In this randomized trial, we compared two screening tools for problem drinking. Thirteen National Research Network physicians and 31 Missouri clinicians enrolled 2,800 patients in this study.
The objective of this study was to compare two screening instruments for problem drinking -- the CAGE tool and a single question -- assessing frequency of use, patient and clinician comfort, and patient engagement in change.
This study was conducted from March 2001 through March 2002.
Clinicians and patients reported similar comfort with the CAGE questions and the single-question screening tools for problem drinking, and the two instruments were equal in their ability to engage the patient. In Missouri, the single question was more likely to be used.
Access the complete manuscript:
Comfortably engaging: Which approach to alcohol screening should we use?(7 page PDF) Vinson DC, Galliher JM, Reidinger C, et al. Ann Fam Med 2004;2:398-404.
For additional information about this study, please contact:
AAFP National Research Network
This project was funded by grants from Alcoholic Beverage Medical Research Foundation and Joint Grant Awards Program of the AAFP and the AAFP Foundation.
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Alcohol Problem Screening Study – “Comfortably Engaging”