[Federal Register Volume 69, Number 220 (Tuesday, November 16, 2004)]
[Notices]
[Pages 67152-67153]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-25365]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Proposed Collection; 
Comment Request

    In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction 
Act of 1995 concerning opportunity for public comment on proposed 
collections of information, the Substance Abuse and Mental Health 
Services Administration will publish periodic summaries of proposed 
projects. To request more information on the proposed projects or to 
obtain a copy of the information collection plans, call the SAMHSA 
Reports Clearance Officer on (240) 276-1243.
    Comments are invited on: (a) Whether the proposed collections of 
information are necessary for the proper performance of the functions 
of the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.

[[Page 67153]]

National Survey on Drug Use and Health: Clinical Validation Study of 
the Substance Dependence and Abuse Measures--(OMB No. 0930-0231)--
Revision

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA) National Survey on Drug Use and Health (NSDUH), formerly the 
National Household Survey on Drug Abuse, is a survey of the civilian, 
noninstitutionalized population of the United States 12 years old and 
older. The data are used to determine the prevalence of use of tobacco 
products, alcohol, illicit substances, and illicit use of prescription 
drugs. The results are used by SAMHSA, the Office of National Drug 
Control Policy, other Federal government agencies, and other 
organizations and researchers to establish policy, direct program 
activities, and better allocate resources.
    From 2001-2004, the NSDUH conducted the first phase (phase 1) of a 
two-phase Clinical Validation Study of the Substance Dependence and 
Abuse Measures. From 2005-2007 the NSDUH plans to conduct the second 
phase (Phase 2) of this study. Specific aims of the two-phase study are 
to achieve the best overarching format, and the best wording and 
ordering for the assessment questions. The goal is improved validity 
and reduced respondent burden.
    In phase 1 a field test was conducted. Half of all subjects in this 
field test were between 12 and 17, and half 18 years of age or older; 
subjects were recruited from the Research Triangle and the Triad areas 
of North Carolina through fliers and newspaper ads, and asked (1) 
demographic information and (2) questions from two self-administered 
sections of the NSDUH questionnaire: questions about the quantity and 
frequency of use of drugs and alcohol, and questions about symptoms of 
substance dependence and abuse. A semi-structured clinical interview 
was administered to these same subjects by a trained clinician to 
determine the presence or absence of substance dependence and abuse. 
The clinical instruments used to assess subjects were the substance 
abuse modules from the Structured Clinical Interview for DSM-IV (SCID) 
(for adults) and the Kiddie Schedule for Affective Disorders and 
Schizophrenia (K-SADS ) (for those between 12 and 17 years of age). The 
correspondence of the diagnosis of substance dependence and abuse 
between the clinical and survey interview were compared.
    The results of this comparison from the field test in phase 1 
indicated a lack of sufficient correspondence between the clinical and 
survey interview. Overall there was a strong tendency toward over 
reporting in the survey interview. Recommendations were made to revise 
specific questions. Problems with specific questions were identified 
and reasons for lack of correspondence were examined. Modifications to 
the NSDUH questions on substance dependence and abuse to achieve better 
correspondence are being made for phase 2 of the study. In order to 
reduce a tendency to over report some questions have been revised to be 
more specific.
    In Phase 2, a second clinical validation study will be conducted 
using the same procedures as Phase 1 but with the revised questions on 
dependence or abuse. This will allow a determination of the 
correspondence (kappa) between the revised diagnosis obtained from the 
NSDUH substance dependence and abuse module and the diagnosis from the 
structured clinical interviews. Final revisions to the survey 
instrument will be made based on findings from Phase 2. All decisions 
about final revisions to the module will balance the need for 
correspondence across different groups. The following table summarizes 
the burden associated with phase two of the project.

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                                                     Number of     Responses per     Hours per
                    Phase II                        respondents     respondent       response      Total burden
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Adults:
    Screening...................................             400               1             .08              32
    Screener and interview......................             200               1             1.5             300
Adolescents:
    Screening...................................             200               1             1.5             300
    Screener and interview......................             170               1            1.50             255
                                                 -----------------
        Total...................................             370  ..............  ..............             887
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    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 7-1044, 1 Choke Cherry Road, Rockville, MD 20850. Written comments 
should be received by January 18, 2005.

    Dated: November 9, 2004.
Anna Marsh,
Executive Officer, SAMHSA.
[FR Doc. 04-25365 Filed 11-15-04; 8:45 am]
BILLING CODE 4162-20-P