Description

Brown et al developed the two-item conjoint screening (TICS) based on a 5-item conjoint screening questions. While the two-item score is the best for screening for alcohol and/or subtance abuse, the other items provide additional insights. The authors are from the University of Wisconsin at Madison.


A conjoint screening question inquires simultaneously and "in aggregate" the person's experience with alcohol and/or drugs.

 

Time Interval: during the last year

 

Questions - Have you:

(1) felt that your usage was more than intended (meant to used)? (loss of control)

(2) felt a need to cut-down on usage? (recognized a problem)

 

These two items were used in the two-item screen (TICS).

 

There were 3 additional questions that were evaluated:

(3) not remembered things that happened (blackout)

(4) used alcohol or drugs to dealt with feelings, stress or frustrations? (feelings, coping, self-medication)

(5) done anything that you wish hadn't happened? (regret)

 

Response

Points

no

0

yes

1

 

Performance:

• The area under the ROC curve for the 2-item TICS was 0.72 (Lee et al).

 

Item Present

Sensitivity

Specificity

blackout

42%

93%

used more than intended

70%

82%

need to cut down

56%

93%

used for feelings

34%

87%

regret

41%

96%

 


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