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Protocol - Patterns of Substance Use - Adults - Binge-Drinking

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Description:

This protocol includes questions from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III), Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5). These specific questions are used to determine whether a respondent in the past 12 months has participated in binge drinking and the frequency.

Protocol:

The next question is about drinking alcohol. This includes coolers; beer; wine; champagne; liquor such as whiskey, rum, gin, vodka, bourbon, tequila, scotch, brandy, cognac, or liqueurs; and also any other type of alcohol.

(SHOW FLASHCARD 23)

  1. During the last 12 months, about how often did you drink FOUR OR MORE drinks in a single day?

[ ] 1 Every day

[ ] 2 Nearly every day

[ ] 3 3 to 4 times a week

[ ] 4 2 times a week

[ ] 5 Once a week

[ ] 6 2 to 3 times a month

[ ] 7 Once a month

[ ] 8 7 to 11 times in the last year

[ ] 9 3 to 6 times in the last year

[ ] 10 1 or 2 time in the last year

[ ] 11 Never in the last year - END QUESTIONS

  1. And during the last 12 months, about how often did you drink FOUR OR MORE drinks in a period of TWO HOURS OR LESS?

[ ] 1 Every day

[ ] 2 Nearly every day

[ ] 3 3 to 4 times a week

[ ] 4 2 times a week

[ ] 5 Once a week

[ ] 6 2 to 3 times a month

[ ] 7 Once a month

[ ] 8 7 to 11 times in the last year

[ ] 9 3 to 6 times in the last year

[ ] 10 1 or 2 time in the last year

[ ] 11 Never in the last year

  1. During the last 12 months, about how often did you drink FIVE OR MORE drinks in a single day?

[ ] 1 Every day

[ ] 2 Nearly every day

[ ] 3 3 to 4 times a week

[ ] 4 2 times a week

[ ] 5 Once a week

[ ] 6 2 to 3 times a month

[ ] 7 Once a month

[ ] 8 7 to 11 times in the last year

[ ] 9 3 to 6 times in the last year

[ ] 10 1 or 2 time in the last year

[ ] 11 Never in the last year

  1. And during the last 12 months, about how often did you drink FIVE OR MORE drinks in a period of TWO HOURS OR LESS?

[ ] 1 Every day

[ ] 2 Nearly every day

[ ] 3 3 to 4 times a week

[ ] 4 2 times a week

[ ] 5 Once a week

[ ] 6 2 to 3 times a month

[ ] 7 Once a month

[ ] 8 7 to 11 times in the last year

[ ] 9 3 to 6 times in the last year

[ ] 10 1 or 2 time in the last year

[ ] 11 Never in the last year

  1. During the last 12 months, about how often did you drink EIGHT OR MORE drinks in a single day?

[ ] 1 Every day

[ ] 2 Nearly every day

[ ] 3 3 to 4 times a week

[ ] 4 2 times a week

[ ] 5 Once a week

[ ] 6 2 to 3 times a month

[ ] 7 Once a month

[ ] 8 7 to 11 times in the last year

[ ] 9 3 to 6 times in the last year

[ ] 10 1 or 2 time in the last year

[ ] 11 Never in the last year

  1. And during the last 12 months, about how often did you drink TWELVE OR MORE drinks in a single day?

[ ] 1 Every day

[ ] 2 Nearly every day

[ ] 3 3 to 4 times a week

[ ] 4 2 times a week

[ ] 5 Once a week

[ ] 6 2 to 3 times a month

[ ] 7 Once a month

[ ] 8 7 to 11 times in the last year

[ ] 9 3 to 6 times in the last year

[ ] 10 1 or 2 time in the last year

[ ] 11 Never in the last year

FLASHCARD 23

FREQUENCY

1 Every day

2 Nearly every day

3 3 to 4 times a week

4 2 times a week

5 Once a week

6 2 to 3 times a month

7 Once a month

8 7 to 11 times in the last year

9 3 to 6 times in the last year

10 1 or 2 time in the last year

11 Never in the last year

Protocol Name from Source:

National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III)

Availability:

Publicly available

Personnel and Training Required

The interviewer must be trained and found competent to conduct personal interviews with individuals from the general population. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided. It is preferable either to read the questionnaire aloud to the respondent or to administer it in an audio-assisted computer interview (ACASI) format. The questions are sensitive in nature, and the interviewer should be trained to react appropriately to emotional responses. If a distressed respondent protocol is adopted, the interviewer should be trained to administer those procedures.

Equipment Needs

While the Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5) instrument was developed for administration by computer, the PhenX WG acknowledges that these questions can be administered in a noncomputerized format. Hasin et al. (1997) and Grant et al. (1995) used the AUDADIS in paper-and-pencil format, while Grant et al. (2003) obtained data with the computerized format.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Life Stage:

Adult

Participants:

Adults aged 18 years or older

Specific Instructions:

The Alcohol Use Disorder and Associated Disabilities Interview Schedule-Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition Version (AUDADIS-5) Alcohol and Drug Use Disorders Scoring Algorithms are provided for data interpretation. Please click here to access the scoring algorithm document. The algorithms were constructed by Yoanna McDowell, M.A, under the supervision of Dr. Kenneth Sher (University of Missouri) in 2017 and posted here with their permission. They were verified by diagnostic variables available in the NESARC-III data set and published NESARC-III diagnostic and severity prevalence data. Users are solely responsible for the use and interpretation of the algorithms and results.

Due to the complexity of the algorithms and associated analysis, Expert Review Panel 3 recommends analysis be performed by a statistician who has experience using NESARC datasets,

The Alcohol Use Disorder and Associated Disabilities Interview Schedule-Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition Version (AUDADIS-5) is a complex diagnostic instrument that likely requires expertise with SAS and the NESARC dataset in order to successfully implement scoring algorithms.

The following question may gather sensitive information relating to the use of substances and/or illegal conduct. If the information is released, it might be damaging to an individual’s employability, lead to social stigmatization, or result in other consequences.

For information on obtaining a Certificate of Confidentiality, which helps researchers protect the privacy of human research participants, please go to the National Human Genome Research Institute’s Institutional Review Board website (http://www.genome.gov/10005108).

Selection Rationale

The National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) captures "diagnostic" information via the Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5). Therefore, the user can link diagnostic data from the NESARC directly to treatment utilization also collected from the NESARC.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Adult Substance use Pattern Assessment Description Text 3332364 CDE Browser
Process and Review

The Expert Review Panel #3 (ERP3) reviewed the measures in the Alcohol, Tobacco and Other Substances domain and in the Substance Abuse and Addiction Collection.

Guidance from the ERP includes:

  • Updated protocol (new source)

Partially back-compatible (updated/similar protocol which would require some changes to the data dictionary), variable mapping between current and previous protocols can be found here (link).

Source

National Institute on Alcohol Abuse and Alcoholism (NIAAA). (N.d.). National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III). Rockville, MD: National Institutes of Health. Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS-5), Section 2A - Alcohol Consumption (Questions 4f-k).

General References

Grant, B. F., Dawson, D. A., Stinson, F. S., Chou, P. S., Kay, W., & Pickering, R. (2003). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): Reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug and Alcohol Dependence, 71(1), 7-16.

Grant, B. F., Goldstein, R. B., Saha, T. D., Chou, S. P., Jung, J., Zhang, H., Pickering, R. P., Ruan, W. J., Smith, S. M., Huang, B., & Hasin, D. S. (2015). Epidemiology of DSM-5 Alcohol Use Disorder: Results from the National Epidemiologic Survey on Alcohol and Related Conditions III. JAMA Psychiatry, 72(8), 757-766.

Grant, B. F., Goldstein, R. B., Smith, S. M., Jung, J., Zhang, H., Chou, S. P., Pickering, R. P., Ruan, W. J., Huang, B., Saha, T. D., Aivadyan, C., Greenstein, E., & Hasin, D. S. (2015). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5): Reliability of substance use and psychiatric disorder modules in a general population sample. Drug and Alcohol Dependence, 148, 27-33.

Grant, B. F., Harford, T. C., Dawson, D. A., Chou, P. S., & Pickering, R. P. (1995). The Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): Reliability of alcohol and drug modules in a general population sample. Drug and Alcohol Dependence, 39(1), 37-44.

Hasin, D., Carpenter, K. M., McCloud, S., Smith, M., & Grant, B. F. (1997). The Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): Reliability of alcohol and drug modules in a clinical sample. Drug and Alcohol Dependence, 44(2-3), 133-141.

Hasin, D. S., Greenstein, E., Aivadyan, C., Stohl, M., Aharonovich, E., Saha, T., Goldstein, R., Nunes, E. V., Jung, J., Zhang, H., & Grant, B. F. (2015). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5): Procedural validity of substance use disorders modules through clinical re-appraisal in a general population sample. Drug and Alcohol Dependence, 148, 40-46.

Hasin, D. S., O’Brien, C. P., Auriacombe, M., Borges, G., Bucholz, K., Budney, A., Compton, W. M., Crowley, T., Ling, W., Petry, N. M., Schuckit, M., & Grant, B. F. (2013). DSM-5 criteria for substance use disorders: Recommendations and rationale. American Journal of Psychiatry, 170(8), 834-851.

Protocol ID:

510304

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
Research Domain Information
Measure Name:

Patterns of Substance Use

Release Date:

November 28, 2017

Definition

Instruments used separately to assess patterns of substance use in adolescents and adults.

Purpose

The purpose of this measure is to determine patterns of tobacco, binge drinking, and other drug use in adolescents and adults.

Keywords

Alcohol, binge drinking, alcohol abuse, alcohol use, National Institute on Alcohol Abuse and Alcoholism, NIAAA, National Epidemiologic Survey on Alcohol and Related Conditions, NESARC, Alcohol Use Disorder and Associated Disabilities Interview Schedule, AUDADIS, Diagnostic and Statistical Manual of Mental Disorders, DSM, Alcohol, Tobacco and Other Substances, ATOS