Comparison of timeline follow-back self-report and oral fluid testing to detect substance use in adult primary care patients.

ABSTRACT:

Background

Timeline Follow-back (TLFB) interviews using self-report are often used to assess substance use. Oral fluid testing (OFT) offers an objective measure of substance use. There are limited data on the agreement between TLFB and OFT.

Methods

In this secondary analysis from a multisite study in five primary care sites, self-reported TLFB and OFT data collected under confidential conditions were compared to assess concordance (N=1799). OFT samples were analyzed for marijuana, heroin, cocaine, and non-medical use of prescription opioids. Demographic differences in discordance relative to TLFB and OFT concordant results for marijuana, the only substance with an adequate sample size in this analysis, were examined using multinomial logistic regression.

Results

Overa

SUBMITTER: Nordeck CD 

PROVIDER: S-EPMC7360056 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature