Protocol - Screening and Severity of Substance Use Problems - Adults - Alcohol - Past 12 Months

Description

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.

Specific Instructions

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).

Availability

Available

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Protocol

Assessment of Substance Use and Substance Use Disorders

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.

Equipment Needs

None

Requirements

Requirement Category	Required
Major equipment	No
Specialized training	No
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

Lifestage

Adult, Senior

Participants

Adults aged 18 years and older

Selection Rationale

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.

Language

English

Standards

Standard	Name	ID	Source
Human Phenotype Ontology	Addictive behavior	HP:0030858	HPO
caDSR Form	PhenX PX510201 - Screening And Severity Of Substance Use Problems Adult	6214285	caDSR Form

Derived Variables

None

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

Protocol Name from Source

Alcohol Use Disorders Identification Test (AUDIT)

Source

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

General References

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.

Protocol ID

510201

Variables

Export Variables

Variable Name	Variable ID	Variable Description	dbGaP Mapping
PX510201_Failed_Expectations_Because_Of_Drinking
	PX510201050000	How often during the last year have you more failed to do what was normally expected from you because of drinking? show less	N/A
PX510201_How_Many_Drinks_When_Drinking
	PX510201020000	How many drinks containing alcohol do you more have on a typical day when you are drinking? show less	N/A
PX510201_How_Often_Blackout_Drinking
	PX510201080000	How often during the last year have you been more unable to remember what happened the night before because you had been drinking? show less	Variable Mapping
PX510201_How_Often_Cannot_Stop_Drinking
	PX510201040000	How often during the last year have you more found that you were not able to stop drinking once you had started? show less	N/A
PX510201_How_Often_Drink
	PX510201010000	How often do you have a drink containing alcohol?	Variable Mapping
PX510201_How_Often_Guilty_After_Drinking
	PX510201070000	How often during the last year have you had more a feeling of guilt or remorse after drinking? show less	Variable Mapping
PX510201_How_Often_Have_SixOrMore_Drinks
	PX510201030000	How often do you have six or more drinks on more one occasion? show less	N/A
PX510201_How_Often_Needed_Morning_Drink
	PX510201060000	How often during the last year have you more needed a first drink in the morning to get yourself going after a heavy drinking session? show less	N/A
PX510201_Injured_Result_Of_Drinking
	PX510201090000	Have you or someone else been injured as a more result of your drinking? show less	N/A
PX510201_Others_Concerned_About_Your_Drinking
	PX510201100000	Has a relative or friend or a doctor or more another health worker been concerned about your drinking or suggested you cut down? show less	Variable Mapping

Assessment of Substance Use and Substance Use Disorders

Measure Name

Screening and Severity of Substance Use Problems

Release Date

February 24, 2012

Definition

Instruments used separately to screen for alcohol and other drug problems and to assess the severity of these problems.

Purpose

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).

Keywords

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

Measure Protocols

Protocol ID	Protocol Name
510201	Screening and Severity of Substance Use Problems - Adults - Alcohol - Past 12 Months
510202	Screening and Severity of Substance Use Problems - Adolescents
510203	Screening and Severity of Substance Use Problems - Adults - Alcohol - Lifetime
510204	Screening and Severity of Substance Use Problems - Adults - Drugs

Publications

There are no publications listed for this protocol.

Mapping for PX510201_How_Often_Blackout_Drinking

dbGAP Study	dbGAP Variable	dbGAP Variable Description
CIDR: Collaborative Study on the Genetics of Alcoholism (COGA)	phv00045044	Have you ever had black-outs during which you didn't pass out while drinking that is, you drank enough so that the next day you couldn't remember things you had said or done? IF NO SKIP TO SECTION E32 - NOTE: The data values for this variable represent harmonized values; they were derived from information obtained with Sections A and E of the SSAGAI and SSAGAII questionnaires.
CIDR: Collaborative Study on the Genetics of Alcoholism (COGA)	phv00045067	Have you ever had black-outs during which you didn't pass out while drinking that is, you drank enough so that the next day you couldn't remember things you had said or done: Did you have 3 or more black-outs? - NOTE: The data values for this variable represent harmonized values; they were derived from information obtained with Sections A and E of the SSAGAI and SSAGAII questionnaires.

Mapping for PX510201_How_Often_Drink

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Indianapolis-Ibadan, Nigeria Comparative Epidemiological Study of Dementia	phv00161476	How often do/did you drink alcoholic beverages?
Women's Health Initiative	phv00077953	Alcohol how often

Mapping for PX510201_How_Often_Guilty_After_Drinking

dbGAP Study	dbGAP Variable	dbGAP Variable Description
CARDIA Cohort	phv00114322	FELT BAD OR GUILTY ABOUT DRINKING. Q 14

Mapping for PX510201_Others_Concerned_About_Your_Drinking

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Whole Genome Association Study of Bipolar Disorder	phv00012508	I18c. Did your drinking cause you to: hear objections about your drinking from your family, friends, doctor, or clergyman? (Participants with European ancestry). DIGS2