Jennifer McNeely|Charles M. Cleland|Simon Strauß|Joseph J. Palamar|John Rotrosen|Richard Saitz
Validation of Self-Administered Single-Item Screening Questions (SISQs) for Unhealthy Alcohol and Drug Use in Primary Care Patients
New York University|New York University|Boston University
brief singleitem screening questions sisqs alcohol drug use facilitate screening health care settings widely used selfadministered versions sisqs could ease barriers implementation sought validate sisqs selfadministration primary care patients participants completed sisqs alcohol drugs illicit prescription misuse touchscreen tablet computers selfreported reference standard measures unhealthy use specifically risky consumption problem use substance use disorders administered interviewer saliva drug tests collected adult patients aged 2165 years consecutively enrolled two urban safetynet primary care clinics sisqs compared reference standards determine sensitivity specificity area receiver operating characteristic curve auc alcohol drug use among 459 participants 22 reported unhealthy alcohol use 25 reported drug use past year sisqalcohol sensitivity 733 95 ci 653803 specificity 847 95 ci 802885 auc 079 95 ci 075083 detecting unhealthy alcohol use sensitivity 867 95 ci 754941 specificity 742 95 ci 696784 auc 080 95 ci 076085 alcohol use disorder sisqdrug sensitivity 713 95 ci 624791 specificity 943 95 ci 913966 auc 083 95 ci 079087 detecting unhealthy drug use sensitivity 851 95 ci 750923 specificity 886 95 ci 850916 auc 087 95 ci 083091 drug use disorder selfadministered sisqs valid approach detecting unhealthy alcohol drug use primary care patients although selfadministered sisqs may less accurate previously validated intervieweradministered versions potentially easier implement likely retain fidelity realworld practice settings