{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:24:59Z","timestamp":1755224699645,"version":"3.43.0"},"reference-count":49,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Issues<\/jats:title><jats:p>The Alcohol Use Disorders Identification Test (AUDIT) is one of the best screening instruments for at\u2010risk drinkers. However, a fully validated Portuguese version is lacking. This study aimed to review validated versions of the AUDIT in Portuguese and their characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Approach<\/jats:title><jats:p>A systematic search was performed in Ovid MEDLINE, CINAHL, PsycINFO, \u00cdndexRMP, LILACS, AJOL and Scielo databases, along with grey literature searches. Two authors independently extracted data and assessed the studies' methodological quality, using the QUADAS\u20102 checklist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Findings<\/jats:title><jats:p>Seven studies were included in this review, six from Brazil and the other from Portugal, in a total of three versions of the AUDIT achieved through translation\u2013back translation. Studies reported acceptable to good internal consistency (Cronbach <jats:italic>\u03b1<\/jats:italic>\u2009=\u20090.72\u20130.86), moderate to excellent inter\u2010rater reliability (<jats:italic>K<\/jats:italic>\u2009=\u20090.75\u20130.99), and poor to moderate test\u2013retest reliability (<jats:italic>K<\/jats:italic>\u2009=\u20090.52\u20130.75). Sensitivity ranged from 52.2% to 100% and specificity from 64% to 98.9%. Only two studies reported on AUC, with values between 0.805 and 0.858. No study reported on all the performance characteristics and psychometric properties. The Portuguese translations for terms lacking a direct translation from English were heterogeneous.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications<\/jats:title><jats:p>This review could not identify any studies rigorously validating the AUDIT in Portuguese, raising concerns regarding the AUDIT's validity as a screening tool in Portugal and other Portuguese\u2010speaking countries. The significant variation between versions raises questions regarding its efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this review show the need for a validation study of the AUDIT in Portugal and other Portuguese\u2010speaking countries and the development of a new version for Portugal.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.14081","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T06:09:52Z","timestamp":1748326192000},"page":"1581-1593","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Portuguese Validated Versions of the Alcohol Use Disorders Identification Test: A Systematic Review of Academic and Grey Literature"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2075-5088","authenticated-orcid":false,"given":"Diogo Phalempin","family":"Cardoso","sequence":"first","affiliation":[{"name":"Unidade de Sa\u00fade Familiar Rio D\u00e3o Unidade Local de Sa\u00fade Viseu\u2010D\u00e3o Laf\u00f5es  Viseu Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Unidade de Sa\u00fade Familiar Vouzela Unidade Local de Sa\u00fade Viseu\u2010D\u00e3o Laf\u00f5es  Viseu Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Antunes","sequence":"additional","affiliation":[{"name":"Unidade de Sa\u00fade Familiar S\u00e3o Pedro Do Sul Unidade Local de Sa\u00fade Viseu\u2010D\u00e3o Laf\u00f5es  Viseu Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa","family":"Saraiva","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Epidemiologia e Sa\u00fade P\u00fablica Unidade Local de Sa\u00fade Cova da Beira  Covilh\u00e3 Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Angus","sequence":"additional","affiliation":[{"name":"Institute for Social Marketing &amp; Health. 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