal structure of AUDIT and the model adequacy we used Confirmatory Factor Analysis (CFA). The reliability of AUDIT was analyzed for Cronbach's alpha, Omega 6 and Composite Reliability. The optimal cut off point for the AUDIT was determined by the receiver operating characteristic (ROC) curve, using the Youden approach to maximize sensitivity and specificity.

resultsThe median score of the AUDIT was 1 (inter-quartile range: 0-7). The internal structure of the AUDIT showed factor loadings ranging from 0.420 to 0.873. Cronbach's alpha, Omega and Composite Reliability produced values above 0.70. The Average Variance Extracted was 0.530. For the AUDIT, a score of 8 was identified as the ideal cut-off value in our population.

conclusionsThis study validates AUDIT in the general population of Moshi and is one of the only studies in Africa to include measures of the internal structure of the AUDIT and its subscales.

Indexed as

AlcoholismAdultAlcohol DrinkingHumansPsychometricsReproducibility of ResultsSensitivity and SpecificitySurveys and QuestionnairesTanzania

Identifiers

PMID37939063
PMCPMC10631671

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.