Quyên Q. Tiêt|Yani E. Leyva|Rudolf H. Moos|Susan M. Frayne|Lars Osterberg|Brandy N. Smith
Screen of Drug Use
VA Palo Alto Health Care System|National Center for PTSD|Center for Innovation|Alliant International University|Stanford University|VA Palo Alto Health Care System|National Center for PTSD|Center for Innovation|San Francisco VA Medical Center|VA Palo Alto Health Care System|Stanford University|Center for Innovation|VA Palo Alto Health Care System|Stanford University|Center for Innovation|VA Palo Alto Health Care System|Stanford University|VA Palo Alto Health Care System|National Center for PTSD|Center for Innovation
illicit drug use prevalent primary care provides ideal setting screen drug use disorders duds negative consequences drug use ncdu comprehensive reviews concluded existing drug use screening instruments appropriate routine use primary careto develop validate screening instrument drug usewe revised items drawn existing screening instruments conducted signal detection analyses develop new instrument approached 3173 patients 2 primary care clinics us department veterans affairs health care system february 1 2012 april 30 2014 total 1300 410 patients consented study 1283 adults eligible mean sd age 622 126 years last 12 months 241 188 participants reported using illicit drugs prescription medication nonmedical purpose 189 147 reported 1 ncdu total 133 104 patients met dsmiv criteria dud sample randomly divided first develop measure validate itthe miniinternational diagnostic interview used criterion duds inventory drug use consequences used criterion ncduthe screening instrument 2 questions first many days past 12 months used drugs alcohol patients meet criterion response 7 days second question asks many days past 12 months used drugs meant response 2 days meets criterion screening instrument 100 sensitive 9373 specific duds 643 patients replicated second half sample 640 patients 9231 sensitive 9287 specific screening instrument 9318 sensitive 9603 specific ncdu 643 patients replicated second half sample 640 patients 8317 sensitive 9685 specificthe 2item screen drug use excellent statistical properties brief screening instrument duds problems suitable busy us department veterans affairs primary care clinics