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A systematic review of event-level measures of risk-taking behaviors and harms during alcohol intoxication


Brooks, M and Nguyen, R and Bruno, R and Peacock, A, A systematic review of event-level measures of risk-taking behaviors and harms during alcohol intoxication, Addictive Behaviors, 99 pp. 1-10. ISSN 0306-4603 (2019) [Refereed Article]

Copyright Statement

2019 Published by Elsevier Ltd.

DOI: doi:10.1016/j.addbeh.2019.106101


Alcohol intoxication is associated with transient increases in risk-taking behaviors which can lead to harm. Certain assessment and intervention evaluation approaches require measurement of risk behaviors and associated harms at the event-level (i.e., within a single drinking session). This systematic review aimed to identify measures solely assessing risk-taking behaviors and harms while intoxicated and identify evidence of their reliability and validity. EMBASE, Medline, PsycINFO, and PsycTESTs were searched for articles published between 1997 and 2019. Articles were selected based on use of a scale with one or more items measuring risk-taking behaviors and harms (to the individual or others around them) occurring while intoxicated. Additional searches were run to identify studies reporting estimates of reliability and validity for identified measures. Nineteen measures were identified containing at least one relevant item. Most measures indexed both acute and chronic risk behaviors and consequences, mainly with the intent of screening for established patterns of problematic use. No individual measure was identified exclusively quantifying risk-taking behavior and harms which had occurred within a drinking session (with the exception of one scale measuring tendency to engage in risk behaviors), yet three measures had a subscale meeting this criterion. These measures demonstrated good validity and reliability. This gap represents an opportunity for scale development, designed for use in ecological momentary assessment and evaluation of structural interventions targeting risk behaviors and harms whilst intoxicated.

Item Details

Item Type:Refereed Article
Keywords:alcohol, risk-taking behavior, harm, measure, psychometrics, ecological momentary assessment
Research Division:Psychology
Research Group:Applied and developmental psychology
Research Field:Applied and developmental psychology not elsewhere classified
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Public health (excl. specific population health) not elsewhere classified
UTAS Author:Bruno, R (Associate Professor Raimondo Bruno)
UTAS Author:Peacock, A (Miss Amy Peacock)
ID Code:137987
Year Published:2019
Web of Science® Times Cited:2
Deposited By:Psychology
Deposited On:2020-03-19
Last Modified:2020-04-27

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