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首页> 外文期刊>Journal of Addiction >The AC-OK Cooccurring Screen: Reliability, Convergent Validity, Sensitivity, and Specificity
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The AC-OK Cooccurring Screen: Reliability, Convergent Validity, Sensitivity, and Specificity

机译：AC-OK共同出现的屏幕：可靠性，聚合有效性，敏感性和特异性

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The principal barriers to universal screening for the cooccurring disorders of mental illness and substance abuse are training, time, cost, and a reliable and valid screen. Although many of the barriers to universal screening still remain intact, the lack of a cooccurring screen that is effective and can be administered in a cost efficient way is no longer an obstacle. This study examined the reliability, factor structure, and convergent validity of the 15-item AC-OK Cooccurring Screen. A total of 2,968 AC-OK Cooccurring Screens administrated to individuals who called or went to one of the nine participating mental health and substance abuse treatment facilities were administrated and analyzed. Principal axis factor (PAF) analysis was used in the confirmatory factor analysis to identify the common variance among the items in the scales while excluding unique variance. Cronbach's Alpha was used to establish internal consistency (reliability) of each subscale. Finally, the findings from the AC-OK Cooccurring Screen were compared to individual scores on two standardized reference measures, the addiction severity index and the Client assessment record (a measure of mental health status) to determine sensitivity and specificity. This analysis of the AC-OK Cooccurring Screen found the subscales to have excellent reliability, very good convergent validity, excellent sensitivity, and sufficient specificity to be highly useful in screening for cooccurring disorders in behavioral health settings. In this study, the AC-OK Cooccurring Screen had a Cronbach's Alpha of .92 on the substance abuse subscale and a Cronbach's Alpha of .80 on the mental health subscale.
机译：普遍筛查同时发生的精神疾病和药物滥用障碍的主要障碍是培训，时间，成本和可靠有效的筛查。尽管普遍筛查的许多障碍仍然完好无损，但是缺少有效且可以以经济高效的方式进行管理的同现筛查不再是障碍。这项研究检查了15项AC-OK共现屏幕的可靠性，因子结构和收敛有效性。对呼叫或去往九个参与的心理健康和药物滥用治疗设施之一的个人进行的总共2968个AC-OK共同屏幕的管理和分析。在验证性因子分析中使用了主轴因子（PAF）分析，以识别量表中各个项目之间的共同差异，同时排除唯一差异。克伦巴赫（Cronbach）的Alpha用于建立每个分量表的内部一致性（可靠性）。最后，将AC-OK共同发生屏幕中的发现结果与成瘾严重性指数和客户评估记录（一种心理健康状况的衡量标准）这两种标准化参考指标上的个人分数进行比较，以确定敏感性和特异性。对AC-OK共同发生屏幕的分析发现，该分量表具有出色的可靠性，非常好的收敛效度，出色的灵敏度和足够的特异性，对于筛查行为健康环境中的共同发生的疾病非常有用。在这项研究中，AC-OK共同发生筛查在药物滥用分量表上的Cronbach系数为0.92，在心理健康分量表上的Cronbach系数为0.80。

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