Jennifer McNeely|Simon Strauß|Richard Saitz|Charles M. Cleland|Joseph J. Palamar|John Rotrosen|Marc N. Gourevitch
A Brief Patient Self-administered Substance Use Screening Tool for Primary Care: Two-site Validation Study of the Substance Use Brief Screen (SUBS)
New York University|New York College of Health Professions|Boston Medical Center|New York College of Health Professions|New York University|New York University|New York University
substance use screening widely encouraged health care settings lack screening approach fits easily clinical workflows restricted broad implementation substance use brief screen subs developed brief selfadministered instrument identify unhealthy use tobacco alcohol illicit drugs prescription drugs evaluated validity testretest reliability subs adult primary care patientsadults aged 1865 years enrolled urban safety net primary care clinics selfadminister subs using touchscreen tablet computers testretest reliability study n 54 2site validation study n 586 testretest reliability study subs administered twice within 2week period validation study subs compared reference standard measures including selfreported measures oral fluid drug tests measured testretest reliability diagnostic accuracy subs detection unhealthy use substance use disorder tobacco alcohol drugs illicit prescription drug misusetestretest reliability good excellent substance class detection unhealthy use subs sensitivity specificity 978 95 confidence interval ci 937995 957 95 ci 924978 respectively tobacco 852 95 ci 793899 770 95 ci 726811 alcohol unhealthy use illicit prescription drugs sensitivity 825 95 ci 757880 specificity 911 95 ci 879936 respect identifying substance use disorder subs sensitivity specificity 1000 95 ci 9271000 721 95 ci 671768 tobacco 935 95 ci 855979 646 95 ci 602687 alcohol 857 95 ci 772920 820 95 ci 782853 drugs analyses area receiver operating curve auc indicated good discrimination auc 074097 substance classes assistance completing subs requested 11 participantsthe subs feasible selfadministration generated valid results diverse primary care patient population 4item subs recommended primary care settings seeking implement substance use screening