Multiple authors have reported attempts to effectively address the discovery of substance abuse in pregnancy using various mechanisms to encourage positive self-reports and urine toxicology to augment identification.
In this study, we evaluated 1,251 patients with (a) self-report, (b) the Substance Abuse Subtle Screening Inventory (SASSI), and (c) urine toxicology screening to determine which modality or combination would yield the most cost-effective discovery.
Combining the SASSI with the self-report was the most clinically effective and cost effective mode of discovery.
This led to the development of a clinical protocol using the SASSI and self-report with limited use of urine toxicology for specific patient subgroups.
Alcohol abuse, which is missed by toxicology and self-report, is detected by the SASSI.
Mots-clés Pascal : Gestation, Dépistage, Boisson alcoolisée, Drogue illicite, Abus, Alcoolisme, Toxicomanie, Mère, Toxicité, Etude comparative, Autoévaluation, Echelle évaluation, Psychométrie, Exploration clinique, Analyse coût, Economie santé, Femelle, Homme, Santé mentale, Environnement social, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Pregnancy, Medical screening, Alcoholic beverage, Illicit drug, Abuse, Alcoholism, Drug addiction, Mother, Toxicity, Comparative study, Self evaluation, Evaluation scale, Psychometrics, Clinical investigation, Cost analysis, Health economy, Female, Human, Mental health, Social environment, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0517630
Code Inist : 002B18B01. Création : 18/05/2000.