AUDITC

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University of Northern Iowa *

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6259

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Statistics

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Apr 3, 2024

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AUDIT-C 1. What is the main purpose of the tool (i.e., what does it screen for). What does the tool score indicate? A The Alcohol Use Disorders Identification Test – Concise (AUDIT-C), is a modified version of the original ten question AUDIT instrument. The AUDIT-C is used to identify patients that drink in harmful or hazardous ways. These three questions can reliably identify if the person is a hazardous drinker who may be at risk for alcohol use disorder. Each question has five answer choices. Each question is valued between 0 to 4 points. A = 0 points, B = 1 point, C = 2 points, D = 3 points and E = 4 points. The highest score is 4 for men and 3 for women. The higher the score, the more likely the person’s drinking is or will negatively affect their lives. 2. Who developed the screening tool, when was it developed, and how many versions of the tool have been created? Has the tool been adapted? B F H The original Alcohol Use Disorders Identification Test (AUDIT) was published in 1989 by The World Health Organization and had ten questions chosen from a list of 150 questions covering three domains. WHO published the modified version of the AUDIT instrument in 1998, reducing the number of questions from ten to three, creating AUDIT-C. These three questions still cover the three domains: hazardous alcohol use, dependence symptoms, and harmful alcohol use. 3. Who was the tool originally developed for? a. Age, race/ethnicity, sex, etc.? D It was originally designed for health care practitioners and a range of health settings to administer , but with suitable instructions it can be self-administered or used by non-health professionals. The tool was originally developed in predominantly white populations for professionals to assess men and women’s relationship with alcohol. The tool is intended for adults only and does not currently cater to specific races/ethnicities. 4. Who has the tool been tested on? Race/ethnicities, cultures, age ranges, etc. C E G There are no limitations to who the tool has been tested on. All races/ethnicities are subject to testing. This tool is utilized only on adults aged 18 and up struggling with alcohol use. 5. Who is qualified to administer the tool? I

There are several versions of the AUDIT-C available online. No permission is needed to access the AUDIT-C. The WHO deems the AUDIT-C a public domain that can now be utilized personally and professionally. AUDIT-C Printable Version AUDIT-C Online Version AUDIT-C Questionnaire Patient Name _______________________ Date of Visit ______________________ 1. Within the past year, how often did you have a drink of alcohol? □ a. Never □ b. Monthly (e.g. Special occasions/Rare) □ c. 2-4 times a month (e.g. 1x on weekend - “Fridays only” or “every other Thursday”) □ d. 2-3 times a week (e.g. weekends – Friday-Saturday or Saturday-Sunday) □ e. 4 or more times a week (e.g. daily or most days/week) 2. Within the past year, how many standard drinks containing alcohol did you have on a typical day? □ a. 1 or 2 □ b. 3 or 4 □ c. 5 or 6 □ d. 7 to 9 □ e. 10 or more 3. Within the past year, how often did you have six or more drinks on one occasion? □ a. Never □ b. Less than monthly □ c. Monthly □ d. Weekly □ e. Daily or almost daily The AUDIT-C is scored on a scale of 0-12. In men, a score of 4 or more is considered positive, which means alcohol use disorder or hazardous drinking is present. In women, a score of 3 or more is considered positive. When points are all from question 1 alone, it can be assumed that the patient is drinking below recommended limits and suggested that the provider review alcohol intake over the past few months to confirm accuracy. The higher the score, the more likely it is that the patient's drinking is negatively affecting themselves and others.

Resources Bradley, K. A., DeBenedetti, A. F., Volk, R. J., Williams, E. C., Frank, D., & Kivlahan, D. R. (2007). Audit ‐ C as a Brief Screen for Alcohol Misuse in Primary Care. Alcoholism: Clinical and Experimental Research , 31 (7), 1208–1217. https://doi.org/10.1111/j.1530-0277.2007.00403.x Bush, K., Kivlahan, D. R., McDonell, M. B., Fihn, S. D., & Bradley, K. A. (1998). The AUDIT Alcohol Consumption Questions (AUDIT-C): An Effective Brief Screening Test for Problem Drinking. Archives of Internal Medicine , 158 (16), 1789–1795. https://doi.org/10.1001/archinte.158.16.1789 Frank, D., DeBenedetti, A. F., Volk, R. J., Williams, E. C., Kivlahan, D. R., & Bradley, K. A. (2008). Effectiveness of the Audit-C as a Screening Test for Alcohol Misuse in Three Race/Ethnic Groups. Journal of General Internal Medicine , 23 (6), 781–787. https://doi.org/10.1007/s11606-008-0594-0 Higgins-Biddle, J. C., & Babor, T. F. (2018). A review of the Alcohol Use Disorders Identification Test (AUDIT), AUDIT-C, and USAUDIT for Screening in the United States: Past issues and future directions. The American Journal of Drug and Alcohol Abuse , 44 (6), 578–586. https://doi.org/10.1080/00952990.2018.1456545 Khadjesari, Z., White, I. R., McCambridge, J., Marston, L., Wallace, P., Godfrey, C., & Murray, E. (2017). Validation of the AUDIT-C in adults seeking help with their drinking online. Addiction Science & Clinical Practice , 12 (1). https://doi.org/10.1186/s13722-016-0066-5 Levola, J., & Aalto, M. (2015). Screening for At ‐ Risk Drinking in a Population Reporting Symptoms of Depression: A Validation of the AUDIT, AUDIT-C, and AUDIT-3.

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Alcoholism: Clinical and Experimental Research , 39 (7), 1186–1192. https://doi.org/10.1111/acer.12763 Verhoog, S., Dopmeijer, J. M., de Jonge, J. M., van der Heijde, C. M., Vonk, P., Bovens, R. H. L. M., de Boer, M. R., Hoekstra, T., Kunst, A. E., Wiers, R. W., & Kuipers, M. A. G. (2019). The use of the Alcohol Use Disorders Identification Test – Consumption as an Indicator of Hazardous Alcohol Use among University Students. European Addiction Research , 26 (1), 1–9. https://doi.org/10.1159/000503342

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