In the past year, how often have you used the following? For prescription medications, record only use for reasons or in doses other than prescribed.
Report details · optional
Shown on the report and stored with the screening record. Use initials or a code, not full names.
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About this screener — evidence, source
The first step of NIDA's screening approach for adult patients in general medical settings. One question asks how often in the past year the patient used alcohol (heavy drinking days), tobacco, prescription drugs for non-medical reasons and illegal drugs. Any drug use leads on to the NIDA-Modified ASSIST.
Evidence · validated
The drug question is adapted from the single-question screen of Smith et al. (2010): in 286 adult primary-care patients, a response of one or more times in the past year was 100% sensitive and 73.5% specific for a drug use disorder, and 92.9% sensitive for self-reported current drug use. The alcohol question is NIAAA's heavy-drinking-days question (Smith et al., 2009: 81.8% sensitive and 79.3% specific for unhealthy alcohol use). The four-item combination has not been separately validated.
Source & licence
National Institute on Drug Abuse. NIDA Quick Screen V1.0 and NIDA-Modified ASSIST V2.0 (Resource Guide: Screening for Drug Use in General Medical Settings; NIH Publication No. 11-7384, revised 2012). The Quick Screen was adapted from Smith PC et al., A single-question screening test for drug use in primary care, Arch Intern Med. 2010;170(13):1155–1160, and NIAAA's heavy-drinking-days question; the NM ASSIST was adapted from the WHO ASSIST Version 3.0.
Licence: Public domain — NIDA's Quick Reference Guide "Screening for Drug Use in General Medical Settings" (NIH Pub. No. 11-7384), which contains the NIDA Quick Screen and NIDA-Modified ASSIST, states "This pamphlet is in the public domain and may be reproduced."
Wording from the NIDA Quick Screen V1.0 form (https://nida.nih.gov/nidamed/screening/nmassist.pdf); the guidance shown with the result follows the form's instructions. The two alcohol thresholds are shown in one item, as on the form.
Official source ↗