PMID- 32087840 OWN - NLM STAT- MEDLINE DCOM- 20210728 LR - 20210728 IS - 1873-6483 (Electronic) IS - 0740-5472 (Linking) VI - 111 DP - 2020 Apr TI - A review of performance indicators of single-item alcohol screening questions in clinical and population settings. PG - 73-85 LID - S0740-5472(19)30534-3 [pii] LID - 10.1016/j.jsat.2020.01.006 [doi] AB - Screening and brief intervention (SBI) for unhealthy alcohol use is recommended as a routine clinical procedure for adults in primary care settings. However, implementation of SBI remains suboptimal, in part reflecting time constraints in clinical settings. Single Item Screening Questions (SISQ) have increasingly been studied as a means of minimizing assessment burden. Although the ability of SISQ to accurately detect unhealthy alcohol use (i.e., at-risk drinking or alcohol use disorder) has been studied in various clinical and population settings, results have not been summarized in aggregate. This descriptive summarizes SISQ performance metrics across various clinical settings and populations. Based on results from 40 identified studies, there is consistent support that SISQ have good sensitivity as screeners for unhealthy drinking, with performance generally being comparable to longer validated instruments. Collectively, these results justify further efforts to evaluate SISQ as a means of maximizing SBI uptake and efficiency in various clinical settings. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Kim, Jueun AU - Kim J AD - Department of Psychology, Chungnam National University, Daejeon, South Korea. FAU - Hendershot, Christian S AU - Hendershot CS AD - Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Ontario, Canada; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Ontario, Canada; Department of Psychiatry, University of Toronto, Ontario, Canada; Department of Psychology, University of Toronto, Ontario, Canada. Electronic address: christian.hendershot@utoronto.ca. LA - eng PT - Journal Article PT - Review DEP - 20200120 PL - United States TA - J Subst Abuse Treat JT - Journal of substance abuse treatment JID - 8500909 SB - IM MH - Adult MH - Alcohol Drinking MH - *Alcoholism/diagnosis MH - Humans MH - Mass Screening MH - Primary Health Care OTO - NOTNLM OT - AUDIT-3 OT - At-risk drinking OT - NIAAA HED OT - Screening OT - Single-item COIS- Declaration of competing interest The authors declare that they have no conflict of interest. EDAT- 2020/02/24 06:00 MHDA- 2021/07/29 06:00 CRDT- 2020/02/24 06:00 PHST- 2019/09/30 00:00 [received] PHST- 2020/01/16 00:00 [revised] PHST- 2020/01/16 00:00 [accepted] PHST- 2020/02/24 06:00 [entrez] PHST- 2020/02/24 06:00 [pubmed] PHST- 2021/07/29 06:00 [medline] AID - S0740-5472(19)30534-3 [pii] AID - 10.1016/j.jsat.2020.01.006 [doi] PST - ppublish SO - J Subst Abuse Treat. 2020 Apr;111:73-85. doi: 10.1016/j.jsat.2020.01.006. Epub 2020 Jan 20.