GuidelineCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2026
Screening for high-risk drinking and alcohol use disorder: update of the 2023 national clinical practice guideline.
Abstract readPractice GuidelineSystematic Review
In one paragraph
Guideline in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Article
- Brief intervention can change the trajectory of youth substance use.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
Corrections and comments
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Authors and funding
20 authors.
Evan WoodDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont. crism@bccsu.ubc.ca.
Shirley C WongDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Kim CoraceDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
David MartellDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Bryce BarkerDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Catherine de MontignyDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
David C HodginsDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Ginette PoulinDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Katelyn HalpapeDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Bernard Le FollDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Ronald LimDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Ami BrosseauDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Robert HenryDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
David C MarshDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Nicole CowanDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Rand TeedDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Cheyenne JohnsonDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Caroline BrunelleDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Brittany GrahamDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Jürgen RehmDepartment of Medicine (Wood, Wong), University of British Columbia; British Columbia Centre on Substance Use (Wood, Wong, Johnson), Vancouver, BC; Department of Psychiatry (Corace), University of Ottawa; Ottawa Hospital Research Institute (Corace); Canadian Centre on Substance Use and Addiction (Corace, Barker), Ottawa, Ont.; Department of Family Medicine (Martell), Dalhousie University, Halifax, NS; Addiction Medicine Department (de Montigny), Centre hospitalier de l'Université de Montréal, Montréal, Que.; Department of Psychology (Hodgins), University of Calgary, Calgary, Alta.; Department of Family Medicine (Poulin), Max Rady College, University of Manitoba, Winnipeg, Man.; College of Pharmacy and Nutrition (Halpape), University of Saskatchewan, Saskatoon, Sask.; Department of Family and Community Medicine (Le Foll), University of Toronto; Institute for Mental Health Policy Research (Le Foll, Rehm), Centre for Addiction and Mental Health, Toronto, Ont.; University of Calgary (Lim), Calgary, Alta.; Cool Aid Community Health Centre & Victoria Native Friendship Centre (Brosseau), Victoria, BC; Department of Indigenous Studies (Henry), University of Saskatchewan, Saskatoon, Sask.; Northern Ontario School of Medicine (Marsh); Health Sciences North Research Institute (Marsh), Sudbury, Ont.; Vancouver Coastal Health (Cowan), Vancouver, BC; Drug Class Program (Teed), Craven, Sask.; Department of Psychology (Brunelle), University of New Brunswick, Saint John, NB; BC Centre for Disease Control (Graham), Vancouver, BC; Department of Psychiatry (Rehm), University of Toronto, Toronto, Ont.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrent screening tools for harmful alcohol consumption have fallen out of step with recent guidance on the health risks of alcohol. To address this gap, the Canadian Research Initiative in Substance Matters updated the screening recommendations for high-risk drinking and alcohol use disorder (AUD) in the 2023 national clinical practice guideline.
methodsFollowing a systematic review of literature published between Jan. 1, 2013, and Feb. 24, 2023, that examined screening tools for high-risk drinking and AUD, the updated recommendations were developed by a multidisciplinary national committee, which included people with lived and living experience. We scored the recommendations and certainty of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation tool. We used the Appraisal of Guidelines for Research and Evaluation II instrument and the Guidelines International Network's principles for disclosure of interests and management of conflicts to ensure the update met international standards for transparency, high quality, and methodological rigour. RECOMMENDATIONS: Acknowledging that time constraints are the most commonly reported barrier to universal alcohol screening, we developed 5 recommendations involving a simple screening method, to identify and address both unhealthy alcohol consumption and more serious problems related to alcohol. The recommendations include asking all patients about alcohol consumption and providing educational support to all those who drink above Canada's Guidance on Alcohol and Health's low-risk threshold. We propose a simple screening algorithm to optimize and tailor further intervention, including when to assess for possible AUD.
interpretationThe revised screening recommendations represent a timesaving and pragmatic approach intended to be a resource for universal screening for alcohol risks and problems. The recommendations streamline the process of identifying and addressing the health needs of those who consume alcohol in a hazardous way or may have more serious problems related to alcohol.
Indexed as
Alcohol DrinkingAlcoholismMass ScreeningCanadaHumans
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.