Protocol - Screening and Severity of Substance Use Problems - Adults - Alcohol - Past 12 Months
The Alcohol Use Disorders Identification Test (AUDIT) includes 10 screening questions about the use of alcohol and alcohol-related consequences during the past year. The questions address alcohol frequency, quantity, alcohol dependence symptoms, and alcohol-related problems.
Although this instrument can be administered via interview, the Substance Abuse and Addiction (SAA) Working Group (WG) recommends that this instrument be self-administered.
Questions 2 and 3 in the Alcohol Use Disorders Identification Test (AUDIT) assume that a standard drink equivalent is 10 grams of alcohol. The number of drinks in the response categories may need to be adjusted, depending on the locale’s common serving sizes and alcohol content. Babor et al. (2001) provided guidance on calculating standard drink sizes and additional information about administration, scoring, and interpretation of the AUDIT.
The SAA WG acknowledges that the following questions may gather sensitive information relating to the use of substances and/or illegal conduct. If the information is released, it might be damaging to an individual’s employability, lead to social stigmatization, or lead to other consequences.
Most researchers assure confidentiality as part of their informed consent process, as required by their institutional review boards. Further assurance of confidentiality may be obtained by applying to National Institutes of Health (NIH) for a Certificate of Confidentiality, which helps researchers protect the privacy of human research participants. The procedures for the Certificate of Confidentiality can be found at the Grants Policy website of the NIH (http://grants1.nih.gov/grants/policy/coc/index.htm).
Assessment of Substance Use and Substance Use Disorders
Protocol Name from Source:
Alcohol Use Disorders Identification Test (AUDIT)
Personnel and Training Required
The interviewer must be trained and found to be competent to conduct personal interviews with individuals from the general population. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.
|Specialized requirements for biospecimen collection||No|
|Average time of greater than 15 minutes in an unaffected individual||No|
Mode of Administration
Self-administered or interviewer-administered questionnaire
Adults aged 18 years and older
The Alcohol Use Disorders Identification Test (AUDIT) is a brief screening instrument that has been used in several countries in a variety of settings. The AUDIT has high internal consistency and good test-retest reliability (r = 0.86). The AUDIT is often used in health care settings to screen for alcohol use and related problems and is associated with favorable psychometric properties in adolescent and adult populations.
|Common Data Elements (CDE)||Alcohol use Disorder Identification Test (AUDIT) Assessment Description Text||3332392||CDE Browser|
Process and Review
The Expert Review Panel #3 (ERP 3) reviewed the measures in Alcohol, Tobacco and Other Substances, and Substance Abuse and Addiction domains.
Guidance from ERP 3 includes:
• No significant changes to measure
Back-compatible: NA no changes to Data Dictionary
Babor, T. F., de la Fuente, J. R., Saunders, J., & Grant, M. (1989). AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for use in primary health care (WHO/MNH/DAT 89.4). Geneva, Switzerland: World Health Organization.
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., Monteiro, M. G., & World Health Organization. (2001). AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for use in primary care (2nd ed.; WHO/MSD/MSB/01.6a). http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6a.pdf
The AUDIT, which is under copyright, may be obtained through:
Department of Mental Health and Substance Dependence World Health Organization CH-1211 Geneva 27 Switzerland
Conigrave, K. M., Saunders, J. B., & Reznik, R.B. (1995). Predictive capacity of the AUDIT questionnaire for alcohol-related harm. Addiction, 90(11), 1479-1485.
Fleming, M. F., Barry, K. L., & MacDonald, R. (1991). The alcohol use disorders identification test (AUDIT) in a college sample. International Journal of the Addictions, 26(11), 1173-1185.
Hays, R. D., Merz, J. F., & Nicholas, R. (1995). Response burden, reliability, and validity of the CAGE, Short MAST, and AUDIT alcohol screening measures. Behavioral Research Methods, Instruments, & Computers, 27(2), 277-280.
Piccinelli, M., Tessari, E., Bortolomasi, M., Piasere, O., Semenzin, M., Garzotto, N., & Tansella, M. (1997). Efficacy of the alcohol use disorders identification test as a screening tool for hazardous alcohol intake and related disorders in primary care: a validity study. British Medical Journal, 314(8), 420-424.
Rigmaiden, R. S., Pistorello, J., Johnson, J., Mar, D., & Veach, T. L. (1995). Addiction medicine in ambulatory care: Prevalence patterns in internal medicine. Substance Abuse, 16(1), 49-57.
Volk, R. J., Steinbauer, J. R., Cantor, S. B., & Holzer, C. E. (1997). The Alcohol Use Disorders Identification Test (AUDIT) as a screen for at-risk drinking in primary care patients of different racial/ethnic backgrounds. Addiction, 92(2), 197-206.
|Variable Name||Variable ID||Variable Description||Version||dbGaP Mapping|
|PX510201_Failed_Expectations_Because_Of_Drinking||PX510201050000||How often during the last year have you failed to do what was normally expected from you because of drinking?||4||N/A|
|PX510201_How_Many_Drinks_When_Drinking||PX510201020000||How many drinks containing alcohol do you have on a typical day when you are drinking?||4||N/A|
|PX510201_How_Often_Blackout_Drinking||PX510201080000||How often during the last year have you been unable to remember what happened the night before because you had been drinking?||4||Variable Mapping|
|PX510201_How_Often_Cannot_Stop_Drinking||PX510201040000||How often during the last year have you found that you were not able to stop drinking once you had started?||4||N/A|
|PX510201_How_Often_Drink||PX510201010000||How often do you have a drink containing alcohol?||4||Variable Mapping|
|PX510201_How_Often_Guilty_After_Drinking||PX510201070000||How often during the last year have you had a feeling of guilt or remorse after drinking?||4||Variable Mapping|
|PX510201_How_Often_Have_SixOrMore_Drinks||PX510201030000||How often do you have six or more drinks on one occasion?||4||N/A|
|PX510201_How_Often_Needed_Morning_Drink||PX510201060000||How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?||4||N/A|
|PX510201_Injured_Result_Of_Drinking||PX510201090000||Have you or someone else been injured as a result of your drinking?||4||N/A|
|PX510201_Others_Concerned_About_Your_Drinking||PX510201100000||Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down?||4||Variable Mapping|
Screening and Severity of Substance Use Problems
November 21, 2016
Instruments used separately to screen for alcohol and other drug problems and to assess the severity of these problems.
The purpose of this measure is to screen for alcohol-related and other drug-related problems (use) and to assess the severity of these problems by asking the respondent questions about use, withdrawal, and behaviors associated with substance use. This measure is not intended for abuse and dependence diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders (DSM).
Adolescent, Adult, Alcohol, Alcohol Abuse, Alcohol Use Disorders Identification Test, Arrests, AUDIT, Brief Michigan Alcoholism Screening Test, Brief MAST, DAST-10, Drug Abuse Screening Test, Drugs, Other Drugs, SAA, Screening, Simple Screening Instrument for Alcohol and Other Drugs, SSI-AOD, Substance Abuse, Assessment of Substance Use and Substance Use Disorders