Validation of the Alcohol Use Disorders Identification Test (AUDIT) – Dusun Version in Alcohol Users in Sabahan Borneo

Introduction: The Alcohol Use Disorder Identification Test (AUDIT) developed by WHO is instrumental in identifying individuals on the alcohol misuse spectrum. However there is no culturally appropriate Dusun language version in Sabahan Borneo. This study aims to develop and validate a Dusun language...

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Main Authors: Nicholas Pang Tze Ping, Gloria Lee, Matthias Tseu, Jane Ivana Joss, Helda Artika Honey, Wendy Shoesmith, Sandi James, Jiann Lin Loo, Helen Lasimbang
Format: Article
Language:English
English
Published: 2020
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/26036/1/Validation%20of%20the%20Alcohol%20Use%20Disorders%20Identification%20Test%20%28AUDIT%29%20.pdf
https://eprints.ums.edu.my/id/eprint/26036/2/Validation%20of%20the%20Alcohol%20Use%20Disorders%20Identification%20Test%20%28AUDIT%29%201.pdf
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author Nicholas Pang Tze Ping
Gloria Lee
Matthias Tseu
Jane Ivana Joss
Helda Artika Honey
Wendy Shoesmith
Sandi James
Jiann Lin Loo
Helen Lasimbang
author_facet Nicholas Pang Tze Ping
Gloria Lee
Matthias Tseu
Jane Ivana Joss
Helda Artika Honey
Wendy Shoesmith
Sandi James
Jiann Lin Loo
Helen Lasimbang
author_sort Nicholas Pang Tze Ping
collection UMS
description Introduction: The Alcohol Use Disorder Identification Test (AUDIT) developed by WHO is instrumental in identifying individuals on the alcohol misuse spectrum. However there is no culturally appropriate Dusun language version in Sabahan Borneo. This study aims to develop and validate a Dusun language version of AUDIT (AUDIT-D). Methods: AUDIT was translated to Dusun and back translated to English and Malay. The first version was pilot tested in 20 participants and harmonised. The harmonised version was administered to 50 Dusun first language speakers fluent in Malay from villages in rural Sabah. Participants filled in socio-demographic questionnaires, Dusun (AUDIT-D) and Bahasa Malaysia (AUDIT-M) versions of AUDIT, and validated Bahasa Malaysia versions of the M.I.N.I. alcohol dependence subscale and CAGE. Results: ROC curves calculated AUDIT-D dependence cut-off of 9 and more, with prevalence of dependence at 46%. Factor analysis of AUDIT-D yielded a one - or three-factor solution, distinct from the AUDIT-M factor structure. Cronbach alpha coefficients for the total AUDIT-D was 0.83. Significant Spearman’s correlations existed between AUDIT-D and AUDIT-M scores (Spearman’s rho=0.999, p<.001). AUDIT-D and AUDIT-M were both significantlycorrelated with M.I.N.I. alcohol dependence subscales (rho=0.624 and 0.617 respectively, with p<0.0001).Both were not significantly correlated with CAGE. Conclusion: The AUDIT-D questionnaire has acceptable psychometric properties, properties and demonstrates similar factor structures to other areas with high alcoholdependence prevalence. It is suitable for the assessment and identification of alcohol use disorders in the unique Sabahan Borneo cultural landscape.
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spelling ums.eprints-260362020-09-29T03:55:30Z https://eprints.ums.edu.my/id/eprint/26036/ Validation of the Alcohol Use Disorders Identification Test (AUDIT) – Dusun Version in Alcohol Users in Sabahan Borneo Nicholas Pang Tze Ping Gloria Lee Matthias Tseu Jane Ivana Joss Helda Artika Honey Wendy Shoesmith Sandi James Jiann Lin Loo Helen Lasimbang R Medicine (General) RA Public aspects of medicine Introduction: The Alcohol Use Disorder Identification Test (AUDIT) developed by WHO is instrumental in identifying individuals on the alcohol misuse spectrum. However there is no culturally appropriate Dusun language version in Sabahan Borneo. This study aims to develop and validate a Dusun language version of AUDIT (AUDIT-D). Methods: AUDIT was translated to Dusun and back translated to English and Malay. The first version was pilot tested in 20 participants and harmonised. The harmonised version was administered to 50 Dusun first language speakers fluent in Malay from villages in rural Sabah. Participants filled in socio-demographic questionnaires, Dusun (AUDIT-D) and Bahasa Malaysia (AUDIT-M) versions of AUDIT, and validated Bahasa Malaysia versions of the M.I.N.I. alcohol dependence subscale and CAGE. Results: ROC curves calculated AUDIT-D dependence cut-off of 9 and more, with prevalence of dependence at 46%. Factor analysis of AUDIT-D yielded a one - or three-factor solution, distinct from the AUDIT-M factor structure. Cronbach alpha coefficients for the total AUDIT-D was 0.83. Significant Spearman’s correlations existed between AUDIT-D and AUDIT-M scores (Spearman’s rho=0.999, p<.001). AUDIT-D and AUDIT-M were both significantlycorrelated with M.I.N.I. alcohol dependence subscales (rho=0.624 and 0.617 respectively, with p<0.0001).Both were not significantly correlated with CAGE. Conclusion: The AUDIT-D questionnaire has acceptable psychometric properties, properties and demonstrates similar factor structures to other areas with high alcoholdependence prevalence. It is suitable for the assessment and identification of alcohol use disorders in the unique Sabahan Borneo cultural landscape. 2020 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/26036/1/Validation%20of%20the%20Alcohol%20Use%20Disorders%20Identification%20Test%20%28AUDIT%29%20.pdf text en https://eprints.ums.edu.my/id/eprint/26036/2/Validation%20of%20the%20Alcohol%20Use%20Disorders%20Identification%20Test%20%28AUDIT%29%201.pdf Nicholas Pang Tze Ping and Gloria Lee and Matthias Tseu and Jane Ivana Joss and Helda Artika Honey and Wendy Shoesmith and Sandi James and Jiann Lin Loo and Helen Lasimbang (2020) Validation of the Alcohol Use Disorders Identification Test (AUDIT) – Dusun Version in Alcohol Users in Sabahan Borneo. Archives of Psychiatry Research, 56. pp. 129-142. https://doi.org/10.20471/dec.2020.56.02.02
spellingShingle R Medicine (General)
RA Public aspects of medicine
Nicholas Pang Tze Ping
Gloria Lee
Matthias Tseu
Jane Ivana Joss
Helda Artika Honey
Wendy Shoesmith
Sandi James
Jiann Lin Loo
Helen Lasimbang
Validation of the Alcohol Use Disorders Identification Test (AUDIT) – Dusun Version in Alcohol Users in Sabahan Borneo
title Validation of the Alcohol Use Disorders Identification Test (AUDIT) – Dusun Version in Alcohol Users in Sabahan Borneo
title_full Validation of the Alcohol Use Disorders Identification Test (AUDIT) – Dusun Version in Alcohol Users in Sabahan Borneo
title_fullStr Validation of the Alcohol Use Disorders Identification Test (AUDIT) – Dusun Version in Alcohol Users in Sabahan Borneo
title_full_unstemmed Validation of the Alcohol Use Disorders Identification Test (AUDIT) – Dusun Version in Alcohol Users in Sabahan Borneo
title_short Validation of the Alcohol Use Disorders Identification Test (AUDIT) – Dusun Version in Alcohol Users in Sabahan Borneo
title_sort validation of the alcohol use disorders identification test audit dusun version in alcohol users in sabahan borneo
topic R Medicine (General)
RA Public aspects of medicine
url https://eprints.ums.edu.my/id/eprint/26036/1/Validation%20of%20the%20Alcohol%20Use%20Disorders%20Identification%20Test%20%28AUDIT%29%20.pdf
https://eprints.ums.edu.my/id/eprint/26036/2/Validation%20of%20the%20Alcohol%20Use%20Disorders%20Identification%20Test%20%28AUDIT%29%201.pdf
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