Psychometric validation of the Japanese version of Alcohol Quality of Life Scale (AQoLS-Japan) in the treatment of patients with alcohol use disorder

Higuchi, Susumu; Moriguchi, Yoshiya; Tan, Kok Hian

doi:10.1007/s11136-019-02310-w

Cited by 9 publications

(6 citation statements)

References 22 publications

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“…The following psychometric properties are reported in validation studies with minimal risk of bias (very good/adequate COSMIN rating). The instrument assessed against the most psychometric domains (five) was the AQoLS which replicated promising internal consistency [63, 64] and construct (convergent and discriminative) validity [63, 64], and showed evidence of test–retest reliability and responsiveness [63]. However, structural validity was more mixed with 13 from 34 items loading highest on factors other than their hypothesised dimensions, and 5 items showing factor loadings lower than recommended [64].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of quality of life and health‐related quality of life as outcomes in substance and behavioural addictions

Dyer

Boehnke

Curran

et al. 2023

Drug and Alcohol Review

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IssuesConsideration of an individual's quality of life (QoL) can benefit assessment and treatment of addictive disorders, however, uncertainty remains over operationalisation of the construct as an outcome and the appropriateness of existing measures for these populations. This systematic review aimed to identify and evaluate QoL and health‐related QoL outcome instruments used in addiction‐related risk and harm research and map their conceptualised domains.ApproachThree electronic databases and a specialised assessment library were searched on 1 February 2022 for QoL or health‐related QoL outcome instruments used with addiction‐related risk and harm populations. PRISMA reporting guidance was followed and included outcome instruments were appraised using mixed methods. Psychometric evidence supporting their use was summarised. The COSMIN risk of bias tool was used to assess validation studies.Key FindingsA total of 298 articles (330 studies) used 53 outcome instruments and 41 unique domains of QoL. Eleven instruments' psychometric properties were evaluated. No instrument was assessed for any parameter in at least five studies for meta‐analytic pooling. Cronbach's alpha (α) internal consistency was the most widely assessed parameter with the AQoLS, WHOQOL‐BREF, ALQoL‐9, Q‐LES‐Q‐SF, SF‐12, DUQoL, QLI and SF‐36 displaying promising statistics (α > 0.70).Implications and ConclusionMany instruments have been utilised. However, a significant proportion of studies applied a small number of instruments with minimal high‐quality validation evidence supporting their use within addiction‐related risk and harm. Promising instruments are recommended, however, the paucity of supporting evidence limits confidence in the reliability and validity of QoL measurement in these populations.

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Section: Resultsmentioning

confidence: 99%

A systematic review of quality of life and health‐related quality of life as outcomes in substance and behavioural addictions

Dyer

Boehnke

Curran

et al. 2023

Drug and Alcohol Review

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“…Globally, only 17.3% of patients with AUD receive treatment 29 . It has also been reported that only 5% of AUD patients in Japan seek medical advice or treatment 6 . Therefore, there is a need to find patients who are isolated from society without treatment or to create an environment in which it is easy to seek help.…”

Section: Discussionmentioning

confidence: 99%

“…While there are variations in the aggregation methods, the prevalence of AUD in Japan estimated from data over the past month is reported to be 3.4%. Nonetheless, it is estimated that only about 70% of heavy drinkers perceive their drinking habits as problematic 6 . In recent years, it has also been noted that AUD patients may have shorter telomeres than healthy individuals 7 – 9 .…”

Section: Introductionmentioning

confidence: 99%

Smoking and diabetes cause telomere shortening among alcohol use disorder patients

Inomata,

Arima,

Fukuda

et al. 2024

Sci Rep

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The length of telomeres located at the ends of chromosomes has attracted attention as an indicator of cellular and individual aging. Various diseases or stresses cause telomere shortening, and it has been reported that alcohol use disorder patients actually have shorter telomeres than healthy patients. However, the factors that contribute to the reduction in telomere length among alcohol use disorder patients have not been clarified in detail. Therefore, in this study, we explored the factors that reduce telomere length in alcohol use disorder patients. A questionnaire survey and a measurement of leukocyte telomere length were conducted among alcohol use disorder patients. The mean telomere length of leukocyte was measured by ∆∆Ct analysis using a real-time PCR. We compared the telomere length between alcohol use disorder patients and the control group (Japanese special health check-up examinee). Moreover, we searched for factors associated with telomere length from drinking/smoking characteristics and history of comorbidities. A total of 74 subjects had alcohol use disorder, and 68 were in the control group. Compared to the control group, alcohol use disorder patients had significantly shorter telomere lengths (p < 0.001). A multivariate analysis revealed that a longer duration of smoking resulted in a significantly shorter telomere length (p = 0.0129). In addition, a comparison of the telomere length between the groups with and without a history of suffering from each disease revealed that telomere length was significantly shorter in the group with diabetes than in the group without diabetes (p = 0.0371). This study reveals that in individuals with alcohol dependence, particularly, prolonged smoking habits and the presence of diabetes contribute to telomere shortening. Medication and support for abstinence from alcohol has been mainly provided for alcohol use disorder patients. Our findings demonstrate a potential support approach via smoking cessation programs and controlling diabetes, which may be helpful to suppress the shortening of healthy life expectancy among alcohol use disorder patients.

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“…At a group briefing before the intervention, written informed consent was obtained from the participants. At the same time, they were asked to complete a questionnaire regarding factors such as age, sex, race, marital status, highest level of education, employment status, household income, smoking history, and subjective view of health, as well as the Alcohol Quality of Life Scale (AQoLS) [ 14 ] and questions related to drinking, specifically the number of binge-drinking episodes within the past month and the items in the Alcohol Use Disorders Identification Test (AUDIT) [ 15 ]. In addition, height and body weight were measured and a saliva test was administered to assess the activity of genes related to alcohol metabolism, such as alcohol dehydrogenase 1B ( ADH1B ) and aldehyde dehydrogenase 2 ( ALDH2 ) [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Gender differences in changes in alcohol consumption achieved by free provision of non-alcoholic beverages: a secondary analysis of a randomized controlled trial

Dobashi,

Kawaida,

Saito

et al. 2024

BMC Public Health

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Background We recently demonstrated that a 12-week intervention consisting of the provision of free non-alcoholic beverages reduced alcohol consumption in excessive drinkers for 8 weeks after the intervention. However, gender differences in this effect were not explored. Thus, this secondary analysis investigated gender differences in the influence of non-alcoholic beverage provision on alcohol consumption. Methods Individuals who frequently drank excessively (at least 40 g/day in men and 20 g/day in women) and who were not diagnosed with alcoholism were recruited. Participants were randomized into the intervention or control group by simple randomization using a random number table. In the intervention group, free non-alcoholic beverages were provided once every 4 weeks for 12 weeks (three times in total). The consumption of alcoholic and non-alcoholic beverages was calculated based on a drinking diary submitted with the previous 4 weeks’ of data. In this study, we compared the longitudinal changes in alcohol consumption between genders in both groups. Results The provision of non-alcoholic beverages significantly reduced alcohol consumption in both genders; however, significant differences in alcohol consumption between the control and intervention groups were observed only in men. The average alcohol consumption during the intervention fell below the level associated with a high risk of non-communicable diseases in men (32.7 g/day), but not in women (24.8 g/day). Correlation coefficient analysis showed that replacing alcoholic beverages with the provided non-alcoholic beverages resulted in different drinking patterns according to gender. The percent changes in the consumption of alcoholic and non-alcoholic beverages relative to baseline levels did not differ between genders. Conclusions Our results suggest that the provision of non-alcoholic beverages reduced alcohol consumption irrespective of gender. Of note, providing non-alcoholic beverages might be particularly useful for reducing high-risk alcohol consumption in male excessive drinkers. Trial registration UMIN UMIN000047949. Registered 4 June 2022.

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Psychometric validation of the Japanese version of Alcohol Quality of Life Scale (AQoLS-Japan) in the treatment of patients with alcohol use disorder

Cited by 9 publications

References 22 publications

A systematic review of quality of life and health‐related quality of life as outcomes in substance and behavioural addictions

A systematic review of quality of life and health‐related quality of life as outcomes in substance and behavioural addictions

Smoking and diabetes cause telomere shortening among alcohol use disorder patients

Gender differences in changes in alcohol consumption achieved by free provision of non-alcoholic beverages: a secondary analysis of a randomized controlled trial

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