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Clinical Nursing Research
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The Alcoholism Denial Assessment Tool (ADAT)

A Study of Interrater Reliability

Donna Marie Wing

University of Tulsa School of Nursing

Helen Hansen

University of Tulsa School of Nursing

Barbara Martin

University of Tulsa School of Nursing

The purpose of this study was to develop and test a tool for assessing alcoholic denial. The primary author devised the Alcoholism Denial Assessment Tool (ADAT) based on 2 years of experience. The tool was tested for interrater reliability using chart data of 42 recently discharged alcoholism patients. The test for significance of a proportion, using z scores, indicated significance at the .001 level. Item analysis showed strong interrater reliability on all but 1 of the 16 tool items. The ADAT provides nurses with a practical assessment tool that can be used daily to monitor progress. Recognition that a patient is in denial can allow meaningful and appropriately planned treatment.

Clinical Nursing Research, Vol. 3, No. 3, 228-242 (1994)
DOI: 10.1177/105477389400300306
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J. M. Christensen, E. A. Cook, and B. C. Martin
Identifying Denial in Stroke Patients
Clin Nurs Res, February 1, 1997; 6(1): 105 - 118.
[Abstract] [PDF]