Resources

Screening and Assessment Tools

Assessing Pain and Pain-Related Disability/Quality of Life:

  • PEG Pain Screening Tool: A three question validated measure on average pain levels, pain-related disability and pain-related quality of life that can be used repeatedly to assess response to treatment.

Source:  Krebs, Erin E., et al. “Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference.” Journal of general internal medicine 24.6 (2009): 733-738.

 

Screening for Opioid Misuse Potential in Patients about to Start Opioid Treatment:

Source: Butler SF, Budman SH, Fernandez K, Jamison RN. “Validation of a screener and opioid assessment measure for patients with chronic pain.” Pain. 2004; 112:65-75.

Source: Webster, LR, Webster, RM. “Predicting aberrant behaviors in opioid-treated patients: preliminary validation of the Opioid Risk Tool.” Pain Medicine. 2005; 6(6) 432-442.

 

Screening for Opioid Misuse among Patients on Chronic Opioid Therapy:

Source: Butler SF, Budman SH, Fernandez KC, et al. “Development and validation of the Current Opioid Misuse Measure.” Pain. 2007;130 (1–2):144–156.

 

Screening for Depression and Anxiety Symptoms:

Source: Kroenke, K., Spitzer RL., Williams JB. “The PHQ-9: Validity of a brief depression severity measure.” Journal of General Internal Medicine. 2001; 16(9): 606-613.

  • Anxiety assessment: An adaption of the GAD-7, a 7 question self-assessment tool used to assess general anxiety symptoms

Source: Spitzer RL, Kroenke K, Williams JW, Löwe B. “A brief measure for assessing generalized anxiety disorder: The GAD-7”. Arch Intern Med. 2006;166(10):1092-1097.

 

Screening for Substance Use Problems:

  • AUDIT (Alcohol Use Disorders Identification Test): A 10 question interview or self-administered assessment to identify hazardous and harmful alcohol use, as well as possible dependence.  Developed by the World Health Organization and validated internationally (Full AUDIT guide from WHO).
  • Alcohol single question screening test:
    • How many times in the past year have you had more than 3/4 (female/male) drinks at one time?  Any answers >1 is positive for binge drinking.

Source: Smith PC, Schmidt SM, Allensworth-Davies D, Saitz R. “Primary care validation of a single-question alcohol screening test.” Journal of General Internal Medicine. 2009; 24(7):783-788.

  • DUDIT (Drug Use Disorders Identification Test): An 11 question interview or self-administered assessment to identify potential drug misuse and dependence.
  • Drug single question screening test:
    • How many times in the past year have you used illegal drugs? Any answer >1 is positive for potential drug problem.

Source: Smith PC, Schmidt SM, Allensworth-Davies D, Saitz R. A Single-Question Screening Test for Drug Use in Primary Care. Arch Intern Med. 2010;170(13):1155-1160.