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Reliability of the Deployment Resiliency Assessment
Samuel E Simon1, Kate Stewart1, Michelle Kloc2
1Mathematica Policy Research, 955 Massachusetts Avenue, Suite 801, Cambridge, MA 02139.
Military Medicine
|July 9, 2016
Summary
This study assessed mental health screening tools for military personnel. While most instruments were reliable, the Alcohol Use Disorders Identification Test-Consumption for risky drinking showed unacceptable reliability.
Area of Science:
- Psychiatry
- Military Health
- Psychometrics
Background:
- Mental health screening is crucial for military personnel.
- Existing instruments are widely used but require psychometric validation.
- Risky drinking, depression, and PTSD are significant concerns in the Armed Forces.
Purpose of the Study:
- To evaluate the reliability of a mental health screening instrument for U.S. Armed Forces members.
- To specifically assess the psychometric properties of the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C).
- To provide evidence for the validity of mental health screening tools in a military context.
Main Methods:
- Psychometric analysis of a multi-instrument mental health screening tool.
- Reliability testing using Cronbach's alpha (α).
- Focus on instruments detecting risky drinking, depression, and PTSD.
Main Results:
- Most screening instruments demonstrated acceptable reliability.
- The Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) exhibited unacceptable reliability (α = 0.58).
- This represents the initial psychometric assessment of this widely used screening tool in the military population.
Conclusions:
- While generally reliable, the AUDIT-C requires revision or alternative screening for risky drinking in the Armed Forces.
- Further validation of mental health screening tools is essential for military populations.
- Reliable screening is vital for early detection and intervention of mental health conditions in service members.
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