Table 3. Screening Methods of Primary Care Clinicians for Alcohol Use During Pregnancy, by Clinician Specialty – DocStyles, 2019a .
| Screening method | Family physician (n = 414) | Internist (n = 586) | Obstetrician/gynecologist (n = 250) | Nurse practitioner (n = 142) | Physician assistant (n = 108) | Total (N = 1,299b) |
|---|---|---|---|---|---|---|
| Screening tools | ||||||
|
| ||||||
| 4 Ps, 4Ps Plus, or 5 Ps | 12 (0.9) | 21 (1.6) | 15 (1.2) | 6 (0.5) | 5 (0.4) | 59 (4.5) |
| ASSIST or ASSIST-FC | 12 (0.9) | 15 (1.2) | 2 (0.2) | 3 (0.2) | 1 (0.1) | 33 (2.5) |
| AUDIT or AUDIT-C | 92 (7.1) | 108 (8.3) | 16 (1.2) | 20 (1.5) | 16 (1.2) | 252 (19.4) |
| CAGE | 236 (18.1) | 326 (25.1) | 88 (6.8) | 59 (4.5) | 52 (4.0) | 761 (58.6) |
| NIDA Quick Screen | 17 (1.3) | 15 (1.2) | 2 (0.2) | 1 (0.1) | 4 (0.3) | 39 (3.0) |
| SASQ | 158 (12.2) | 226 (17.4) | 100 (7.7) | 56 (4.3) | 39 (3.0) | 579 (44.6) |
| T-ACE or TWEAK | 15 (1.2) | 26 (2.0) | 37 (2.9) | 3 (0.2) | 1 (0.9) | 82 (6.3) |
|
| ||||||
| Alcohol-related questions | ||||||
|
| ||||||
| Ask number of drinking days per week | 206 (15.9) | 298 (22.9) | 157 (12.1) | 71 (5.5) | 56 (4.3) | 788 (60.7) |
| Ask number of drinks per occasion | 196 (15.1) | 272 (20.9) | 134 (10.3) | 69 (5.3) | 56 (4.3) | 727 (56.0) |
| Some other screening method | 4 (0.3) | 7 (0.5) | 4 (0.3) | 5 (0.4) | 0 | 20 (1.5) |
Abbreviations: 4Ps: Parents, Partner, Past, Present; 4Ps Plus: Parents, Partner, Past, Pregnancy; 5Ps: Parents, Peers, Partner, Pregnancy, Past; ASSIST: Alcohol, Smoking and Substance Involvement Screening Test; ASSIST-FC: Alcohol, Smoking and Substance Involvement Screening Test–Frequency & Concern; CAGE: Cut down, Annoyed, Guilty, Eye-opener; SASQ: Single Alcohol Screening Question; T-ACE: Tolerance, Annoyed, Cut down, Eye-opener; TWEAK: Tolerance, Worried, Eye-opener, Amnesia, Kut down.
Porter Novelli. DocStyles. http://styles.porternovelli.com/docstyles (9).
Respondents who selected “not applicable” or “never screen” pregnant patients were excluded (n = 201). Respondents were able to select more than one screening tool. Values are number (percentage).