Pautrat Maxime, Barbier Eleonore, Lebeau Jean Pierre
Department of General Practice, University of Tours, France.
University of Tours, EA7505 Education Ethique Santé, France.
Prev Med Rep. 2024 Jan 17;38:102610. doi: 10.1016/j.pmedr.2024.102610. eCollection 2024 Feb.
Substance use disorders substantially contribute to the global burden of disease. Early detection in primary care is recommended, and numerous screening tests are available. However, barriers to addictive disorder screening exist and the feasibility of using these tests in primary care is unclear. This study aims to identify available addictive disorder screening tests whose feasibility has been evaluated in primary care. This systematic literature review was performed using Pubmed, PsycINFO, and the Cochrane Library databases. The search strategy included four research topics: addictive disorders, screening, primary care, and feasibility. Selection criteria included published studies evaluating the feasibility of an addictive disorder screening test in primary care. Data were extracted for each included article, and each analyzed screening test. Of the 4911 articles selected, 20 were included and 16 screening tests were studied. Physician feasibility was evaluated with satisfaction questionnaires or qualitative studies, mainly measuring test administration time. Patient feasibility was measured using criteria including "ease of use", comprehension, or format preference. Self-administered formats were preferred, especially electronic versions. Overall, the TAPS (Tobacco, Alcohol, Prescription medication, and other Substance use) tool provides a good balance between ease of use, brevity of administration and more extensive screening for substance use disorders. Feasibility appears to be a set of heterogeneous criteria relating to users, including comprehension or satisfaction, and practical aspects, including administration time or format preference. The criteria synthesized in this review could serve as a basis for screening test feasibility studies in primary care given the absence of feasibility study guidelines.
物质使用障碍在很大程度上导致了全球疾病负担。建议在初级保健中进行早期检测，并且有许多筛查测试可供使用。然而，成瘾性障碍筛查存在障碍，在初级保健中使用这些测试的可行性尚不清楚。本研究旨在确定那些在初级保健中其可行性已得到评估的可用成瘾性障碍筛查测试。本系统文献综述使用了PubMed、PsycINFO和Cochrane图书馆数据库进行。检索策略包括四个研究主题：成瘾性障碍、筛查、初级保健和可行性。选择标准包括评估成瘾性障碍筛查测试在初级保健中可行性的已发表研究。为每篇纳入的文章以及每个分析的筛查测试提取数据。在所选的4911篇文章中，20篇被纳入，对16种筛查测试进行了研究。通过满意度问卷或定性研究评估医生的可行性，主要测量测试实施时间。使用包括“易用性”、理解程度或格式偏好等标准来衡量患者的可行性。首选自我管理形式，尤其是电子版。总体而言，TAPS（烟草、酒精、处方药和其他物质使用）工具在易用性、管理简短性和对物质使用障碍进行更广泛筛查之间提供了良好的平衡。可行性似乎是一组与用户相关的异质标准，包括理解程度或满意度，以及实际方面，包括实施时间或格式偏好。鉴于缺乏可行性研究指南，本综述中综合的标准可作为初级保健中筛查测试可行性研究的基础。
