Audit-3 and audit-4: effectiveness of two short forms of the alcohol use disorders identification test.

AIMS To identify suitable short versions of the Alcohol Use Disorders Identification Test (AUDIT) and to evaluate their effectiveness as screening tests for 'risky drinking' among men and women in primary health care (PHC) settings. METHODS A total of 255 patients attending five PHC centres in Catalonia (Spain) were interviewed by clinicians regarding health status and drinking pattern. Patients also completed the AUDIT. Clinicians' diagnosis of risky drinking was used as a gold standard to evaluate the effectiveness of three forms of AUDIT. RESULTS AUDIT-3 and AUDIT-4 performed similarly to AUDIT-10 in detecting risky drinking and had equivalent receiver operating characteristics curves and their areas under the curve. CONCLUSIONS Both short forms of AUDIT seem to be as effective as the full AUDIT for detecting risky drinking among men and women in PHC settings.

[1]  P. Sillanaukee,et al.  Five-shot questionnaire on heavy drinking. , 1998, Alcoholism, clinical and experimental research.

[2]  F. Song,et al.  Brief interventions and alcohol use. , 1993, Quality in health care : QHC.

[3]  J. Hanley,et al.  A method of comparing the areas under receiver operating characteristic curves derived from the same cases. , 1983, Radiology.

[4]  K. Kraemer,et al.  Three questions can detect hazardous drinkers. , 2001, The Journal of family practice.

[5]  A. Gual,et al.  Does the concept of a standard drink apply to viticultural societies? , 1999, Alcohol and alcoholism.

[6]  S. Cantor,et al.  The Alcohol Use Disorders Identification Test (AUDIT) as a screen for at-risk drinking in primary care patients of different racial/ethnic backgrounds. , 1997, Addiction.

[7]  August B. Hollingshead,et al.  Two Factor Index of Social Position , 1957 .

[8]  A. Haines,et al.  Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption. , 1988, BMJ.

[9]  L. Kraus,et al.  Measuring alcohol consumption and alcohol-related problems: comparison of responses from self-administered questionnaires and telephone interviews. , 2001, Addiction.

[10]  M. Sánchez-Serrano,et al.  Validation of the Alcohol Use Disorders Identification Test (AUDIT) in primary care , 1998 .

[11]  D. Kivlahan,et al.  The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. , 1998, Archives of internal medicine.

[12]  A. G. Solé,et al.  Test para la identificación de transtornos por uso de alcohol (AUDIT): Traducción y validación del AUDIT al catalán y castellano , 1999 .

[13]  N. Heather,et al.  Evaluation of a controlled drinking minimal intervention for problem drinkers in general practice (the DRAMS scheme). , 1987, The Journal of the Royal College of General Practitioners.

[14]  P. Anderson Alcohol and primary health care. , 1996, WHO regional publications. European series.

[15]  M. French,et al.  Benefit-cost analysis of brief physician advice with problem drinkers in primary care settings. , 2000, Medical care.

[16]  Alan D. Lopez,et al.  The global burden of disease: a comprehensive assessment of mortality and disability from diseases injuries and risk factors in 1990 and projected to 2020. , 1996 .

[17]  F. Buntinx,et al.  Screening properties of questionnaires and laboratory tests for the detection of alcohol abuse or dependence in a general practice population. , 2001, The British journal of general practice : the journal of the Royal College of General Practitioners.

[18]  Tim Stockwell,et al.  INTERNATIONAL GUIDE FOR MONITORING ALCOHOL CONSUMPTION AND RELATED HARM , 2000 .

[19]  D. Dawson,et al.  Relative frequency of heavy drinking and the risk of alcohol dependence. , 1993, Addiction.

[20]  A. Gual,et al.  El ISCA (Interrogatorio Sistematizado de Consumos Alcohólicos): un nuevo instrumento para la identificación prematura de bebedores de riesgo , 2001 .

[21]  O. Aasland,et al.  Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. , 1993, Addiction.

[22]  E. Portella,et al.  El alcohol y su abuso: impacto socioeconómico , 1998 .

[23]  H. Kranzler,et al.  The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings. , 1995, Journal of studies on alcohol.

[24]  M. I. Fernández San Martín,et al.  [Effectiveness of brief medical counseling to reduce drinkers' alcohol consumption]. , 1997, Atencion primaria.

[25]  P. O'Connor,et al.  Screening for alcohol problems in primary care: a systematic review. , 2000, Archives of internal medicine.

[26]  M Tansella,et al.  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 , 1997, BMJ.

[27]  F. González,et al.  Mortalidad relacionada con el consumo de alcohol en españa: 1981–1990 , 1996 .