Validity of the CRAFFT Substance Abuse Screening Test Among Adolescent Clinic Patients

Knight, John R.; Sherritt, Lon; Shrier, Lydia A.; Harris, Sion Kim; Chang, Grace

doi:10.1001/archpedi.156.6.607

Cited by 616 publications

(459 citation statements)

References 32 publications

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“…The CRAFFT score is derived from six questions. 21 Based on the findings and recommendations of Knight et al, 21 we regarded a CRAFFT score of 2 or more as indicating possible problem substance use requiring further assessment. 21 The CRAFFT screening tool was preferred to other instruments because it was designed specifically for adolescents and screens for multiple substances, and the questions are easy to understand.…”

Section: Measurement Toolsmentioning

confidence: 99%

“…21 Based on the findings and recommendations of Knight et al, 21 we regarded a CRAFFT score of 2 or more as indicating possible problem substance use requiring further assessment. 21 The CRAFFT screening tool was preferred to other instruments because it was designed specifically for adolescents and screens for multiple substances, and the questions are easy to understand. 21,22 The validity and reliability of the CRAFFT tool have been tested in various settings, 21,23,24 but it should be noted that no validation studies on the CRAFFT tool have been conducted in South Africa.…”

Section: Measurement Toolsmentioning

confidence: 99%

“…21 The CRAFFT screening tool was preferred to other instruments because it was designed specifically for adolescents and screens for multiple substances, and the questions are easy to understand. 21,22 The validity and reliability of the CRAFFT tool have been tested in various settings, 21,23,24 but it should be noted that no validation studies on the CRAFFT tool have been conducted in South Africa. Knight et al 21 found that validity of the instrument was not significantly influenced by gender, race or age.…”

Section: Measurement Toolsmentioning

confidence: 99%

“…21,22 The validity and reliability of the CRAFFT tool have been tested in various settings, 21,23,24 but it should be noted that no validation studies on the CRAFFT tool have been conducted in South Africa. Knight et al 21 found that validity of the instrument was not significantly influenced by gender, race or age. In a recent review by Dhalla et al 24 of the CRAFFT's psychometric properties, the instrument's internal consistency was found to be between 0.65 and 0.86, sensitivity between 0.61 and 1.00 and specificity between 0.33 and 0.97.…”

Section: Measurement Toolsmentioning

confidence: 99%

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Epidemiology of substance use among secondary school learners in Atteridgeville, Gauteng

2012

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Introduction. Adolescent substance use has a number of adverse consequences for both the individual and society. Anecdotal evidence suggested the existence of a serious substance use problem among learners in Atteridgeville, part of the City of Tshwane Metropolitan Municipality in Gauteng, South Africa. Objectives. The objectives of the study were to determine the prevalence rates and age of initiation of substance use among learners attending secondary schools in Atteridgeville, and the factors, if any, associated with cannabis use.Methods. This was a cross-sectional study. A cluster sampling technique was employed. Twenty-two of the total of 191 grade 8 - 11 classes in the nine Atteridgeville secondary schools were randomly selected, with all 895 learners in the selected classes being invited to participate. Self-administered questionnaires were used to collect data. Statistical analysis was conducted using the survey estimation commands in STATA 10.0. Results. The lifetime prevalence rates for the three most commonly used substances were 51.4% (95% confidence interval (CI) 41.5 - 61.5%) for alcohol, 25.2% (95% CI 17.1 - 33.3%) for cigarettes and 13.2% (95% CI 8.3 - 18.2%) for cannabis. Alcohol was also found to have the lowest mean age of initiation at 14.6 years (standard deviation 2.0). Based on CRAFFT screening scores, 30.3% (95% CI 24.5 - 36.1%) of learners met the criteria for possible problem substance use. Following multivariate analysis, the factors found to be significantly associated with lifetime cannabis use were age, gender, lifetime cigarette use, lifetime alcohol use, the number of illicit drug users among the learners’ five closest friends, and an older sibling with a history of illicit drug use.Conclusion. The results of the study suggest that substance use among learners in Atteridgeville is widespread and that a comprehensive intervention strategy is required.

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Section: Measurement Toolsmentioning

confidence: 99%

Section: Measurement Toolsmentioning

confidence: 99%

Section: Measurement Toolsmentioning

confidence: 99%

Section: Measurement Toolsmentioning

confidence: 99%

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Epidemiology of substance use among secondary school learners in Atteridgeville, Gauteng

2012

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“…A score of 2 or higher on the CRAFFT scale identifies a problem with substance use (sensitivity 76%, specificity 94% as compared with a structured psychiatric diagnostic interview). 4 Urine drug testing is used in many adult substance abuse treatment programs. In the United States, random urine screening has been recommended for adolescents, particularly those involved in high school extracurricular activities.…”

Section: Identification and Treatmentmentioning

confidence: 99%

Youth substance use and abuse: challenges and strategies for identification and intervention

Leslie¹

2008

Canadian Medical Association Journal

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Prevalence of Positive Substance Abuse Screen Results Among Adolescent Primary Care Patients

Knight

Harris²,

Sherritt³

et al. 2007

Arch Pediatr Adolesc Med

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Validity of the CRAFFT Substance Abuse Screening Test Among Adolescent Clinic Patients

Abstract: The CRAFFT test is a valid means of screening adolescents for substance-related problems and disorders, which may be common in some general clinic populations.

Cited by 616 publications

References 32 publications

Epidemiology of substance use among secondary school learners in Atteridgeville, Gauteng

Epidemiology of substance use among secondary school learners in Atteridgeville, Gauteng

Youth substance use and abuse: challenges and strategies for identification and intervention

Prevalence of Positive Substance Abuse Screen Results Among Adolescent Primary Care Patients

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