First evaluation of the Behavioral Addiction Indoor Tanning Screener (BAITS) in a nationwide representative sample

Background Evidence suggests that indoor tanning may have addictive properties. However, many instruments for measuring indoor tanning addiction show poor validity and reliability. Recently, a new instrument, the Behavioral Addiction Indoor Tanning Screener (BAITS), has been developed. Objectives To...

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Main Authors: Diehl, Katharina (Author) , Görig, Tatiana (Author) , Schneider, Sven (Author)
Format: Article (Journal)
Language:English
Published: January 2018
In: British journal of dermatology
Year: 2018, Volume: 178, Issue: 1, Pages: 176-182
ISSN:1365-2133
DOI:10.1111/bjd.15888
Online Access:Verlag, Volltext: http://dx.doi.org/10.1111/bjd.15888
Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/bjd.15888
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Author Notes:K. Diehl, T. Görig, E.W. Breitbart, R. Greinert, J.J. Hillhouse, J.L. Stapleton, S. Schneider

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245 1 0 |a First evaluation of the Behavioral Addiction Indoor Tanning Screener (BAITS) in a nationwide representative sample  |c K. Diehl, T. Görig, E.W. Breitbart, R. Greinert, J.J. Hillhouse, J.L. Stapleton, S. Schneider 
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520 |a Background Evidence suggests that indoor tanning may have addictive properties. However, many instruments for measuring indoor tanning addiction show poor validity and reliability. Recently, a new instrument, the Behavioral Addiction Indoor Tanning Screener (BAITS), has been developed. Objectives To test the validity and reliability of the BAITS by using a multimethod approach. Methods We used data from the first wave of the National Cancer Aid Monitoring on Sunbed Use, which included a cognitive pretest (August 2015) and a Germany-wide representative survey (October to December 2015). In the cognitive pretest 10 users of tanning beds were interviewed and 3000 individuals aged 14-45 years were included in the representative survey. Potential symptoms of indoor tanning addiction were measured using the BAITS, a brief screening survey with seven items (answer categories: yes vs. no). Criterion validity was assessed by comparing the results of BAITS with usage parameters. Additionally, we tested internal consistency and construct validity. Results A total of 19·7% of current and 1·8% of former indoor tanning users were screened positive for symptoms of a potential indoor tanning addiction. We found significant associations between usage parameters and the BAITS (criterion validity). Internal consistency (reliability) was good (Kuder-Richardson-20, 0·854). The BAITS was shown to be a homogeneous construct (construct validity). Conclusions Compared with other short instruments measuring symptoms of a potential indoor tanning addiction, the BAITS seems to be a valid and reliable tool. With its short length and the binary items the BAITS is easy to use in large surveys. 
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