Table 2.
Methods for Measuring Substance Use in Real-World Settings
| Remote Measure | Substance | Passive | Direct | Objective | Outcome |
|---|---|---|---|---|---|
| Self-report (Ecological Momentary Assessment/Interactive Voice Recording)21,37 | Any | No | Yes | No | Quantity, Frequency, Abstinence |
| Breath samples23,27–29,46 | Alcohol, Nicotine |
No | Yes | Yes | Abstinence |
| Transdermal sensor23,47 | Alcohol | Yes | Yes | Yes | Frequency, Abstinence |
| Wearable patch/tattoo48,49 | Cocaine, Opiates, Alcohol |
Yes | Yes | Yes | Abstinence |
| Hand/arm movement50 | Cigarette Smoking |
Yes | No | Yes | Quantity, Frequency, Abstinence |
| Gait analysis51 | Alcohol | Yes | No | Yes | High-risk quantities |
| Psychophysiology52–54 | Cocaine, Opiates |
Yes | No | Yes | Abstinence |
| Portable puff topography devices55 | Cigarette Smoking |
No | Yes | Yes | Quantity, Frequency |
| Electronic, smart lighter56 | Cigarette Smoking |
Moderate | No | Yes | Quantity, Frequency |
| Smart e-cigarette or vaporizer57,58 | Nicotine, Other Constituents used in vaporizers |
Moderate | Yes | Yes | Quantity, Frequency, Abstinence |
| Mobile phone usage data (via supervised machine learning)59 | Alcohol | Yes | No | Yes | High-risk quantities |
Note. Passive measures do not require any input or activity from the individual beyond initial set-up of a device. Measures are considered moderately passive if they require user-input and adherence, but without any additional time burden. Direct measures assess substance use directly, while indirect measures assess a behavior or process related to substance use. Objective measures are not subject to reporting biases.