Researchers led by Sharon Levy at Boston Children's Hospital reveal that using an electronic screening tool that starts with a single question was an easy way to assess the frequency of substance misuse among teenagers who visited a physician for routine medical care.
Background: Substance use can cause illness and death in adolescents. Screening adolescents and intervening if there is substance use can reduce the burden of addiction. The American Academy of Pediatrics and other professional organizations recommend that primary care physicians screen adolescents for substance use.
How the Study Was Conducted: The authors examined use of an electronic screening and assessment tool to triage adolescents into four categories regarding nontobacco substance use: no past-year alcohol or drug use, past-year use with a substance use disorder (SUD), mild or moderate SUD and severe SUD. The tool also can assess tobacco use. The study included 216 adolescent patients (ages 12 to 17 years) from outpatient centers at a pediatric hospital who completed the screening from June 2012 through March 2013. The screening started with a single question that assessed the frequency of past-year use in eight categories of substances, including alcohol, marijuana, cocaine and prescription drugs. Patients who reported use were asked additional questions.
Conclusion: "Our findings suggest that frequency screening questions are also a valid and efficient means of triaging alcohol and drug use into clinically meaningful risk levels in adolescents."