Accuracy of five self-report screening instruments for substance use in pregnancy.

ABSTRACT:

Background and aims

The accuracy of current screening instruments for identification of substance use in pregnancy is unclear, particularly given methodological shortcomings in existing research. This diagnostic accuracy study compared five existing instruments for ability to identify illicit drug, opioid and alcohol use, under privacy expectations consistent with applied practice and using a gold standard incorporating toxicological analysis.

Design

Prospective cross-sectional screening accuracy study.

Setting

Three sites encompassing four prenatal care clinics in the United States.

Participants

Convenience sample of 1220 racially, ethnically and socio-economically diverse pregnant women aged 18 years and over.

Measurements

In Phase I, participants comp

SUBMITTER: Ondersma SJ 

PROVIDER: S-EPMC8407406 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature