Screening Tests Flashcards
AUDIT
test
use
score
sens/spec
test = 10 Q self-admin @ freq, binge, quant, depend, related problems
use = etoh risk, not just dependence
score = + is >8 males, >4 females
sens/spec = 0.8, 0.89 (go to diagnostic testing)
CAGE / CAGE-AID
test
use
score
sens/spec
test = Cut down, Annoyed, Guilty, Eyeopener
use = EtOH dependence only
score = + 2 or more yes
sens/spec = 90% predictive of dependence
CAGE-AID - adapted to include drugs
NIAAA
test
use
score
sens/spec
test = 1Q do you sometimes drink in a day >5 male, >4 female
use = screen EtOH
score = yes to only question is positive
sens/spec
AUDIT-c
test
use
score
sens/spec
test = binge and frequency Qs
use = EtOH hazardous use
score = 0-12, positive >4 male, >3 female
sens/spec = more sensitive than AUDIT
MAST / DAST
test
use
score
sens/spec
MAST = Michigan Alcohol screening test, or Drug Abuse screening test
use = M - EtOH, D - Drugs
score = both positive at 6
MAST 0-2 neg, 3-5 mild/early, 6 or up severe
sens/spec = highly sensitive
MAST G - more sensitive in geriatrics
ASSIST / NIDA-mod ASSIST / computer ASSIST ACASI
test
use
score
sens/spec
test = 7Q / substance developed for SBIRT purpose
use = assess 10 substances and if IVDA present for SBIRT
score = per substance
sens/spec = screening
ACASI is computer assisted
SBIRT
not a screening tool
Screen
Brief Intervention
Referral for Treatment
TWEAK
test
use
score
sens/spec
test = 5Q
use = in PREGNANT females for harmful use of EtOH, determining tolerance/sensitivity
score = positive if >2
sens/spec = most sensitive in pregnant population
TACE
test
use
score
sens/spec
test = 4Q, Tolerance, Annoyed, Cutdown, Eyeopener
use = detect heavy EtOH use in PREGNANT females
score = + is >2
sens/spec = more sensitive in pregnant female to get into services
CRAFFT
test
use
score
sens/spec
test = 6Q
use = pediatric population
score = 0-1 counsel, >2 intervention
sens/spec = score 4-6 has 80% predictive value for future SUD
4Ps
test
use
score
sens/spec
test = Parents/Partner/Past/Pregnancy
use = detect low use of EtOH in pregnant patients
score =
sens/spec = screening only to detect mild use, but increased concern secondary to pregnant state
Withdrawal Scales per Substance
CIWA
CSSA
SOWS
OOWS
COWS
CIWA - EtOH
CSSA - Cocaine Selective Severity Assessment
SOWS - Opiates (subj) 16Q
OOWS - Opiates (obj) 10 signs
COWS - Opiates (subj & obj) 11 items
Preferred Screening Per Population:
Geriatrics
Pregnancy
Pediatrics
Gambling
Geriatrics - MAST-G
Pregnancy - 4Ps, TWEAK, TACE
Pediatrics - CRAFFT
Gambling - SOGS
Screens for Opiate RX Appropriateness
ORT = Opiate Risk Tool for Adults with PCP, 0-3 low risk, 4-7 mod risk, > 8 high risk for abuse of RX
SOAPP = Screener and Opioid Assessment for
Patients with Pain for those with pain to start opiates OR continue tx
<9 low, 10-21mod, >22 high OR >18 risk cutoff
DIRE = “candidacy” for long term opiate analgesia tx, low score 7-13 POOR candidate, higher score 14-21 good candidate, poor evidence for tool, but remains recommendation in pain medicine specialties
COWS
11 subcategories
5-12 MILD WDWL
12-24 MOD WDWL
25-36 MOD SEVERE WDWL
>36 SEVERE WDWL
DrInC
Drinker inventory of consequences
Measure the adverse impact of AUD in 5 domains: physical, social, impulsive, interpersonal, and intra-personal
SOCRATES
Stages of change readiness and treatment eagerness scale do AUD with patient recognition of UD, ambivalence, and action
RAATE
Recovery attitude and treatment evaluation
Used in specialized RX settings to focus on sources of RX resistance
FRAMES
FEEDBACK
Responsibility
advice
menu
emphathy
self-efficacy
