• Julie R Bromberg, Anthony Spirito, Thomas Chun, Michael J Mello, T Charles Casper, Fahd Ahmad, Lalit Bajaj, Kathleen M Brown, Lauren S Chernick, Daniel M Cohen, Joel Fein, Tim Horeczko, Michael N Levas, Brett McAninch, Michael Monuteaux, Colette C Mull, Jackie Grupp-Phelan, Elizabeth C Powell, Alexander Rogers, Rohit P Shenoi, Brian Suffoletto, Cheryl Vance, James G Linakis, and Pediatric Emergency Care Applied Research Network.
• From the Rhode Island Hospital.
• Pediatr Emerg Care. 2019 Nov 1; 35 (11): 737-744.

ObjectiveThe aim of this study was to determine the psychometric properties of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) 2-question alcohol screen within 16 Pediatric Emergency Care Applied Research Network pediatric emergency departments. This article describes the study methodology, sample characteristics, and baseline outcomes of the NIAAA 2-question screen.MethodsParticipants included 12- to 17-year-olds treated in one of the participating pediatric emergency departments across the United States. After enrollment, a criterion assessment battery including the NIAAA 2-question screen and other measures of alcohol, drug use, and risk behavior was self-administered by participants on a tablet computer. Two subsamples were derived from the sample. The first subsample was readministered the NIAAA 2-question screen 1 week after their initial visit to assess test-retest reliability. The second subsample is being reassessed at 12 and 24 months to examine predictive validity of the NIAAA 2-question screen.ResultsThere were 4834 participants enrolled into the study who completed baseline assessments. Participants were equally distributed across sex and age. Forty-six percent of the participants identified as white, and 26% identified as black. Approximately one quarter identified as Hispanic. Using the NIAAA 2-question screen algorithm, approximately 8% were classified as low risk, 12% were classified as moderate risk, and 4% were classified as highest risk. Alcohol use was less likely to be reported by black participants, non-Hispanic participants, and those younger than 16 years.DiscussionThis study successfully recruited a large, demographically diverse sample to establish rates of the NIAAA screen risk categories across age, sex, ethnicity, and race within pediatric emergency departments.

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