ArticleJournal of studies on alcohol and drugs2014
The ability of single screening questions for unhealthy alcohol and other drug use to identify substance dependence in primary care.
Article in Journal of studies on alcohol and drugs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2022Guideline
- Pooled it
- Pooled it
- Recreational drug use among primary care patients: implications of a positive self-report.Annals of family medicineTrial
- The Spanish language version of the TAPS tool: protocol for a validation and implementation study in primary care.Addiction science & clinical practice · 2023Article
- ED-Home: Pilot feasibility study of a targeted homelessness prevention intervention for emergency department patients with drug or unhealthy alcohol use.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
- Cross-sectional Analysis of Food Insecurity and Frequent Emergency Department Use.The western journal of emergency medicine · 2021Article
- Using web-based technology to improve depression screening in primary care settings.BMJ open quality · 2021Article
- Health System-Based Unhealthy Alcohol Use Screening and Treatment Comparing Demographically Matched Participants With and Without HIV.Alcoholism, clinical and experimental research · 2020Article
- Routine Assessment of Symptoms of Substance Use Disorders in Primary Care: Prevalence and Severity of Reported Symptoms.Journal of general internal medicine · 2020Article
- High-Intensity Drinking in Adult Australian Twins.Alcoholism, clinical and experimental research · 2020Article
- Accuracy of five self-report screening instruments for substance use in pregnancy.Addiction (Abingdon, England) · 2019Article
- Prevalence and patterns of illicit drug use in people living with HIV in Spain: A cross-sectional study.PloS one · 2019Observational
- Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings.BMC family practice · 2018Article
- Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations.Pain medicine (Malden, Mass.) · 2018Article
- Recent trends in liver transplantation for alcoholic liver disease in the United States.World journal of hepatology · 2017Article
- Validation of the TAPS-1: A Four-Item Screening Tool to Identify Unhealthy Substance Use in Primary Care.Journal of general internal medicine · 2017Article
- Comparison of the Substance Use Brief Screen (SUBS) to the AUDIT-C and ASSIST for detecting unhealthy alcohol and drug use in a population of hospitalized smokers.Journal of substance abuse treatment · 2017Article
- Alcohol brief intervention in primary care: Blood pressure outcomes in hypertensive patients.Journal of substance abuse treatment · 2017Observational
- Prevalence and clinical impact of recreational drug consumption in people living with HIV on treatment: a cross-sectional study.BMJ open · 2017Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveSingle screening questions (SSQs) are recommended for the evaluation of unhealthy alcohol use and other drug use (risky use through dependence). In addition, SSQs could provide information on severity that is necessary for brief intervention, information thought to be available only from longer questionnaires. We assessed SSQ accuracy for identifying dependence.
methodIn a cross-sectional study, 286 primary care patients were administered SSQs for alcohol and for other drugs (each asks how many times they were used in the past year), the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), the Drug Abuse Screening Test (DAST), and a diagnostic interview reference standard for dependence. For each test, we calculated area under the receiver operating characteristic (ROC) curve and the ability to discriminate dependence at an optimal cutoff.
resultsThe prevalence of alcohol and other drug dependence was 9% and 12%, respectively. Optimal cut points were eight or more times for the alcohol SSQ, a score of three or more for AUDIT-C, three or more times for the other drug SSQ, and a score of four or more for the DAST. The areas under the ROC curve ranged from 0.87 to 0.96. Sensitivity, specificity, and positive and negative likelihood ratios at optimal cut points for the alcohol SSQ were 88%, 84%, 5.6, and 0.1, respectively; for the other drug SSQ were 97%, 79%, 4.6, 0.04, respectively; for the AUDIT-C were 92%, 71%, 3.2, 0.1, respectively; and for the DAST were 100%, 84%, 6.3, 0, respectively. Alcohol SSQ and AUDIT-C positive likelihood ratio 95% confidence intervals did not overlap.
conclusionsSSQs can identify substance dependence as well as and sometimes better than longer screening tools. SSQs may be useful for both screening and preliminary assessment, thus overcoming a barrier (seen with lengthy questionnaires) to dissemination of screening and brief intervention in primary care settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.