|LETTER TO EDITOR
|Year : 2016 | Volume
| Issue : 1 | Page : 85-86
Development of Hindi version of alcohol use disorder identification test (Audit): An update
Yatan Pal Singh Balhara1, Prabhu Dayal2
1 Department of Psychiatry, National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India; International Programme in Addiction Studies, Master of Science in Addiction Studies, King's College London, UK; University of Adelaide, Adelaide, Australia; Virginia Commonwealth University, Richmond, USA
2 Department of Psychiatry, National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India
|Date of Web Publication||28-Jan-2016|
Yatan Pal Singh Balhara
Department of Psychiatry, National Drug Dependence Treatment Centre (NDDTC), WHO Collaborating Centre on Substance Abuse, All India Institute of Medical Sciences (AIIMS), New Delhi, India
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Balhara YS, Dayal P. Development of Hindi version of alcohol use disorder identification test (Audit): An update. Indian J Psychol Med 2016;38:85-6
|How to cite this URL:|
Balhara YS, Dayal P. Development of Hindi version of alcohol use disorder identification test (Audit): An update. Indian J Psychol Med [serial online] 2016 [cited 2019 Aug 20];38:85-6. Available from: http://www.ijpm.info/text.asp?2016/38/1/85/175138
Alcohol has been identified as a major contributor to global burden of disease. Excessive use of alcohol has been found to be associated with increased morbidity and mortality across all regions of the world. It has also been recognized as a major public health problem in South Asia including India. 
The National Family Health Survey (NFHS) suggested an increase in alcohol use among males in the NFHS-3 as compared to NFHS-2 as one-third of men reported alcohol use.  According to the Global Status Report on Alcohol and Health 2011, 25% and 15% of male and female drinkers, respectively, were identified as heavy episodic drinkers.  There has been an increase in per capita consumption of alcohol in India over the past few years, and the age of onset of alcohol use has also declined. 
Alcohol dependence, the most dysfunctional pattern of alcohol use, has gained most attention with regards to the disability associated with alcohol use. However, excessive use of alcohol in nondependent pattern is also associated with adverse consequences with experts estimating that a large proportion of harm attributable to alcohol may be related to harmful and hazardous use of alcohol rather than its use in dependent pattern. 
Alcohol use disorder identification test (AUDIT), developed by World Health Organization, has been found to be a reliable and valid tool for screening problem alcohol use.  Screening tests help to sort out persons who probably have a disease or problem from those who do not. Screening helps to categorize the individuals in different risk categories and subsequently make informed decisions about the nature and intensity of intervention that need to be offered.
The AUDIT was initially developed in English language and later has been translated, adapted, and validated in many languages. However, the Hindi translation of AUDIT is not available. A Hindi version of AUDIT is now being developed following permission from WHO.
The development of the Hindi version of the AUDIT is being carried out using the recommendations by Sousa and Rojjanasrirat.  The first stage of development of Hindi version of the AUDIT involved the steps of:
- Translation of the AUDIT into the Hindi language;
- Comparison of the two translated versions of the instrument (Hindi 1 and Hindi 2);
- Synthesis I; blind back-translation of the preliminary initial translated version of the AUDIT;
- Comparison of the two back-translated versions of the instrument (B-Hindi 1 and B-Hindi 2);
- Synthesis II; pilot testing of the prefinal version of the AUDIT in Hindi with a monolingual sample;
- Cognitive debriefing.
Following this procedure, the prefinal Hindi version of the AUDIT has been developed. It is proposed to carry out validation of the Hindi version of the AUDIT. This shall include the preliminary psychometric testing of the prefinal version of the translated AUDIT with a bilingual sample. Subsequently, full psychometric testing of the prefinal version of the translated instrument shall be carried out in a sample of the target population.
The authors wish to acknowledge WHO, Geneva, for permission to develop Hindi version of the AUDIT. The authors also wish to acknowledge the support of WHO-SEARO in carrying out the translation of the AUDIT.
Financial support and sponsorship
WHO, Geneva, WHO-SEARO.
Conflicts of interest
There are no conflicts of interest.
| References|| |
Balhara Y, Mathur S. Alcohol: A major public health problem - South Asian perspective. Addict Disord Their Treat 2012;11:101-20.
International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005-06: India. Mumbai: IIPS; 2007.
World Health Organisation. Global Status Report on Alcohol and Health - 2014. Geneva: World Health Organisation; 2014.
Rehm J, Rehn N, Room R, Monteiro M, Gmel G, Jernigan D, et al.
The global distribution of average volume of alcohol consumption and patterns of drinking. Eur Addict Res 2003; 9:147-56.
Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption - II. Addiction 1993;88:791-804.
Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. J Eval Clin Pract 2011;17:268-74.