Development and validation of a virtual agent to screen tobacco and alcohol use disorders

被引:40
作者
Auriacombe, Marc [1 ,2 ,3 ,5 ]
Moriceau, Sarah [1 ,2 ,3 ]
Serre, Fuschia [1 ,2 ,3 ]
Denis, Cecile [2 ,5 ]
Micoulaud-Franchi, Jean-Arthur [1 ,2 ,4 ]
de Sevin, Etienne [1 ,2 ]
Bonhomme, Emilien [1 ,2 ]
Bioulac, Stephanie [1 ,2 ,4 ]
Fatseas, Melina [1 ,2 ,3 ]
Philip, Pierre [1 ,2 ,4 ]
机构
[1] Univ Bordeaux, Bordeaux, France
[2] SANPSY, CNRS, USR 3413, Bordeaux, France
[3] CHU Bordeaux, Pole Addictol, CH Charles Perrens & Unite Soins Complexes Addict, Bordeaux, France
[4] CHU Bordeaux, Clin Sommeil, Bordeaux, France
[5] Univ Penn, Ctr Studies Addict, Dept Psychiat, Perelman Sch Med, Philadelphia, PA USA
关键词
Embodied conversational agents; Virtual reality; Addiction; Systematic screening; Alcohol; Tobacco; SUBSTANCE USE DISORDERS; FAGERSTROM TEST; CIGARETTE DEPENDENCE; NICOTINE DEPENDENCE; CAGE-QUESTIONNAIRE; VALIDITY; SMOKING; VERSION; HEAVINESS; ASSIST;
D O I
10.1016/j.drugalcdep.2018.08.025
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: Substance use disorders are under-detected and not systematically diagnosed or screened for by primary care. In this study, we present the acceptability and validity of an Embodied Conversational Agent (ECA) designed to screen tobacco and alcohol use disorder, in individuals who did not seek medical help for these disorders. Methods: Individuals were included from June 2016 to May 2017 in the Outpatient Sleep Clinic of the University Hospital of Bordeaux. DSM-5 diagnoses of tobacco and alcohol use disorders were assessed by human interviewers. The ECA interview integrated items from the Cigarette Dependence Scale-5 (CDS-5) for tobacco use disorder screening, and the "Cut Down, Annoyed, Guilty, Eye-opener" (CAGE) questionnaire for alcohol use disorder screening. Paper version of CDS-5 and CAGE questionnaires and acceptability questionnaire was also self-administered. Results: Of the 139 participants in the study (mean age 43.0 [SD = 13.7] years), 71 were women, and 68 were men. The ECA was well accepted by the patients. Paper self-administered CDS-5 and CAGE scores had a strong agreement with the ECA (p < 0.0001). The Receiver Operating Characteristic (ROC) analysis of the ECA interview showed AUC of 0.97 (95% CI, 0.93-1.0) and 0.84 (95% CI, 0.69-0.98) for CDS-5 and CAGE respectively with p-value < 0.0001. Conclusions: This ECA was acceptable and valid to screen tobacco or alcohol use disorder among patients not requesting treatment for addiction. The ECA could be used in hospitals and potentially in primary care settings to help clinicians to better screen their patients for alcohol and tobacco use disorders.
引用
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页码:1 / 6
页数:6
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