The Mini Alcohol Craving Experience Questionnaire: development and clinical application

Coates, Jason M., Gullo, Matthew J., Feeney, Gerald F. X., Kavanagh, David J., Young, Ross McD., Dingle, Genevieve A., May, Jon, Andrade, Jackie, Statham, Dixie and Connor, Jason P. (2017) The Mini Alcohol Craving Experience Questionnaire: development and clinical application. Alcoholism: Clinical and Experimental Research, 41 1: 156-164. doi:10.1111/acer.13278

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Author Coates, Jason M.
Gullo, Matthew J.
Feeney, Gerald F. X.
Kavanagh, David J.
Young, Ross McD.
Dingle, Genevieve A.
May, Jon
Andrade, Jackie
Statham, Dixie
Connor, Jason P.
Title The Mini Alcohol Craving Experience Questionnaire: development and clinical application
Journal name Alcoholism: Clinical and Experimental Research   Check publisher's open access policy
ISSN 1530-0277
0145-6008
Publication date 2017-01-01
Year available 2016
Sub-type Article (original research)
DOI 10.1111/acer.13278
Open Access Status Other
Volume 41
Issue 1
Start page 156
End page 164
Total pages 9
Place of publication Malden, MA, United States
Publisher Wiley-Blackwell
Language eng
Subject 2701 Medicine (miscellaneous)
3005 Toxicology
2738 Psychiatry and Mental health
Abstract Background: Standardized alcohol craving scales are rarely used outside of research environments despite recognized clinical utility. Scale length is a key barrier to more widespread application. A brief measure of alcohol craving is needed to improve research and treatment of alcohol use disorders (AUDs). Grounded in the Elaborated Intrusion Theory of Desire, the Alcohol Craving Experience (ACE) Questionnaire comprises two 11-item self-report scales that assess past-week frequency and maximum strength of alcohol craving. This study aimed to create a brief version of the ACE while maintaining psychometric integrity and clinical utility. Methods: Patients attending a university hospital alcohol and drug outpatient service for the treatment of AUD completed the ACE as part of a questionnaire battery. Three patient samples were utilized: 519 patients with pretreatment and outcome data, 228 patients with pretreatment data, and 66 patients who completed the ACE at treatment sessions 1 and 2. Results: The Frequency scale of the ACE possessed greater clinical utility and predictive validity than the Strength scale. Revision of the Frequency measure produced a 5-item “Mini Alcohol Craving Experience” (MACE) Questionnaire. Satisfactory validity (construct, predictive, concurrent, convergent, and incremental) and reliability (internal and test–retest) were maintained. A 1 standard deviation increase in pretreatment MACE score was associated with a 54 percentage increase in the odds of patient lapse or dropout. Conclusions: The MACE provides a brief, theoretically, and psychometrically robust measure of alcohol craving suitable for use with AUD populations in time-limited clinical and research settings.
Formatted abstract
Background: Standardized alcohol craving scales are rarely used outside of research environments despite recognized clinical utility. Scale length is a key barrier to more widespread application. A brief measure of alcohol craving is needed to improve research and treatment of alcohol use disorders (AUDs). Grounded in the Elaborated Intrusion Theory of Desire, the Alcohol Craving Experience (ACE) Questionnaire comprises two 11-item self-report scales that assess past-week frequency and maximum strength of alcohol craving. This study aimed to create a brief version of the ACE while maintaining psychometric integrity and clinical utility.

Methods: Patients attending a university hospital alcohol and drug outpatient service for the treatment of AUD completed the ACE as part of a questionnaire battery. Three patient samples were utilized: 519 patients with pretreatment and outcome data, 228 patients with pretreatment data, and 66 patients who completed the ACE at treatment sessions 1 and 2.

Results: The Frequency scale of the ACE possessed greater clinical utility and predictive validity than the Strength scale. Revision of the Frequency measure produced a 5-item “Mini Alcohol Craving Experience” (MACE) Questionnaire. Satisfactory validity (construct, predictive, concurrent, convergent, and incremental) and reliability (internal and test–retest) were maintained. A 1 standard deviation increase in pretreatment MACE score was associated with a 54 percentage increase in the odds of patient lapse or dropout.

Conclusions: The MACE provides a brief, theoretically, and psychometrically robust measure of alcohol craving suitable for use with AUD populations in time-limited clinical and research settings.
Keyword Alcohol use disorder
Craving
Urge
Measurement
Scale development
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 1031909
1036365
Institutional Status UQ

 
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Created: Thu, 12 Jan 2017, 23:14:00 EST by Matthew Gullo on behalf of School of Psychology