This manual introduces the audit, the alcohol use disorders identification test, and describes how to use it to identify persons with hazardous and harmful patterns of alcohol consumption. No information is collected, stored or sent over the internet. Please read each question carefully, then select the appropriate answer. Scoring the audit scores for each question range from 0 to 4, with the first response for each question eg never scoring 0, the second eg less than monthly scoring 1, the third eg monthly scoring 2, the fourth eg weekly scoring 3, and the last response eg. The audit alcohol use disorders identification test is an effective and reliable screening tool for detecting risky and harmful drinking patterns 1. Niaaa publications national institute on alcohol abuse. Alcohol related problems score any scoring on questions 7 to 10 warrants further investigation.
The purpose of the test is to determine if a persons alcohol consumption is harmful. The audit c is a modified, shortened version of the 10question audit instrument. Alcohol screening questionnaire audit sbirt oregon. Alcohol use disorders identification test audit doctor patient. Audit c is the first three questions of the longer audit tool, which is a more comprehensive assessment of problem drinking. For each question in the chart below, place an x in one box that best describes your answer. Developed by the world health organization who, the test correctly classifies 95% of people into either alcoholics or nonalcoholics. Scoring the audit alcohol use disorders identification. Try to cut down on alcohol or stop drinking completely.
The auditc is scored on a scale of 012 scores of 0 reflect no alcohol use. The audit test, a longer screening test, is also an effective screening tool. The audit test focuses on identifying the preliminary signs of hazardous drinking and mild dependence. Development of the alcohol use disorders identification test audit. In general, high scores on the first three items in the absence of elevated scores on the remaining items suggest hazardous alcohol use. Who collaborative project on early detection of persons with harmful alcohol consumption ii. The calculator has been created from the questionnaire in babor tf, higginsbiddle jc, saunders jb, monteiro mg. The audit alcohol use disorders identification test is a simple and effective method of screening for unhealthy alcohol use, defined as risky or hazardous consumption or any alcohol use disorder. Audit alcohol use disorders identification test is a 10item questionnaire that screens for hazardous or harmful alcohol consumption. Both tools are internationally recognised and widely used. Scores from 8 to 14 suggest hazardous or harmful alcohol consumption and a score of 15 or more indicates the likelihood of alcohol dependence moderatesevere alcohol use disorder. Alcohol unit reference one unit of h alcohol drinks more than a single unit 440ml can of regular lager or.
Please help us provide you with the best medical care by answering the questions below. Audit introduction the alcohol use disorders identification test audit is a 10item screening tool developed by the world health organization who to assess alcohol consumption, drinking behaviors, and alcohol related problems. Alcohol consumption screening audit questionnaire in adults. A score of 8 or more is considered to indicate hazardous or harmful alcohol use. Points are added for a total score that correlates with a zone of use that. Q4 q6 concentrate on alcohol dependence while q7 q10 refer to alcohol related problems. It can help identify excessive drinking as the cause of the presenting illness. Ask your doctor or nurse for advice on how best to cut down. Alcohol use disorders identification test audit doctor.
The recommendation of the national institute of alcohol abuse and alcoholism is that all patients who drink alcohol should be screened with the cage questions. Some clinicians consider that scores above 20 are consistent with alcohol dependence but the audit c model is not specifically designed to assess. The following questions are validated as screening tools for alcohol use. For the health professional scoring and interpreting the audit. The alcohol use disorders identification test audit. This entire screening is processed on this local computer. Scoring the audit alcohol assessment each response to the audit has a number attached to it, and scoring is based on a point scale from 0 to 4. If this subtotal score is 4 or more, the patient is likely alcohol dependent and further assessment should be considered. Both the specificity and sensitivity for the audit assessment for alcohol abuse have been found to be high. The total score correlates with a risk zone, which can be circled on the bottom left corner.
Each response to the audit has a number attached to it, and scoring is based on a point scale from 0 to 4. In men, a score of 4 or more is considered positive. The audit was developed as a simple method of screening for excessive drinking and to assist in brief assessment. Questions deal with alcohol consumption, 46 relate to alcohol dependence and 710 consider alcohol related problems. Generally, the higher the audit c score, the more likely it is that the persons drinking is affecting hisher health and safety. The audit assessment tool drug and alcohol clinical. Alcohol use disorders identification test an overview. Fast alcohol screening test fast fast is an alcohol harm assessment tool.
The alcohol use disorders identification test audit should be administered to adult patients who screen positive on the prescreening for alcohol use. The alcohol use disorders identification test audit is a 10item questionnaire designed to detect problem drinkers at the less severe end of the spectrum, prior to the development of alcohol dependence and associated medical illnesses and major life problems from drinking. A total score of 8 is an indication of alcohol abuse, a score of 15 indicates serious abuseaddiction whilst a score between 8 and 10 is an indication of being at risk, according to the authors 10,11. Fiellin da 2000 cage is designed for adults and adolescents 16 years. Alcohol consumption screening audit questionnaire in. The audit c is scored on a scale of 012 scores of 0 reflect no alcohol use.
If the score is 20 or above, consider referral to specialist alcohol harm assessment. A score of 8 or more is considered to indicate hazardous or harmful. A 3item modified version of the audit used to identify patients who are hazardous drinkers or have active alcohol use disorders. In most cases the total audit score will reflect the patients level of risk related to alcohol. Audit score risk level possible intervention 0 7 low risk. Generally, the higher the auditc score, the more likely it is that the patients drinking is affecting hisher health and safety. A chart illustrating the approximate number of standard drinks in different alcohol beverages is included for reference. Alcoholrelated problems score any scoring on questions 7 to 10 warrants further investigation to determine whether the problem is of current concern and requires inter vention. For the last 7 questions, score equal to or higher than 8 in men and 7 in women are strongly suggestive. The following alcohol use screening tests assess a service users levels of risk to alcohol harm 1. The auditc is a 3item alcohol screen that can help identify persons who. Your answers will remain confidential, so please be honest.
A 6question behavioral health screening tool to screen adolescents for high risk alcohol. A smaller, but still significant, portion of the population is like. Fast was developed for use in emergency departments, but can be used in a variety of health and social care. Points are added for a total score that correlates with a. The audit was developed by the world health organization who as a simple method of screening for excessive drinking and to assist in brief assessment. In general health care settings and in community surveys, most patients will score under the cutoffs and may be considered to have low risk of alcohol related problems.
Two brief alcoholscreening tests from the alcohol use disorders. The fast test compare with the audit test and cage test. The audit has 10 questions and the possible responses to each question are scored 0, 1, 2. Most questions address the frequency of specific alcohol abuse behaviors and measure various domains of alcohol. A score of 8 or more is associated with harmful or hazardous drinking, a score of or more in women, and 15 or more in men, is likely to indicate alcohol. This file may not be suitable for users of assistive technology. It provides a framework for intervention to help risky drinkers reduce or cease alcohol consumption and thereby avoid the harmful consequences of their.
The alcohol use disorders identification test audit score 40. The alcohol use disorders identification test audit is a tenquestion selfreport survey developed by the world health organization to screen patients for possible alcoholism alcohol abuse problems and is widely used as a summary measure of alcohol use and related problems the test was designed to be used internationally, and was validated in a study drawing patients from six countries. Elevated scores on items 4 through 6 imply the presence or emergence of alcohol dependence. Audit c assessment tool the audit c assessment tooli can be used to provide a quick assessment of how much and often a woman is drinking alcohol. The alcohol use disorders identification test audit was developed by the world health organization in 1982 as a simple way to screen and identify people who are at risk of developing alcohol problems. Side one contains the screening questions and side two contains instructions on scoring and interpreting the audit. Because alcohol use can affect your health and can interfere with certain medications and treatments, it is important that we ask some questions about your use of alcohol. Men who score 4 or higher drink above recommended limits and are at increased risks for harm.
The alcohol use disorders identification test audit score. Audit national institute on alcohol abuse and alcoholism. How to take and score the fast alcohol screening test. The alcohol use disorders identification test audit can detect alcohol problems experienced in the last year. Alcohol use disorders identification test audit pdf, 377kb, 2 pages. Your drinking could lead to harm, if it has not already.
Its briefer design makes it more practical for incorporation into routine patient interviews or health history questionnaires in a. Alcohol screening questionnaire audit our clinic asks all patients about alcohol use at least once a year. Alcohol use disorders identification test wikipedia. Score zone explanation action 0 3 i low risk someone using alcohol.
Alcohol screening tool audit c questions a score of less. Results from the original who study showed that the term drink in questions 2 and 3 encompassed amounts of alcohol ranging from 8 grams to grams. The following questions are a screening focusing on symptoms of alcohol dependence. Alcohol use screening and assessment for older adults. Other atrisk populations where cage or another alcohol screening assessment is indicated include. It is important that you cut down on alcohol or stop drinking completely. Scores of 8 or more are considered an indicator of hazardous and harmful alcohol use. The world health organizations alcohol use disorders identification test audit is a very reliable and simple screening. Each audit question is scored from 0 to 4 points and summed for a total possible audit score ranging from 0 to 40 points. Based on the data from a multinational world health organization collaborative study, the audit has become the worlds most widely used alcohol. This 10question test checks for both potentially dangerous drinking habits and alcohol dependence. If a person answers monthly or less than monthly to the first question, you need the other three questions to complete the screening for hazardous drinking. Since the audit c score reflects severity, the raw score can be used to assess the likelihood that the patient has alcohol dependence.
This triangle shows how your drinking compares to male veterans, age 30 and older. Alcohol use disorders identification test audit this is a 10 question test for assessing an. Alcohol related problems score any scoring on questions 7 to 10 warrants further investigation to determine whether the problem is of current concern and requires intervention. Audit alcohol assessment quiz the recovery village. A simple method of screening for excessive drinking and alcohol use disorders. For patients with audit c scores 47 37 for women and no prior alcohol treatment, the provider can offer a brief alcohol intervention, and followup to evaluate how the patient responds as the first step. The alcohol use disorders identification test, guidelines for use in primary. Drinking alcohol can affect your health and some medications you may take. Assessment of drugrelated problems in four steps the purpose of developing the dudit was to create a screening instrument for drugrelated problems that would function as a parallel instrument to the audit, the internationally known whoinitiated screening instrument for alcohol related problems. It consists of a subset of questions from the full alcohol use disorders identification test audit. Estimating risk of alcohol dependence using alcohol. Alcohol use disorders identification test audit the full audit is a widelyvalidated alcohol screening test consisting of 10 questions, including three about alcohol consumption and seven about alcohol related problems. Audit consists of 10 questions scored individually from 0 to 4. The alcohol use disorders identification test audit c is an alcohol screen that can help identify patients who are hazardous drinkers or have active alcohol use disorders including alcohol abuse or dependence.
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