Evidence map›Paper›PMID 38295510›Full record

ArticleDrug and alcohol dependence2024

Test-retest reliability of DSM-5 substance use symptom checklists used in primary care and mental health care settings.

Kevin A Hallgren, Theresa E Matson, Malia Oliver, Xiaoming Wang, Emily C Williams, Katharine A Bradley

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

6 authors.

Kevin A HallgrenDepartment of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, United States; Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States; University of Washington, Department of Health Systems and Population Health, School of Public Health, Seattle, WA, United States. Electronic address: khallgre@uw.edu.
Theresa E MatsonKaiser Permanente Washington Health Research Institute, Seattle, WA, United States; University of Washington, Department of Health Systems and Population Health, School of Public Health, Seattle, WA, United States.
Malia OliverKaiser Permanente Washington Health Research Institute, Seattle, WA, United States.
Xiaoming WangNational Institute on Drug Abuse, Bethesda, MD, United States.
Emily C WilliamsUniversity of Washington, Department of Health Systems and Population Health, School of Public Health, Seattle, WA, United States; Seattle Denver Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Services Research & Development, Seattle, WA, United States.
Katharine A BradleyKaiser Permanente Washington Health Research Institute, Seattle, WA, United States; University of Washington, Department of Health Systems and Population Health, School of Public Health, Seattle, WA, United States; Department of Medicine, School of Medicine, University of Washington, Seattle, WA, United States.

Funding

Project-002UG1DA040314 · NIDA · KAISER FOUNDATION RESEARCH INSTITUTE · PI Ingrid A Binswanger, CYNTHIA I CAMPBELL · 2015 to 2026
$34.9M
Understanding practical alcohol measures in primary care to prepare for measurement-based care: Scaled EHR measures of alcohol use and DSM-5 AUD symptomsR33AA028073 · NIAAA · UNIVERSITY OF WASHINGTON · PI HALLGREN, KEVIN A. · 2021 to 2023
$1.3M
NIAAA NIH HHS R33 AA028073NIDA NIH HHS UG1 DA040314
6 · The paper itself

Abstract

introductionSubstance use disorders (SUDs) are underdiagnosed in healthcare settings. The Substance Use Symptom Checklist (SUSC) is a practical, patient-report questionnaire that has been used to assess SUD symptoms based on Diagnostic and Statistical Manual of Mental Disorders-5th edition (DSM-5) criteria. This study evaluates the test-retest reliability of SUSCs completed in primary and mental health care settings.

methodsWe identified 1194 patients who completed two SUSCs 1-21 days apart as part of routine care after reporting daily cannabis use and/or any past-year other drug use on behavioral health screens. Test-retest reliability of SUSC scores was evaluated within the full sample, subsamples who completed both checklists in primary care (n=451) or mental health clinics (n=512) where SUSC implementation differed, and subgroups defined by sex, insurance status, age, and substance use reported on behavioral health screens.

resultsIn the full sample, test-retest reliability was high for indices reflecting the number of SUD symptoms endorsed (ICC=0.75, 95% CI:0.72-0.77) and DSM-5 SUD severity (kappa=0.72, 95% CI:0.69-0.75). These reliability estimates were higher in primary care (ICC=0.81, 95% CI:0.77-0.84; kappa=0.79, 95% CI:0.75-0.82, respectively) than in mental health clinics (ICC=0.74, 95% CI:0.70-0.78; kappa=0.73, 95% CI:0.68-0.77). Reliability differed by age and substance use reported on behavioral health screens, but not by sex or insurance status.

conclusionsThe SUSC has good-to-excellent test-retest reliability when completed as part of routine primary or mental health care. Symptom checklists can reliably measure symptoms consistent with DSM-5 SUD criteria, which may aid SUD-related care in primary care and mental health settings.

Indexed as

ChecklistSubstance-Related DisordersAmbulatory Care FacilitiesDiagnostic and Statistical Manual of Mental DisordersHumansMental HealthPrimary Health CareReproducibility of ResultsAssessmentMeasurement-based carePrimary careSubstance use disorderSymptom checklist

Identifiers

PMID38295510
PMCPMC10923057

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Registered trials

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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.