Substance Use Screening Tool Substance Use Screening Tool for Primary Care: Two-site for Primary Care: Two-site validation study of the validation study of the Substance Use Brief Screen Substance Use Brief Screen (SUBS) (SUBS) Jennifer McNeely , Shiela M. Strauss, Charles M. Cleland, Richard Saitz, Joseph J. Palamar, John Rotrosen, Marc N. Gourevitch
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A Brief Self-administered Substance Use Screening Tool for Primary Care: Two-site validation study of the Substance Use Brief Screen (SUBS) Jennifer McNeely,
Objectives 1.Discuss potential advantages of a self- administered screening approach 2.Describe development of the Substance Use Brief Screen (SUBS) 3.Present results of a validation study in primary care 3.Discuss feasibility and application
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A Brief Self-administered A Brief Self-administered Substance Use Screening Tool for Substance Use Screening Tool for Primary Care: Two-site validation Primary Care: Two-site validation study of the Substance Use Brief study of the Substance Use Brief
Screen (SUBS) Screen (SUBS)
Jennifer McNeely, Shiela M. Strauss, Charles M. Cleland, Richard Saitz, Joseph J. Palamar, John Rotrosen, Marc N. Gourevitch
No relevant financial relationships to disclose
ObjectivesObjectives1. Discuss potential advantages of a self-
administered screening approach2. Describe development of the Substance Use
Brief Screen (SUBS)3. Present results of a validation study in primary
Sterling, Addict Med Clin Pract 2012Friedmann, J Gen Int Med 2000Friedmann, Arch Int Med 2001Anderson, Alcohol Alcoholism 2004McCormick, J Gen Int Med 2006
Bradley, JGIM, 2011Williams, ASCP, 2013
Tourangeau, Pub Op Quart, 1996Wight, AIDS Educ Prev, 2000
Substance Use Brief Screen (SUBS)Substance Use Brief Screen (SUBS)
Instrument development Instrument development processprocess
Pilot Study Modify computer interface
Inform feasibility, acceptability
Focus Groups
Test-retest Reliability Excellent agreement
Validation: comparison to reference standard
measures
McNeely, et al., INEBRIA 2011; AMERSA 2011McNeely et al., SGIM 2012McNeely et al., Substance Abuse, in pressSpear, Shedlin, McNeely, AHSR 2013McNeely et al., J Sub Abuse Treat, under review
Cognitive Interviews Select language and format
Overview of Study Overview of Study ProceduresProcedures
Subgroup AnalysisSubgroup AnalysisSubgroups anticipated to have greater difficulty with self-administered screening:•Male•Age greater than 50•Hispanic/Latino•Primary language other than English•Born outside US•Education or health literacy lower than high school level
Subgroup AnalysisSubgroup Analysis• Lower sensitivity for unhealthy drug use in
females (p<0.01)
• Higher sensitivity for tobacco use in Hispanics (p<0.01)