Identifying substance misuse in primary care: TAPS Tool compared to the WHO ASSIST.

Schwartz, RP

McNeely, J

Wu, LT

Sharma, G

Wahle, A

Cushing, C

Nordeck, CD

Sharma, A

O'Grady, KE

Gryczynski, J

Mitchell, SG

Ali, RL

Marsden, J

Subramaniam, GA

2020-02-03T04:15:33Z

2020-02-03T04:15:33Z

2017-05

2020-02-03T04:15:31Z

There is a need for screening and brief assessment instruments to identify primary care patients with substance use problems. This study's aim was to examine the performance of a two-step screening and brief assessment instrument, the TAPS Tool, compared to the WHO ASSIST.Two thousand adult primary care patients recruited from five primary care clinics in four Eastern US states completed the TAPS Tool followed by the ASSIST. The ability of the TAPS Tool to identify moderate- and high-risk use scores on the ASSIST was examined using sensitivity and specificity analyses.The interviewer and self-administered computer tablet versions of the TAPS Tool generated similar results. The interviewer-administered version (at cut-off of 2), had acceptable sensitivity and specificity for high-risk tobacco (0.90 and 0.77) and alcohol (0.87 and 0.80) use. For illicit drugs, sensitivities were >0.82 and specificities >0.92. The TAPS (at a cut-off of 1) had good sensitivity and specificity for moderate-risk tobacco use (0.83 and 0.97) and alcohol (0.83 and 0.74). Among illicit drugs, sensitivity was acceptable for moderate-risk of marijuana (0.71), while it was low for all other illicit drugs and non-medical use of prescription medications. Specificities were 0.97 or higher for all illicit drugs and prescription medications.The TAPS Tool identified adult primary care patients with high-risk ASSIST scores for all substances as well moderate-risk users of tobacco, alcohol, and marijuana, although it did not perform well in identifying patients with moderate-risk use of other drugs or non-medical use of prescription medications. The advantages of the TAPS Tool over the ASSIST are its more limited number of items and focus solely on substance use in the past 3months.

S0740-5472(16)30398-1

0740-5472

1873-6483

https://hdl.handle.net/10161/19941

eng

Elsevier BV

Journal of substance abuse treatment

10.1016/j.jsat.2017.01.013

Humans

Substance-Related Disorders

Alcoholism

Tobacco Use Disorder

Mass Screening

Sensitivity and Specificity

Reproducibility of Results

Substance Abuse Detection

Marijuana Smoking

Interview, Psychological

Adult

Aged

Middle Aged

Primary Health Care

Female

Male

Prescription Drug Misuse

Surveys and Questionnaires

Identifying substance misuse in primary care: TAPS Tool compared to the WHO ASSIST.

Journal article

Wu, LT|0000-0002-5909-2259

69

76

School of Medicine

Duke

Center for Child and Family Policy

Sanford School of Public Policy

Duke Clinical Research Institute

Institutes and Centers

Duke Institute for Brain Sciences

University Institutes and Centers

Institutes and Provost's Academic Units

Psychiatry & Behavioral Sciences, Social and Community Psychiatry

Psychiatry & Behavioral Sciences

Clinical Science Departments

Medicine, General Internal Medicine

Medicine

Published

76