Do words matter? Incongruent responses to inconsistently worded AUDIT-C alcohol screening instruments.


:The first 3 questions of the Alcohol Use Disorders Identification Test (AUDIT-C) are often used as a brief alcohol screening instrument. However, the implications of common modifications made to the original AUDIT questions and response options have not been considered. The authors examined existing data from a randomized controlled trial of 310 persons with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) that was testing the efficacy of 2 antiretroviral medication adherence interventions. Logistic regression was used to model the probability of participants having inconsistent AUDIT-C item responses. Three patterns of conflicting responses to the AUDIT-C items were identified. Common item modifications resulted in 14% (n = 48) of the parent study sample reporting conflicting responses across related AUDIT-C items. The odds of having conflicting data were 3 times greater in opioid users (odds ratio [OR] = 3.139, 95% confidence interval [CI] = 1.267-7.777, P = .01) and greater in persons with higher levels of conscientiousness (OR = 1.053, 95% CI = 1.006-1.103, P = .03). Inconsistent question format and response options may impede proper scoring and interpretation of the AUDIT-C. Further discussion and consensus building are needed on the psychometrically ideal version of the AUDIT-C.


Subst Abus


Substance abuse


Broyles LM,Gordon AJ,Sereika SM,Ryan CM,Erlen JA




Has Abstract


2011-10-01 00:00:00












  • Implementing a peer recovery coach model to reach low-income, minority individuals not engaged in substance use treatment.

    abstract::Background: Low-income, racial/ethnic minority individuals face significant barriers in access to substance use (SU) treatment. Peer recovery coaches (PRCs), individuals with lived experience with substance use disorder (SUD), may be uniquely well suited to assist those encountering barriers to treatment. PRCs can als...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Kleinman MB,Doran K,Felton JW,Satinsky EN,Dean D,Bradley V,Magidson JF

    更新日期:2020-12-03 00:00:00

  • Baylor Pediatric SBIRT Medical Residency Training Program: model description and evaluation.

    abstract:BACKGROUND:The Baylor College of Medicine SBIRT Medical Residency Training Program is a multilevel project that trains residents and faculty in evidenced-based screening, brief intervention, and referral to treatment methods for alcohol and substance use problems. METHODS:This paper describes the training program crea...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Bray JH,Kowalchuk A,Waters V,Allen E,Laufman L,Shilling EH

    更新日期:2014-01-01 00:00:00

  • Testing an optimized community-based human immunodeficiency virus (HIV) risk reduction and antiretroviral adherence intervention for HIV-infected injection drug users.

    abstract::The authors conducted a preliminary study of the 4-session Holistic Health for HIV (3H+), which was adapted from a 12-session evidence-based risk reduction and antiretroviral adherence intervention. Improvements were found in the behavioral skills required to properly adhere to HIV medication regimens. Enhancements we...

    journal_title:Substance abuse

    pub_type: 临床试验,杂志文章


    authors: Copenhaver MM,Lee IC,Margolin A,Bruce RD,Altice FL

    更新日期:2011-01-01 00:00:00

  • Turning the tide or riptide? The changing opioid epidemic.

    abstract::The US opioid epidemic has changed profoundly in the last 3 years, in ways that require substantial recalibration of the US policy response. This report summarizes the changing nature of overdose deaths in Jefferson County (home to Birmingham, Alabama) using data updated through June 30, 2016. Heroin and fentanyl have...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Kertesz SG

    更新日期:2017-01-01 00:00:00

  • The associated press stylebook changes and the use of addiction-related stigmatizing terms in news media.

    abstract::Background: The May 2017 publication of the updated Associated Press (AP) Stylebook offered guidance that advised against stigmatizing. The objective of this study was to assess the frequency of stigmatizing terms describing substance use and disorder in news articles before and after the update of the AP Stylebook.Me...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Bessette LG,Hauc SC,Danckers H,Atayde A,Saitz R

    更新日期:2020-04-29 00:00:00

  • Faculty development efforts to promote screening, brief intervention, and referral to treatment (SBIRT) in an internal medicine faculty-resident practice.

    abstract:BACKGROUND:Screening, brief intervention, and referral to treatment (SBIRT) is a practical means to address substance misuse in primary care. Important barriers to implementing SBIRT include adequacy of training and provider confidence as well as logistical hurdles and time constraints. A faculty development initiative...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Stone A,Wamsley M,O'Sullivan P,Satterfield J,Satre DD,Julian K

    更新日期:2017-01-01 00:00:00

  • The relationship between patient-centered care and outcomes in specialist drug and alcohol treatment: A systematic literature review.

    abstract::Background: Patient-centered care is strongly advocated as a key for improving the quality of healthcare. Research examining the impact of patient-centered care in healthcare has concluded that there are demonstrable albeit inconsistent relationships between patient experience, quality of care, and healthcare outcomes...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Davis EL,Kelly PJ,Deane FP,Baker AL,Buckingham M,Degan T,Adams S

    更新日期:2020-01-01 00:00:00

  • A randomized trial of methadone initiation prior to release from incarceration.

    abstract::Individuals who use heroin and illicit opioids are at high risk for infection with human immunodeficiency virus (HIV) and other blood-borne pathogens, as well as incarceration. The purpose of the randomized trial reported here is to compare outcomes between participants who initiated methadone maintenance treatment (M...

    journal_title:Substance abuse

    pub_type: 杂志文章,随机对照试验


    authors: McKenzie M,Zaller N,Dickman SL,Green TC,Parihk A,Friedmann PD,Rich JD

    更新日期:2012-01-01 00:00:00

  • Interpersonal guilt and substance use in college students.

    abstract:BACKGROUND:The college years are a time for developing independence and separating from one's family, and they are also a time in which substance use often escalates. This study examined the relationships between use of substances and interpersonal guilt, an emotion that can arise from feelings about separation among c...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Locke GW,Shilkret R,Everett JE,Petry NM

    更新日期:2015-01-01 00:00:00

  • Small area estimation and hotspot identification of opioid use disorder among military veterans living in the Southern United States.

    abstract:BACKGROUND:The purpose of this study was to estimate opioid use disorder prevalence rates at the county level among veterans in Alabama and to determine hotspots of said rates. Methods: By combining data from the National Survey on Drug Use and Health and the American Community Survey, we developed a mixed-effects gene...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Albright DL,McDaniel J,Kertesz S,Seal D,Prather K,English T,Laha-Walsh K

    更新日期:2021-01-01 00:00:00

  • Implementing evidence-based practices in community treatment programs: initial feasibility of a counselor "toolkit".

    abstract::Community substance abuse treatment programs face many barriers to adopting "evidence-based" therapies. Training budgets are inadequate to permit acquisition of complex skills, there is little clinical supervision available, and almost all counseling is done in group sessions. The authors adopted an approach widely us...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Carise D,Brooks A,Alterman A,McLellan AT,Hoover V,Forman R

    更新日期:2009-07-01 00:00:00

  • Consideration of opioid agonist treatment in a pregnant adolescent: A case report and literature review.

    abstract::Background: Opioid use greatly increases the risk of overdose death, as well as contracting human immunodeficiency virus (HIV) and hepatitis. Opioid agonist treatment is recommended for pregnant women who are dependent on opioids. However, there is a dearth of studies on the use of opioid agonist treatment in pregnant...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Spada M,Kmiec J,Glance JB,Gopalan P

    更新日期:2020-01-01 00:00:00

  • Exploring the formation of treatment program director perceptions on entry-level social workers' substance use treatment capacities in New York.

    abstract:BACKGROUND:This article examines how program directors of substance use treatment providers in New York state form their perceptions on the overall substance use treatment service delivery capacities of newly graduated, entry-level social workers. Methods: The study discussed consisted of a cross-sectional, quantitativ...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Minnick D,Park D

    更新日期:2020-08-19 00:00:00

  • Effects of a behavioral sleep medicine intervention on trauma symptoms in adolescents recently treated for substance abuse.

    abstract::This study tested whether improvement in sleep by an integrative, behavioral sleep intervention was associated with improvement in traumatic stress (TS) symptoms in a sample of 20 adolescents who were recently treated for substance abuse. Sleep was measured throughout the intervention via daily sleep diaries, and trau...

    journal_title:Substance abuse

    pub_type: 临床试验,杂志文章


    authors: Stevens S,Haynes PL,Ruiz B,Bootzin RR

    更新日期:2007-06-01 00:00:00

  • Using standardized patients in continuing medical education courses on proper prescribing of controlled substances.

    abstract::Controlled prescription drug (CPD) abuse is an increasing threat to patient safety and health care providers (HCPs) are not adequately prepared nor do they routinely employ proper screening techniques. Using standardized patients (SPs) as an instructional strategy, the trained physicians on proper prescribing practice...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Swiggart WH,Ghulyan MV,Dewey CM

    更新日期:2012-01-01 00:00:00

  • Prevalence of substance use among middle school-aged e-cigarette users compared with cigarette smokers, nonusers, and dual users: Implications for primary prevention.

    abstract:BACKGROUND:The objective of this study was to compare the prevalence of substance use in e-cigarette (EC)-only users with combustible cigarette (CC)-only users, dual users, and nonusers in a large sample of middle school-aged adolescents. METHODS:Population-based cross-sectional school survey conducted in 15 middle sc...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Kristjansson AL,Mann MJ,Smith ML

    更新日期:2017-10-01 00:00:00

  • High-intensity and simultaneous alcohol and marijuana use among high school seniors in the United States.

    abstract:BACKGROUND:Simultaneous alcohol and marijuana (SAM) use poses threats to health, particularly among adolescents. These risks would be exacerbated to the extent that high-intensity drinking (e.g., 10+ drinks in a row) and marijuana use (e.g., 1+ joints per day) are associated with a higher likelihood of SAM use. The cur...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Patrick ME,Veliz PT,Terry-McElrath YM

    更新日期:2017-10-01 00:00:00

  • Medical students' knowledge about alcohol and drug problems: results of the medical council of Canada examination.

    abstract:PURPOSE:To determine knowledge of a national sample of medical students about substance withdrawal, screening and early intervention, medical and psychiatric complications of addiction, and treatment options. METHODS:Based on learning objectives developed by medical faculty, twenty-two questions on addictions were inc...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Kahan M,Midmer D,Wilson L,Borsoi D

    更新日期:2006-12-01 00:00:00

  • Abstracts presented at the International Society of Addiction Medicine (ISAM) 19th Annual Meeting, Abu Dhabi, United Arab Emirates, October 2017.

    abstract::The 19th Annual Meeting of the International Society of Addiction Medicine (ISAM) was held in Abu Dhabi, United Arab Emirates, in October 2017. Contained in this paper are the abstracts of scientific work presented at the conference. ...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Gordon AJ

    更新日期:2018-01-02 00:00:00

  • "Alcoholic" or "Person with alcohol use disorder"? Applying person-first diagnostic terminology in the clinical domain.

    abstract::A recent publication by Broyles et al. has recommended extending the use of diagnostically accurate, person-first language (e.g., "person with alcohol use disorder") as an alternative to non-diagnostic, idiosyncratic terms (e.g., "addict", "alcoholic") when describing individuals with substance use disorders (SUDs) in...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Robinson SM

    更新日期:2017-01-01 00:00:00

  • Gender Differences in Drinking Patterns in Nine European Countries: Descriptive Findings.

    abstract::Gender differences in drinking patterns in nine European countries (the Czech Republic, Finland, France, Germany, Italy, The Netherlands, Scotland, Sweden, and Switzerland) were examined using data from surveys conducted in the late 1980s and early 1990s. Drinking patterns were analyzed with regard to sociodemographic...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Ahlström S,Bloomfield K,Knibbe R

    更新日期:2001-03-01 00:00:00

  • When human immunodeficiency virus (HIV) treatment goals conflict with guideline-based opioid prescribing: A qualitative study of HIV treatment providers.

    abstract:BACKGROUND:Human immunodeficiency virus (HIV)-infected patients have a high prevalence of chronic pain and opioid use, making HIV care a critical setting for improving the safety of opioid prescribing. Little is known about HIV treatment providers' perspectives about opioid prescribing to patients with chronic pain. M...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Starrels JL,Peyser D,Haughton L,Fox A,Merlin JS,Arnsten JH,Cunningham CO

    更新日期:2016-01-01 00:00:00

  • Making the transition from high school to college: the role of alcohol-related social influence factors in students' drinking.

    abstract::Using a sample of entering college freshmen (N = 311), the purposes of this study were to examine 1). whether perceived norms for college student alcohol use and problems differed by gender and level of intended Greek involvement (Greek intent); 2). associations between perceived norms, Greek intent, and alcohol use a...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Read JP,Wood MD,Davidoff OJ,McLacken J,Campbell JF

    更新日期:2002-03-01 00:00:00

  • Pharmacy: Addressing substance use in the 21st century.

    abstract::Across all care environments, pharmacists play an essential role in the care of people who use and misuse psychoactive substances, including those diagnosed with substance use disorders. To optimize, sustain, and expand these independent and collaborative roles, the Association for Multidisciplinary Education and Rese...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Bratberg J

    更新日期:2019-01-01 00:00:00

  • Stepped Care for Opioid Use Disorder Train the Trainer (SCOUTT) initiative: Expanding access to medication treatment for opioid use disorder within Veterans Health Administration facilities.

    abstract::The US is confronted with a rise in opioid use disorder (OUD), opioid misuse, and opioid-associated harms. Medication treatment for opioid use disorder (MOUD)-including methadone, buprenorphine and naltrexone-is the gold standard treatment for OUD. MOUD reduces illicit opioid use, mortality, criminal activity, healthc...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Gordon AJ,Drexler K,Hawkins EJ,Burden J,Codell NK,Mhatre-Owens A,Dungan MT,Hagedorn H

    更新日期:2020-01-01 00:00:00

  • The Effects on Facilitators of a Substance Abuse Education Program.

    abstract::This retrospective-anecdotal study was conducted to determine if involvement in a learner-centered continuing education program in substance abuse prevention would influence the careers and work-related activities of thefacilitators. A questionnaire was sent to 33 individuals who served as facilitators of a large subs...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Rhodes SB,Blondell RD,Pfeifer J,Graham AV

    更新日期:2001-09-01 00:00:00

  • Cognitive variables in alcohol dependent patients with elevated depressive symptoms: changes and predictive utility as a function of treatment modality.

    abstract::The aim of the current study was to examine, through posthoc analyses, changes in and predictive utility of mood-related cognitive variables as a function of treatment modality in a group of alcohol dependent patients with elevated depressive symptoms. In addition to the background partial hospital treatment for alcoh...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Ramsey SE,Brown RA,Stuart GL,Burgess ES,Miller IW

    更新日期:2002-09-01 00:00:00

  • Concerns that an opioid antidote could "make things worse": Profiles of risk compensation beliefs using the Naloxone-Related Risk Compensation Beliefs (NaRRC-B) scale.

    abstract::Background and aims: As opioid overdose death rates reach epidemic proportions in the United States, the widespread distribution of naloxone is imperative to save lives. However, concerns that people who use drugs will engage in riskier drug behaviors if they have access to naloxone remain prevalent, and the measureme...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Winograd RP,Werner KB,Green L,Phillips S,Armbruster J,Paul R

    更新日期:2020-01-01 00:00:00

  • Computer-Generated Written Behavioral Contracts with Problem Drinkers in Primary Medical Care.

    abstract::Problem drinking is common among patients in primary medical care, but often unrecognized. Brief physician interventions can be helpful, but several barriers hinder their adoption in practice, notably a lack of time. We conducted a randomized pilot study of written behavioral contracts that patients wrote with help fr...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: Vinson DC,Devera-Sales A

    更新日期:2000-12-01 00:00:00

  • Alcoholism in older women religious.

    abstract::The specific risk factors for addiction within religious community members remain poorly understood and undefined. This paper presents data on the characteristics of chemically dependent women Religious (nuns) in order to understand the etiology and treatment needs of this special group. This study contrasts a group o...

    journal_title:Substance abuse

    pub_type: 杂志文章


    authors: McKechnie J,Hill EM

    更新日期:2009-04-01 00:00:00