The Alcohol Use Disorders Identification Test (AUDIT) in the Russian language - a systematic review of validation efforts and application challenges

AbstractThe Alcohol Use Disorders Identification Test (AUDIT) is one of the most frequently used screening instrument for hazardous and harmful use of alcohol and potential alcohol dependence in primary health care (PHC) and other settings worldwide. It has been translated into many languages and adapted and modified for use in some countries, following formal adaptation procedures and validation studies. In the Russian Federation, the AUDIT has been used in different settings and by different health professionals, including addiction specialists (narcologists). In 2017, it was included as a screening instrument in the national guidelines of routine preventive health checks at the population-level (dispanserization). However, various Russian translations of the AUDIT are known to be in use in different settings and, so far, little is known about the empirical basis and validation of the instrument in Russia—a country, which is known for its distinct drinking patterns and their detrimental impact on health. The present contribution is the summary of two systematic reviews that were carried out to inform a planned national validation study of the AUDIT in Russia.Two systematic searches were carried out to 1) identify all validation efforts of the AUDIT in Russia and to document all reported problems encountered, and 2) identify all globally existing Russian translations of the AUDIT and document their differences and any reported issues in their application. The qualitative narrative synthesis of all studies that met the inclusion criteria of the first search highlighted the absence of any large-scale rigorous validation study of the AUDIT in primary health care in Russia, while a document analysis of all of the 122 Russian translations has revealed 61 unique versions, most of which contained inconsistencies and signaled obvious application challenges of the test.The results clearly signal the need for a validation study of the Russian AUDIT.

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The Alcohol Use Disorders Identification Test (AUDIT) in the Russian language - a systematic review of validation efforts and application challenges

10.21203/rs.3.rs-154267/v1 ◽

2021 ◽

Author(s):

Maria Neufeld ◽

Anna Bunova ◽

Carina Ferreira-Borges ◽

Evgeniy Bryun ◽

Eugenia Fadeeva ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Alcohol Use ◽

Validation Study ◽

Large Scale ◽

Alcohol Use Disorders ◽

Screening Instrument ◽

Russian Language ◽

Primary Health ◽

Identification Test

Abstract The Alcohol Use Disorders Identification Test (AUDIT) is one of the most frequently used screening instrument for hazardous and harmful use of alcohol and potential alcohol dependence in primary health care (PHC) and other settings worldwide. It has been translated into many languages and adapted and modified for use in some countries, following formal adaptation procedures and validation studies. In the Russian Federation, the AUDIT has been used in different settings and by different health professionals, including addiction specialists (narcologists). In 2017, it was included as a screening instrument in the national guidelines of routine preventive health checks at the population-level (dispanserization). However, various Russian translations of the AUDIT are known to be in use in different settings and, so far, little is known about the empirical basis and validation of the instrument in Russia—a country, which is known for its distinct drinking patterns and their detrimental impact on health. The present contribution is the summary of two systematic reviews that were carried out to inform a planned national validation study of the AUDIT in Russia.Two systematic searches were carried out to 1) identify all validation efforts of the AUDIT in Russia and to document all reported problems encountered, and 2) identify all globally existing Russian translations of the AUDIT and document their differences and any reported issues in their application. The qualitative narrative synthesis of all studies that met the inclusion criteria of the first search highlighted the absence of any large-scale rigorous validation study of the AUDIT in primary health care in Russia, while a document analysis of all of the 122 Russian translations has revealed 61 unique versions, most of which contained inconsistencies and signaled obvious application challenges of the test.The results clearly signal the need for a validation study of the Russian AUDIT.

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Russian-language mobile applications for reducing alcohol use: a systematic search and evaluation. (Preprint)

10.2196/preprints.31058 ◽

2021 ◽

Author(s):

Anna Bunova ◽

Veronika Wiemker ◽

Boris Gornyi ◽

Carina Ferreira-Borges ◽

Maria Neufeld

Keyword(s):

Health Care ◽

Primary Health Care ◽

Alcohol Consumption ◽

Alcohol Use ◽

Mobile Applications ◽

Russian Language ◽

Brief Interventions ◽

Bibliographic Databases ◽

Lifestyle Behavior ◽

Primary Health

BACKGROUND Personalized prevention tools, such as mobile applications designed to reduce alcohol consumption, are widespread in mobile application stores accessible in Russia. However, their quality and content have not been systematically evaluated. OBJECTIVE This study aimed to identify Russian-language mobile applications for reducing alcohol use and evaluate their quality and potential to change alcohol-related health behavior. It further aimed to identify applications that could facilitate screening and brief interventions in primary health care in Russia. METHODS A systematic search for mobile applications available in Russia was carried out between April 1 and 15, December 1 and 15, 2020, and in March 2021 in the iOS App Store, Google Play Store, and the 4PDA forum. Application quality was assessed via the Mobile App Rating Scale (MARS), and structured searches in electronic libraries and bibliographic databases used to evaluate the applications’ evidence base. The number of features facilitating changes in lifestyle behavior was assessed using the App Behavior Change Scale (ABACUS). RESULTS We identified a total of 63 mobile applications for reducing alcohol use. Mean MARS quality ratings were high for the subscales of “Functionality” (3.92 out of 5, SD = 0.58) and “Aesthetics” (2.96; SD = 0.76) and low for “Engagement” (2.42; SD = 0.76) and “Information” (1.65, SD = 0.60). Additional searches in electronic libraries and bibliographic databases (Elibrary, Cyberleninka, Google Scholar) yielded no studies involving the identified applications. ABACUS scores ranged from 1 to 15 out of 25, with a mean of 5 (SD = 3.24). Two of the identified applications might be useful for screening and brief interventions in Russian primary health care after improvements in content and scientific testing. CONCLUSIONS Russian-language mobile applications for reducing alcohol use are accessible in the application stores. Many of them are aesthetically pleasing, functional, and easy to use. However, information about scientific trialing or testing is lacking. Most applications contain a low number of features that facilitate changes in lifestyle behavior. Further research should examine the context of Russian-language mobile applications for reducing alcohol use. Our findings underline the need to develop evidence-based applications to mitigate alcohol consumption in Russia and elsewhere. CLINICALTRIAL PROSPERO (CRD42020167458) (review ongoing).

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Alcohol Use Disorders in Primary Health Care: What Do We Know and Where Do We Go?

Alcohol and Alcoholism ◽

10.1093/alcalc/agv127 ◽

2015 ◽

Vol 51 (4) ◽

pp. 422-427 ◽

Cited By ~ 71

Author(s):

Jürgen Rehm ◽

Peter Anderson ◽

Jakob Manthey ◽

Kevin D. Shield ◽

Pierluigi Struzzo ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Alcohol Use ◽

Alcohol Use Disorders ◽

Primary Health

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Alcohol use disorders in Europe: A comparison of general population and primary health care prevalence rates

Journal of Substance Use ◽

10.3109/14659891.2015.1063719 ◽

2016 ◽

Vol 21 (5) ◽

pp. 478-484 ◽

Cited By ~ 15

Author(s):

Jakob Manthey ◽

Antoni Gual ◽

Andrzej Jakubczyk ◽

Lars Pieper ◽

Charlotte Probst ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Alcohol Use ◽

General Population ◽

Alcohol Use Disorders ◽

Prevalence Rates ◽

Primary Health

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“We improved our life because I cut my drinking”: Qualitative analysis of a brief intervention for people with alcohol use disorder in Ethiopian primary health care

Journal of Substance Abuse Treatment ◽

10.1016/j.jsat.2021.108636 ◽

2021 ◽

pp. 108636

Author(s):

Selamawit Zewdu ◽

Charlotte Hanlon ◽

Abebaw Fekadu ◽

Girmay Medhin ◽

Solomon Teferra

Keyword(s):

Health Care ◽

Primary Health Care ◽

Alcohol Use ◽

Qualitative Analysis ◽

Brief Intervention ◽

Alcohol Use Disorder ◽

Primary Health

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High-risk alcohol use and associated socio-demographic, health and psychosocial factors in patients with HIV infection in three primary health care clinics in South Africa

International Journal of STD & AIDS ◽

10.1177/0956462416660016 ◽

2016 ◽

Vol 28 (7) ◽

pp. 651-659 ◽

Cited By ~ 6

Author(s):

Diana Huis in ‘t Veld ◽

Supa Pengpid ◽

Robert Colebunders ◽

Linda Skaal ◽

Karl Peltzer

Keyword(s):

South Africa ◽

Health Care ◽

Primary Health Care ◽

High Risk ◽

Alcohol Use ◽

Hiv Infection ◽

Psychosocial Factors ◽

Low Risk ◽

Health Care Clinics ◽

Primary Health

Alcohol use may have a negative impact on the course of HIV disease and the effectiveness of its treatment. We studied patients with HIV who use alcohol and associated socio-demographic, health and psychosocial factors. Outcomes from this study may help in selecting patients from clinical practice with high-risk alcohol use and who are likely to benefit most from alcohol reduction interventions. In a cross sectional study in three primary health care clinics in Pretoria, South Africa, from January 2012 to June 2012, patients with HIV infection were interviewed and patients’ medical files were reviewed to obtain data on levels of alcohol use (Alcohol Use Disorder Identification Test), patients’ socio-demographic characteristics, HIV-related information, health related quality of life (WHOQoL-HIVBref), internalized AIDS stigma, symptoms of depression and adherence to antiretroviral therapy. Analyses consisted of descriptive statistics, bi- and multivariate logistic regression models. A total of 2230 patients (1483 [66.5%] female) were included. The median age was 37 years (interquartile range 31–43), 99.5% were black Africans, 1975 (88.6%) had started ART and the median time on ART was 22 months (interquartile range 9–40). No alcohol was used by 64% of patients, 8.9% were low risk drinkers, 25.1% of patients were hazardous or harmful drinkers and 2.0% had possible alcohol dependence. In multivariate analysis high-risk drinking was positively associated with male gender, never being married, tobacco use, a higher score for the ‘level of independence’-domain measured with the WHOQoL-HIVBref questionnaire, and with more depressive symptoms compared to low-risk drinking. This study shows a high prevalence of hazardous or harmful drinking in patients with HIV infection (especially men) attending primary health care clinics in South Africa. Routine screening for alcohol use should be introduced in these clinics and harm reduction interventions should be evaluated, taking into account associated factors.

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