Adolescents’ Preferences for Substance Abuse Screening in Primary Care Practice
Abstract
Objective: To assess adolescents’ preferences for substance abuse screening in primary medical care settings. Design/Methods: Twelve- to 18-year-old patients (N = 2133) arriving for routine care at a network of primary care sites completed an interview that included demographic items, the CRAFFT screen, and a questionnaire assessing preferences for screening method (paper questionnaire, computer, oral interview by nurse or doctor). A subgroup (n = 222) completed the CRAFFT directly on the computer. Results: Across the entire sample, paper was the screening administration method most preferred (mean rank (MR) = 2.92, 95%CI 2.87–2.96) vs. computer (MR = 2.38, 2.33–2.43), nurse (MR = 2.43, 2.39–2.47), and doctor (MR = 2.30, 2.25–2.35). Among the participants who received the screening on the computer, however, computer (MR = 3.08, 95%CI 2.42–2.52) was statistically tied with paper (MR = 2.88, 2.75–3.02) and both were ranked significantly higher than nurse (MR = 2.06, 1.94–2.17) and doctor (MR = 1.98, 1.82–2.14). The findings were similar for participants’ reports of being “very likely” to be honest when answering substance abuse screening questions. Conclusions: Adolescents should ideally be screened for substance abuse using paper or computer questionnaires.
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The questionnaire was administered on a computer, which could possibly have affected the results.
“Second, the questionnaire was administered on a computer, which could possibly have affected our results.”
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Cites
A Modified Poisson Regression Approach to Prospective Studies with Binary Data
Zou, G. (2004) · American Journal of Epidemiology · doi:10.1093/aje/kwh090 · Cited by 9,767 · see citing works
Monitoring the Future: National Results on Adolescent Drug Use: Overview of Key Findings
Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2003) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1037/e560352009-001 · Cited by 6,930 · see citing works
(2001) · Cited by 5,455 · see citing works
THE IMPACT OF CONFOUNDER SELECTION CRITERIA ON EFFECT ESTIMATION
Mickey, R. M., & Greenland, S. (1989) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115101 · Cited by 2,382 · see citing works
RE:“;THE IMPACT OF CONFOUNDER SELECTION CRITERIA ON EFFECT ESTIMATION”
Greenland, S., & Mickey, R. M. (1989) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115409 · Cited by 2,114 · see citing works
Turner, C. F., Ku, L. C., Rogers, S., Lindberg, L., Pleck, J. H., & Sonenstein, F. L. (1998) · Science · doi:10.1126/science.280.5365.867 · Cited by 2,048 · see citing works
Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents.
Green, M. (1994) · Cited by 1,662 · see citing works
Cannabis use and mental health in young people: cohort study.
Patton, G. C., Coffey, C., Carlin, J. B., Degenhardt, L., Lynskey, M., & Hall, W. (2002) · BMJ · doi:10.1136/bmj.325.7374.1195 · Cited by 997 · see citing works
Youth Risk Behavior Surveillance - United States, 2015.
Kann, L., Mcmanus, T., Harris, W., Shanklin, S., Flint, K., Hawkins, J., Queen, B. E., Lowry, R., Olsen, E., Chyen, D., et al. (2016) · Morbidity and mortality weekly report. Surveillance summaries · doi:10.15585/mmwr.ss6506a1 · Cited by 829 · see citing works
Validity of the CRAFFT Substance Abuse Screening Test Among Adolescent Clinic Patients
Knight, J. R., Sherritt, L., Shrier, L. A., Harris, S. K., & Chang, G. (2002) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.156.6.607 · Cited by 786 · see citing works
Self-citationA New Brief Screen for Adolescent Substance Abuse
Knight, J. R., Shrier, L. A., Bravender, T. D., Farrell, M., Bilt, J. V., & Shaffer, H. J. (1999) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.153.6.591 · Cited by 626 · see citing works
Self-citationDuRant, R. H., Smith, J. A., Kreiter, S. R., & Krowchuk, D. P. (1999) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.153.3.286 · Cited by 458 · see citing works
Knight, J. R., Sherritt, L., Harris, S. K., Gates, E. C., & Chang, G. (2003) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2003.tb02723.x · Cited by 419 · see citing works
Self-citationGuidelines for Adolescent Health Research
Santelli, J. S., Rosenfeld, W. D., DuRant, R. H., Dubler, N. N., Morreale, M. C., English, A., & Rogers, A. S. (1995) · Journal of Adolescent Health · doi:10.1016/1054-139x(95)00181-q · Cited by 300 · see citing works
Journal of Clinical Outcomes Management
(2020) · doi:10.12788/jcom · Cited by 275 · see citing works
Kulig, J. W. (2005) · PEDIATRICS · doi:10.1542/peds.2004-2841 · Cited by 153 · see citing works
Self-citationThe Adolescent Assessment/Referral System Manual.
Rahdert, E. R. (1991) · Cited by 137 · see citing works
Williams, M. L., Freeman, R. C., Bowen, A. M., Zhao, Z., Elwood, W. N., Gordon, C., Young, P. A., Rusek, R., & Signes, C.-A. (2000) · AIDS Education and Prevention · doi:10.1521/aeap.2000.12.3.199 · Cited by 127 · see citing works
Murphy, D. A. (2000) · American Journal of Epidemiology · doi:10.1093/aje/152.9.805 · Cited by 99 · see citing works
van Griensven, F., Naorat, S., Kilmarx, P. H., Jeeyapant, S., Manopaiboon, C., Chaikummao, S., Jenkins, R. A., Uthaivoravit, W., Wasinrapee, P., Mock, P. A., et al. (2005) · American Journal of Epidemiology · doi:10.1093/aje/kwj038 · Cited by 78 · see citing works
Vereecken, C. A., & Maes, L. (2006) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2004.10.010 · Cited by 77 · see citing works
Drug Use, Sexual Activity, and Suicidal Behavior in U.S. High School Students
Burge, V., Felts, M., Chenier, T. C., & Parrillo, A. V. (1995) · Journal of School Health · doi:10.1111/j.1746-1561.1995.tb03366.x · Cited by 75 · see citing works
DuRant, R. H., Knight, J., & Goodman, E. (1997) · Journal of Adolescent Health · doi:10.1016/s1054-139x(97)00159-6 · Cited by 64 · see citing works
Self-citationGuidelines for adolescent health research
(1995) · Journal of Adolescent Health · doi:10.1016/1054-139x(95)00180-8 · Cited by 20 · see citing works
Age at Drinking Onset and Alcohol Dependence: Age at Onset, Duration, and Severity
Hingson, R. W., Heeren, T., & Winter, M. R. (2006) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.160.7.739 · Cited by 3 · see citing works
Wiecha, J. (2001) · doi:10.1367/1539-4409(2001)001
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Harris, S. K., Csémy, L., Sherritt, L., Starostova, O., Van Hook, S., Johnson, J., Boulter, S., Brooks, T., Carey, P., Kossack, R., et al. (2012) · Pediatrics · doi:10.1542/peds.2011-1624 · Cited by 163 · see citing works
Self-citationShenoi, R. P., Linakis, J. G., Bromberg, J. R., Casper, T. C., Richards, R., Chun, T. H., Gonzalez, V. M., Mello, M. J., & Spirito, A. (2022) · Clinical Pediatrics · doi:10.1177/00099228221075094 · Cited by 12 · see citing works
- Authors
- Knight, J. R., Harris, S. K., Sherritt, L., Van Hook, S., Lawrence, N., Brooks, T., Carey, P., Kossack, R., & Kulig, J.
- Affiliations
- Boston Children's Hospital (US)
- Department of Pediatrics, Harvard Medical School, and the Center for Adolescent Substance Abuse Research, Children's Hospital Boston, Boston, MA, USA
- Cambridge Health Alliance (US)
- University of Vermont (US)
- Fallon Clinic, Worcester, MA, USA
- Tufts Medical Center (US)
- Corresponding author
- Knight, John R.
- Venue
- Substance Abuse
- Publisher
- SAGE Publications
- Published
- 2007-11
- Volume
- 28
- Issue
- 4
- Pages
- 107-117
- ISSN
- 0889-7077 (ISSN-L)
- 1547-0164
- OpenAlex
- W1975681925
- Cited by
- 80
- References
- 26
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 6 · 2020: 4 · 2019: 40 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 3
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Substance Abuse (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (5T20 MC 00011-06, 5T71 MC00009-12 0)
- National Institute on Alcohol Abuse and Alcoholism (K07AA013280)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- primary care, paper-based questionnaires, adolescents
- MeSH terms
- Adolescent, Adolescent Behavior, Child, Choice Behavior, Female, Humans, Male, Mass Screening, Practice Patterns, Physicians', Primary Health Care, Prospective Studies, Substance-Related Disorders
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