Evidence map›Paper›PMID 27209223›Full record

Observational studyDrug and alcohol dependence2016

Suitability of the PROMIS alcohol use short form for screening in a HIV clinical care setting.

Laura E Gibbons, Rob Fredericksen, Joseph O Merrill, Mary E McCaul, Geetanjali Chander, Heidi Hutton, William B Lober, W Chris Mathews, Kenneth Mayer, Greer Burkholder and 8 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Drug and alcohol dependence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Laura E GibbonsDivision of General Internal Medicine, Department of Medicine, University of Washington, 325 9th Ave., Box 359780, Seattle, WA 98104 USA. Electronic address: gibbonsl@uw.edu.
Rob FredericksenDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 325 9th Ave., Box 359931, Seattle, WA 98104 USA.
Joseph O MerrillDivision of General Internal Medicine, Department of Medicine, University of Washington, 325 9th Ave., Box 359780, Seattle, WA 98104 USA.
Mary E McCaulDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University, 911 N Broadway, Baltimore, MD 21205 USA.
Geetanjali ChanderDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University, 600 N Wolfe Street, Carnegie, Baltimore, MD 21287 USA.
Heidi HuttonDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University, 911 N Broadway, Baltimore, MD 21205 USA.
William B LoberSchool of Nursing, University of Washington, T615 Health Sciences 1959 NE Pacific St., Box 357266, Seattle, WA 98195 USA.
W Chris MathewsDivision of General Internal Medicine, Department of Medicine, University of California at San Diego, UCSD Medical Center, 8681, 200 W. Arbor Dr., San Diego, CA 92103 USA.
Kenneth MayerFenway Institute and Division of Infectious Diseases, Department of Medicine, Harvard Medical School, 1340 Boylston Street 8th Floor, Boston, MA 02215 USA.
Greer BurkholderDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, 845 19th St S, Birmingham, AL 35205 USA.
James H WilligDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, 1900 University Blvd Ste 215, Birmingham, AL 35233 USA.
Michael J MugaveroDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, 150 Hill University Center, 1400 University Boulevard, Birmingham, AL 35294 USA.
Michael S SaagDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, 150 Hill University Center, 1400 University Boulevard, Birmingham, AL 35294 USA.
Mari M KitahataDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 325 9th Ave., Box 359931, Seattle, WA 98104 USA.
Todd C EdwardsDepartment of Health Services, School of Public Health, University of Washington, Box 359455, Seattle, WA 98195 USA.
Donald L PatrickDepartment of Health Services, School of Public Health, University of Washington, Box 359455, Seattle, WA 98195 USA.
Heidi M CraneDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 325 9th Ave., Box 359931, Seattle, WA 98104 USA. Electronic address: hcrane@uw.edu.
Paul K CraneDivision of General Internal Medicine, Department of Medicine, University of Washington, 325 9th Ave., Box 359780, Seattle, WA 98104 USA.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
Unsolicited R24 for the CFAR-Network of Integrated Clinical Sciences, CNICSR24AI067039 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Michael S. Saag · 2006 to 2026
$99.4M
Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OLAF KUTSCH · 1988 to 2026
$84.1M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Patient reported outcomes in routine clinical care of patients infected with HIVU01AR057954 · NIAMS · UNIVERSITY OF WASHINGTON · PI CRANE, HEIDI M., CRANE, PAUL K · 2009 to 2013
$7.8M
3/4 Alcohol Research Consortium in HIV - Epidemiological Research Arm (ARCH-ERA)U01AA020793 · NIAAA · UNIVERSITY OF WASHINGTON · PI CRANE, HEIDI M., LAU, BRYAN · 2011 to 2020
$5.8M
Integration of Evidence-based Alcohol Interventions into HIV CareU01AA020802 · NIAAA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CROPSEY, KAREN L, MUGAVERO, MICHAEL J · 2011 to 2020
$4.2M
1/4 Alcohol Research Consortium in HIV-Administrative Core (ARCH-AC)U24AA020801 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI CHANDER, GEETANJALI, MCCAUL, MARY E · 2011 to 2021
$3.5M
NIAAA NIH HHS U01 AA020793NIAAA NIH HHS U01 AA020802NIAAA NIH HHS U24 AA020801NIAID NIH HHS P30 AI027757NIAID NIH HHS P30 AI027767NIAID NIH HHS P30 AI050410NIAID NIH HHS R24 AI067039NIAMS NIH HHS U01 AR057954
6 · The paper itself

Abstract

backgroundAt-risk alcohol use is important to identify in clinical settings to facilitate interventions. The Patient-Reported Outcomes Measurement Information System (PROMIS) Alcohol Use Short Form was developed through an item response theory process, but its utility as a screening instrument in clinical care has not been reported.

objectiveTo determine the ability of the PROMIS Alcohol Use Short Form to identify people with current or future at-risk alcohol use defined by the Alcohol Use Disorders Identification Test consumption (AUDIT-C) instrument.

methodsObservational study of people living with HIV (PLWH) in clinical care at four sites across the US. Patients completed a tablet-based clinical assessment prior to seeing their providers at clinic appointments. We used 3 definitions of clinically-relevant at-risk alcohol use and determined the proportion of PLWH with current or future at-risk drinking identified by the PROMIS instrument.

resultsOf 2497 PLWH who endorsed ≥1 drink in the prior 12 months, 1500 PLWH (60%) endorsed "never" for all PROMIS items. In that group, 26% had clinically-relevant at-risk alcohol use defined by one or more AUDIT-C definitions. At follow-up (N=1608), high baseline PROMIS scores had 55% sensitivity for at-risk drinking among those with at-risk drinking at baseline, and 22% sensitivity among those without baseline risk.

conclusionsThe PROMIS Alcohol Use Short Form cannot be used alone to identify PLWH with clinically-relevant at-risk alcohol use. Optimal assessment of problem drinking behavior is not clear, but there does not seem to be an important role for the PROMIS instrument in this clinical setting.

Indexed as

Ambulatory Care FacilitiesMass ScreeningSurveys and QuestionnairesAdultAlcohol DrinkingAlcoholismFemaleHIV InfectionsHumansMaleMiddle AgedPsychometricsReproducibility of ResultsRisk-TakingAt-risk alcohol useClinical careHIVPatient-reported outcomesScreening

Identifiers

PMID27209223
PMCPMC4896136

What OpenQuestion holds

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Registered trials

None linked

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.