The TWEAK Alcohol Screening Test

 

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The TWEAK alcohol screening test is a short, five-question test that was originally designed to screen pregnant women for harmful drinking habits. The name of the test is an acronym for tolerance, worried, eye-opener, amnesia, and k/cut down (with a poetic license use of “K” instead of “C” for cutting down on alcohol consumption). This short test was designed by Researchers at the University of Buffalo, Research Institute on Addictions. The test was originally designed, and is still used, as a screening test for pregnant women, but testing has revealed that this easy 5 question test works better than comparable alcohol screening tests for all women.

The TWEAK has been used to screen for periconceptional risk drinking among obstetric outpatients (Russell, et al., 1994, 1996). Screening for periconcep­ tional risk drinking has the potential to improve pregnancy outcome among risk drinkers by targeting them for intervention to reduce their alcohol intake during pregnancy. The TWEAK alcoholism test is yet another method of determining if you have an alcohol problem.

Apparently, it was originally designed to see if pregnant women had drinking problems. Obviously, a drinking problem while pregnant is a serious medical concern. All manner of bad things can occur to the fetus if alcohol is consumed during pregnancy. The TWEAK alcohol screening test is a short, five-question test which was originally designed to screen pregnant women for harmful drinking habits. TWEAK. (Tolerance, Worried, Eye-opener, Amnesia, K-Cut Down) Description:The TWEAK screening test consists of five questions designed to screen pregnant women for harmful drinking habits.

The tool consists of questions from the CAGE as well as the MAST, regarding tolerance and amnesia. The TWEAK: QUESTION ANSWER POINTS. TWEAK, 0.76 (95% CI, 0.66-0.86) and 0.67 (95% CI, 0.60-0.74). CONCLUSIONS: The TWEAK has low sensitivity as an alcohol-screening questionnaire among female VA outpatients and should be evaluated further before being used in other female primary care populations.

The three-item AUDIT-C was the optimal. the TWEAK had a higher sensitivity and specificity than the CAGE and B-MAST in detecting alcoholism/heavy drinking in the clinical and general populations. Different cut-off values for tolerance (T1 and T2) are recommended for screening.

The Self-Administered Alcoholism Screening Test (SAAST) is a 35-question test that asks questions about the patient’s loss of control, job performance, drinking consequences, and family history of alcoholism. One major advantage is that there is a version of the test a loved one can fill out. How a CDT Test Detects Dangerous Alcohol. The TWEAK screening tests was developed to screen for _ among pregnant women.

AUDIT (Alcohol Use Disorders Identification Test) The most widely recommended screening test for alcohol dependence is the _ A definitive diagnosis of alcohol dependency. Follow-up questions to a positive screening test are important to determin.

List of related literature:

Other screening questionnaires include the CAGE AID Questionnaire, the Alcohol Use Disorders Identification Test, the Michigan Alcoholism Screening Test (MAST), and the Drug Abuse Screening Test (DAST).

“Spinal Cord Medicine, Second Edition: Principles and Practice” by Christopher M. Bono, MD, Diana D. Cardenas, MD, MHA, Frederick S. Frost, MD, Margaret C. Hammond, MD, Vernon W. Lin, MD, PhD, Laurie B. Lindblom, MD, Inder Parkash, MD, MS, FRCS, FACS, Stevens A. Stiens, MD, MS, Robert M. Woolsey, MD
from Spinal Cord Medicine, Second Edition: Principles and Practice
by Christopher M. Bono, MD, Diana D. Cardenas, MD, MHA, et. al.
Springer Publishing Company, 2010

Finally there is the TWEAK questionnaire which includes the assessment questions for Tolerance, Worried about use, Eyeopener, Amnesia and K (for C) cutting down on use.

“Cognitive Behavior Therapy in Clinical Social Work Practice” by Arthur Freeman, EdD, ABPP, Tammie Ronen, PhD
from Cognitive Behavior Therapy in Clinical Social Work Practice
by Arthur Freeman, EdD, ABPP, Tammie Ronen, PhD
Springer Publishing Company, 2006

FIGURE 14.16 Comparison of FAEE and EtG in hair of test persons in examination for reissuing a driving license after drunk driving.

“Analytical and Practical Aspects of Drug Testing in Hair” by Pascal Kintz
from Analytical and Practical Aspects of Drug Testing in Hair
by Pascal Kintz
Taylor & Francis, 2006

Several screening questionnaires have been developed to detect problem drinking with the T-ACE and TWEAK screens validated in female populations.

“The Johns Hopkins Manual of Gynecology and Obstetrics” by The Johns Hopkins University School of Medicine Department of Gynecology and Obstetrics, K. Joseph Hurt, Matthew W. Guile, Jessica L. Bienstock, Harold E. Fox, Edward E. Wallach
from The Johns Hopkins Manual of Gynecology and Obstetrics
by The Johns Hopkins University School of Medicine Department of Gynecology and Obstetrics, K. Joseph Hurt, et. al.
Wolters Kluwer Health, 2012

In an effort to create a useful and portable screening instrument for alcohol problems in emergency settings, one researcher has combined five questions from the CAGE, TWEAK, and AUDIT to create the Rapid Alcohol Problems Screen (RAPS) (42).

“Principles of Addiction Medicine” by Richard K. Ries, Shannon C. Miller, David A. Fiellin
from Principles of Addiction Medicine
by Richard K. Ries, Shannon C. Miller, David A. Fiellin
Wolters Kluwer/Lippincott Williams & Wilkins, 2009

Probably the best screening test in detecting heavy alcohol use as well as dependence in groups of women of mixed ethnicity is the TWEAK.

“Comprehensive Gynecology” by Gretchen M. Lentz, David M. Gershenson
from Comprehensive Gynecology
by Gretchen M. Lentz, David M. Gershenson
Elsevier Mosby, 2012

Testing for alcohol use in hair: is ethyl glucuronide (EtG) stable in hair?

“Handbook of hair in health and disease” by Victor R. Preedy
from Handbook of hair in health and disease
by Victor R. Preedy
Wageningen Academic Publishers, 2012

Additionally, traditional alcohol-screening questionnaires, such as the Michigan Alcoholism Screening Test (MAST) and the CAGE Questionnaire, are not sensitive enough to detect low levels of alcohol consumption among women.

“Maternity and Pediatric Nursing” by Susan Scott Ricci, Terri Kyle
from Maternity and Pediatric Nursing
by Susan Scott Ricci, Terri Kyle
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009

Rating scale Michigan Alcohol Screening Test Yes Yes No Yes No?

“Interventional Spine E-Book: An Algorithmic Approach” by Curtis W. Slipman, Richard Derby, Frederick A. Simeone, Tom G. Mayer
from Interventional Spine E-Book: An Algorithmic Approach
by Curtis W. Slipman, Richard Derby, et. al.
Elsevier Health Sciences, 2007

The five-item TWEAK questionnaire (Table 2) may be a more optimal screening questionnaire for identifying women (including pregnant women) with risky drinking or alcohol use disorders in racially mixed populations.

“Conn's Current Therapy 2019” by Rick D. Kellerman, David Rakel
from Conn’s Current Therapy 2019
by Rick D. Kellerman, David Rakel
Elsevier Health Sciences, 2018

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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