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The supplementary questions were asked after the AUDIT screen to avoid influencing the screening tool's results.
The 4-item CAGE alcohol screen also was embedded in the AUDIT screen.
The primary outcome measure for the study is the score on the AUDIT screen at 12 months post-consent.
With regard to substance use, 63% of patients were current tobacco users, 13% had medium to high level of alcohol consumption as measured by the AUDIT screen, and 33% reported a medium to severe level of drug abuse by DAST screen.
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AUDIT screening was not done as a part of any general health assessment.
Additional questionnaires embedded within adult computerised HCs include the Fagerstrom test for nicotine dependence [ 19], the alcohol use disorders identification test (AUDIT) screening tool for hazardous alcohol use [ 20], and Kessler psychological distress scale (K10) [ 21].
Primary care was the key setting for the major World Health Organization (WHO) collaborative project that developed the Alcohol Use Disorders Identification Test (AUDIT) screening instrument [ 1] and undertook the first cross-national brief intervention trial [ 2].
Nearly two thirds (n = 104, 64.2%) of the midwives informed pregnant women about the effects of alcohol consumption in pregnancy, they did not always use the recommended AUDIT screening tool (n = 66, 47.5%) to assess alcohol consumption during pregnancy, nor conduct brief intervention when indicated (n = 107, 70.4%).
The AUDIT screens for hazardous drinking (score ≥7) defined as ingestion of 60 g or more of alcohol per occasion, and for alcohol use disorder (score ≥16) which includes harmful use and alcohol dependency (according to the ICD-10 Classification system) [ 35].
The interview followed a topic guide which was informed by a literature review [ 12] and pilot study and consisted of three areas: Demography and descriptive data, including the AUDIT screening questionnaire (Alcohol Use Disorders Identification Test) [ 34]. Experience of screening/treatment for problem alcohol use.
Ten of the 12 studies (Butler et al. 2003; Cucciare et al. 2013; Johnson et al. 2013; Karlsson and Bendtsen 2005; Kypri et al. 2008; Murphy et al. 2013; Neumann et al. 2006; Suffoletto et al. 2012; Trinks et al. 2010; Vaca et al. 2011) used the Alcohol Use Disorders Identification Test (AUDIT) screening tool (Reinert and Allen 2002) or its shortened form, the AUDIT-C (Bush et al. 1998).
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