Five-Shot Questionnaire on Heavy Drinking

Seppä, Kaija; Lepistö, Jaana; Sillanaukee, Pekka

doi:10.1037/t01469-000

Cited by 10 publications

(12 citation statements)

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“…11 At a cut-off of 3, the combined questionnaire gave a sensitivity of 0.77 for detecting heavy drinkers, higher than the CAGE sensitivity of 0.47. Using the same cutoff, the specificity was 0.83 compared to a CAGE specificity of 0.87.…”

Section: Combining Cage With Other Questionnairesmentioning

confidence: 99%

“…The validity criteria used for the inclusion of the studies in our review were the use of the Diagnostic Interview Schedule (DIS) and the Composite International Diagnostic Interview (CIDI). Less commonly, in some studies that we report, selfreport 11 or the use of another screening questionnaire, such as the MAST 12 were used as the criterion standard.…”

Section: Search Strategiesmentioning

confidence: 99%

“…While most studies used CIDI or DSM-IIIR for this, some studies used other criteria, for example selfreported alcohol consumption. 11 Comparisons between studies that use different validity criteria are limited. Second, comparisons between instruments across studies are difficult to interpret due to methodological differences while head-to-head comparisons are relatively rare.…”

Section: Limitationsmentioning

confidence: 99%

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The CAGE Questionnaire for Alcohol Misuse: A Review of Reliability and Validity Studies

Dhalla

Kopeć

2007

CIM

408

253

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Purpose: To review the reliability and validity of the CAGE questionnaire across different patient populations and discuss its role in the detection of alcohol-related problems. Methods: The Cochrane Database for Systematic Reviews, Medline, Embase, and Psychinfo were searched. No systematic reviews were found on the Cochrane Database. Search of the other databases yielded one systematic review and one meta-analysis, on different aspects of CAGE. Three articles on reliability and 16 on validity of CAGE were found and used. Studies generally yielded Level II evidence. Results: CAGE has demonstrated high test-retest reliability (0.80-0.95), and adequate correlations (0.48-0.70) with other screening instruments. The questionnaire is a valid tool for detecting alcohol abuse and dependence in medical and surgical inpatients, ambulatory medical patients, and psychiatric inpatients (average sensitivity 0.71, specificity 0.90). Its performance in primary care patients has been varied, while it has not performed well in white women, prenatal women, and college students. Furthermore, it is not an appropriate screening test for less severe forms of drinking. Conclusions: CAGE is short, feasible to use, and easily applied in clinical practice. However, users should be aware of its limitations when interpreting the results. A positive screen should be followed by a proper diagnostic evaluation using standard clinical criteria.

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Section: Combining Cage With Other Questionnairesmentioning

confidence: 99%

Section: Search Strategiesmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

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The CAGE Questionnaire for Alcohol Misuse: A Review of Reliability and Validity Studies

Dhalla

Kopeć

2007

CIM

408

253

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“…AD ¼ 1) if he or she has three or more of the above symptoms. We also calculate the five-shot and CAGE (the acronym for cut down, annoy, guilty, 'eye opener') indicators which have been applied in medical practice for diagnosing an alcohol problem (Mayfield et al, 1974;Seppa¨et al, 1998), as well as indicators focussing on particular aspects of problem drinking.…”

Section: Problem Drinking Indicatorsmentioning

confidence: 99%

The effect of schooling on problem drinking: evidence from Australian twins

2013

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We relate differences in problem drinking symptoms within pairs of identical twins to their respective differences in years of schooling. Isolating in this way the influences of family background and genes, we find that an increase in schooling attainment results in a significantly lower incidence of problem drinking for men. Thus, an extra year of schooling reduces the number of health problems caused by drinking by 0.14, and the probability of developing symptoms of Alcohol Dependence (AD) by 0.06. This negative link is robust to a variety of modifications to the identifying assumptions underlying our statistical analysis. Socio-economic implications of our findings are discussed.

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“…Referenced questionnaires or sources included the Five Shot questionnaire, 29 Alcohol Use Disorders Identifi cation Test (AUDIT), 30,31 NHIS, 26 BRFSS, 27 and GAPS.…”

Section: Risky Drinkingmentioning

confidence: 99%

Practical and Relevant Self-Report Measures of Patient Health Behaviors for Primary Care Research

Glasgow¹

2005

The Annals of Family Medicine

129

103

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PURPOSE With increasing evidence for the value of behavior change counseling, there is a need for health behavior measurements that can be implemented in primary care research. This article discusses criteria for and reviews self-report measures to briefl y assess cigarette smoking, eating patterns, physical activity, and risky drinking across the life course. It then proposes pragmatic measures for use in practice-based research.METHODS Drawing from literature reviews, previous multisite studies, personal communications with experts in the fi eld, and guidance from an expert panel, we identifi ed self-report behavior change measures and gave priority to items that addressed Healthy People 2010 goals, as well as those that were practical (ie, shorter, and easier to score and use for intervention), were sensitive to change, and produced results that could directly inform primary care intervention. RESULTS Separate recommendations are described for measures for adults and for children/adolescents. We recommend a set of 22 items for adults and 16 items for adolescents to track succinctly their status on the 4 health behaviors above. Perfected measures remain elusive: newly developed measures of physical activity and eating patterns are recommended, and in general, the brief measures for adults are currently better validated than are the child measures.CONCLUSIONS A set of totally satisfactory practical instruments for measuring behavior change in primary care settings does not yet exist. There is suffi cient progress to encourage use of and further research on the proposed items. Use of a common set of items across different interventions and projects will help to advance clinical and behavioral research in primary care settings. INTRODUCTIONH ealth behavior counseling in primary care settings holds great potential for disease prevention and management. [1][2][3] Emerging evidence points to the importance of the physician as a change agent, 4 the effi cacy of health behavior change interventions in primary care settings, 5 and the value of behavioral change interventions for high-risk populations. 6 It is timely to emphasize health behavior counseling in primary care given the large potential impact of personal behavior change on premature death and avoidable suffering. 1,7,8 The underperformance of the US health care system is acknowledged and accompanied by keen interest to improve. 9 The 3 primary care medical specialties, as well as primary care nurse practitioners and physician' s assistants, exist in suffi cient numbers to make feasible greater attention to the health needs of primary care patients. [10][11][12] Also, all 3 of the primary care physician specialties-pediatrics, family medicine, and general internal medicine-are now calling for revisions in training Russell E. Glasgow Evaluation of behavioral interventions in primary care research requires appropriate assessments of targeted health behaviors. Valid assessment methods are needed to identify patients who could benefi t from interventions...

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Five-Shot Questionnaire on Heavy Drinking

Cited by 10 publications

References 0 publications

The CAGE Questionnaire for Alcohol Misuse: A Review of Reliability and Validity Studies

The CAGE Questionnaire for Alcohol Misuse: A Review of Reliability and Validity Studies

The effect of schooling on problem drinking: evidence from Australian twins

Practical and Relevant Self-Report Measures of Patient Health Behaviors for Primary Care Research

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