Jennifer McNeely|Li?Tzy Wu|Geetha Subramaniam|Gaurav Sharma|Lauretta Cathers|Dace S. Svikis|Luke Sleiter|Linnea Russell|Courtney Nordeck|Anjalee Sharma|Kevin E. O’Grady|Leah B. Bouk|Carol Cushing|Jacqueline King|Aimee Wahle|Robert P. Schwartz
Performance of the Tobacco, Alcohol, Prescription Medication, and Other Substance Use (TAPS) Tool for Substance Use Screening in Primary Care Patients
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substance use leading cause illness death underidentified medical practicethe tobacco alcohol prescription medication substance use taps tool developed address need brief screening assessment instrument includes commonly used substances fits clinical workflows goal study assess performance taps tool primary care patientsmultisite study conducted within national drug abuse treatment clinical trials network comparing taps tool reference standard measure clinicaltrialsgov nct021106935 adult primary care clinics2000 adult patients consecutively recruited clinic waiting areasinterviewer selfadministered versions taps tool compared reference standard modified world mental health composite international diagnostic interview cidi measures problem use substance use disorder sudinterviewer selfadministered versions taps tool similar diagnostic characteristics identifying problem use cutoff 1 taps tool sensitivity 093 95 ci 090 095 specificity 087 ci 085 089 tobacco sensitivity 074 ci 070 078 specificity 079 ci 076 081 alcohol problem use illicit prescription drugs sensitivity ranged 082 ci 076 087 marijuana 063 ci 047 078 sedatives specificity 093 higher identifying sud cutoff 2 sensitivity lowerthe low prevalence drug classes led poor precision estimates research assistants blinded participants taps tool responses administered cidiin diverse population adult primary care patients taps tool detected clinically relevant problem substance use although also may detect tobacco alcohol marijuana use disorders refinement needed recommended broadly sud screeningnational institute drug abuse