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

  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},
  volume={160 4},
          863-8; discussion 868-70

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.

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.



The Cleveland NIAAA prospective alcohol-in-pregnancy study: the first year.

Differences between positive and negative MAST responders indicate variables, such as ethnicity, previous pregnancies, nutrition and cigarette smoking, which will require control when infant outcome data are evaluated.

The effectiveness of routine screening questions in the detection of alcoholism.

To assess the prevalence of alcoholism in an ambulatory medical clinic and to determine the effectiveness of screening questions for alcoholism, 232 new patients in a medical primary care unit were

Underreporting of alcohol use in pregnancy.

The results suggest that previously reported thresholds of effect based on self-report data may be underestimates and suggest that questions regarding alcohol-related problems may be more effective than direct consumption questions in the identification of women who drink heavily in pregnancy.

Alcohol counselling of 85 pregnant problem drinkers: effect on drinking and fetal outcome

Of the women with continuous alcohol abuse 89% gave birth to infants with at least one feature of FAE compared with only 40% of those who decreased their alcohol consumption, and 7% of blood specimens collected at follow‐up visits contained ethanol.

Strategies for Prevention of Fetal Alcohol Effects

Reduction in maternal alcohol consumption before the third trimester was associated with improved neonatal outcome and supportive counseling focused on reduction of alcohol use can be integrated with regular prenatal care.

Significant Determinants of Susceptibility to Alcohol Teratogenicity a

Two studies in different samples, using different analytic strategies to examine susceptibility to different adverse outcomes are presented, consistent with the susceptibility hypothesis and have potentially important implications for public health and clinical approaches to prevention.

Treatment experience with pregnant problem drinkers.

Of 49 pregnant problem drinkers who participated in at least three counseling sessions, 33 (67%) reduced alcohol consumption before the third trimester, and primary providers who are knowledgeable, interested, and accepting can successfully treat pregnant patients at risk from alcohol.

The Michigan alcoholism screening test: the quest for a new diagnostic instrument.

  • M. Selzer
  • Medicine
    The American journal of psychiatry
  • 1971
The Michigan Alcoholism Screening Test (MAST), devised to provide a consistent, quantifiable, structured interview instrument to detect alcoholism, consists of 25 questions that can be rapidly

Screening for Alcoholism

The methods used in this study, however, raise concerns in two areas: of the patients screened, 52% were unemployed, raising the question of how transferable the results of this study would be to a practice setting in which most patients are employed.