Improving alcohol screening for college students: Screening for alcohol misuse amongst college students with a simple modification to the CAGE questionnaire

Abstract

The modified CAGE has better accuracy than CAGE in predicting AA and AD among college populations.

Validity of the AUDIT-C screen for at-risk drinking among students utilizing university primary care

“…17 These screening measures include the Rapid Alcohol Problem Screen (RAPS4), 18 College Alcohol Problem Scale (CAPS), 19 CUGE (Cut down, Under influence, Guilty, Eye opener), 20 Alcohol Use Disorders Identification Test (AUDIT), 21,22 and the AUDIT-C, 23 a 3-item measure derived from the first three items on the AUDIT. A more recent study 24 also supports the use of a modified version of the CAGE (Cut down, Annoyed, Guilty, Eye opener) screen among college students. Of these recommended screens, only the AUDIT and AUDIT-C were developed for use in primary care settings.…”

Características de los Instrumentos de Tamizaje del Trastorno por Uso de Alcohol en Jóvenes Universitarios de Argentina

“…Otros estudios en universitarios también notaron que el desempeño del AUDIT sería mejor que el del CAGE (Fleming et al, 1991). Para mejorar sus características psicométricas se han propuesto modificaciones como cambiar la pregunta sobre las discusiones con familiares por una pregunta sobre la conducción bajo los efectos del alcohol (Aertgeerts et al, 2000) o incluso añadirle otras como la influencia del alcohol en los afectos, en la pérdida de recursos y oportunidades y el vandalismo (Taylor, El-Sabawi y Cangin, 2016). Un posible indicio del motivo del menor desempeño del CAGE en esta población puede encontrarse en el análisis a nivel del ítem.…”

Identifying the Assumptions and Bias That Affect Screening and Brief Interventions for Harmful Alcohol Use

“…The three additional questions measured the impact of alcohol use on feelings toward self and others (Feelings), destructive behavior (Destructive), and loss of opportunities (Loss). In a sample of 219 midwestern university students, the modified CAGE identified 20.24 % more students with HAU and 27.62 % more students with an alcohol use disorder (Taylor et al, 2016).…”

“…The inherent bias of alcohol use screening tools can be offset with assessment strategies tailored to specific groups. The Cut down Annoyed Guilt Eye-opener (CAGE) is the screening tool most often used in college students (Taylor et al, 2016). One study found that due to the behavioral consequences of HAU often found in college populations, CAGE combined with the addition of three questions yielded more accurate self-reports of alcohol use.…”

“…This is especially relevant in older persons who tend to begin drinking later in life due to psychosocial factors, grief, loss, and chronic pain (DiBartolo & Jarosinski, 2017). Due to the effects of advanced age on alcohol metabolism, medical conditions, and polypharmacy, they are at a higher risk for health-related consequences (DiBartolo & Jarosinski, 2017;Taylor et al, 2016). In a study conducted in Australia, of 11,886 persons 50 years and older, 7,927 persons indicated that they drank alcohol in the last 12 months.…”