The T-ACE questions: practical prenatal detection of risk-drinking.

@article{Sokol1989TheTQ,
  title={The T-ACE questions: practical prenatal detection of risk-drinking.},
  author={Robert J. Sokol and S S Martier and Joel Ager},
  journal={American journal of obstetrics and gynecology},
  year={1989},
  volume={160 4},
  pages={
          863-8; discussion 868-70
        }
}
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456 Citations
Highly Influential Citations
22
Background Citations
69
Methods Citations
78
Results Citations
2

456 Citations

Alcohol Use and Pregnancy: Improving Identification

Detecting risk drinking during pregnancy: a comparison of four screening questionnaires.

Embedded versions of TWEAK and T-ACE were both highly sensitive to periconceptional risk drinking in this population of African-American obstetric patients, suggesting that MAST and CAGE administration improves its performance.

Identifying risk drinking in expectant fathers.

Although the AUDIT was better than the T-ACE as an independent predictor of risk drinking, the latter was most accurate when the tolerance threshold exceeded 2 drinks, the same established for pregnant women.

Screening for pregnancy risk-drinking.

The utility of brief questionnaires that assess alcohol intake indirectly by asking women about their tolerance to alcohol's effects, psychological consequences of drinking, and significant others' concern about their drinking is confirmed and preliminary data indicating that TWEAK may outperform T-ACE is provided.

Identification of risk drinking women: T-ACE screening tool or the medical record.

The main findings are that neither the T-ACE nor the medical record was especially effective in identifying risk drinking by the women enrolled in the study and the identification of risky or heavy alcohol use in women is desirable and represents an area of improvement for patients and providers alike.

Validity of the T-ACE in pregnancy in predicting child outcome and risk drinking.

Preventing alcohol-exposed pregnancies.

Many barriers exist to effective implementation of alcohol-exposed pregnancy (AEP) prevention in the clinical setting, and designing effective office base systems so the entire burden of implementing AEP prevention activities does fall solely on the family physician is critical.

Brief screening questionnaires to identify problem drinking during pregnancy: a systematic review.

T-ACE, TWEAK and AUDit-C show promise for screening for risk drinking, and AUDIT-C may also be useful for identifying alcohol dependency or abuse, however, their performance as stand-alone tools is uncertain, and further evaluation of questionnaires for prenatal alcohol use is warranted.

Screening for high- and moderate-risk drinking during pregnancy: a comparison of several TWEAK-based screeners.

Despite some loss in sensitivity and specificity, the TWEAK, in its original or a modified form, can be extended to measures of high-risk drinking that incorporate infrequent heavy intake and can be used to test for moderate- as well as high- risk drinking.

Screening for use of alcohol, tobacco and cannabis in pregnancy using self-report tools.

It has been proposed that screening only for alcohol and tobacco, with focus on the month pre-pregnancy, could enable identification of all other substances and general psychosocial distress and mental ill-health often co-existence with substance use needs to become legitimate practice for obstetric clinicians.
...

References

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