Addiction journal
Addiction journal
Questionable generalisability of the AUDIT-C with Danilo Romero
Questionable generalisability of the AUDIT-C with Danilo Romero
Questionable generalisability of the AUDIT-C with Danilo Romero
Friday 1st August 2025
Dr Danilo Romero discusses the limitations of AUDIT-C in clinical trials and explores better ways to measure alcohol consumption.
15 minutes
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Honest
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Addiction journal
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Navigating Alcohol Dependency
Understanding Addiction & Recovery
Navigating Intimate Relationships
Family Recovery from Addiction
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Get the buttons here!Is AUDIT-C Missing the Mark? A Chat with Dr Danilo Romero
Episode Overview
- AUDIT-C may not effectively measure changes in severe alcohol use disorders.
- Ceiling effect can obscure significant consumption changes.
- Collider bias might skew clinical trial results.
- Timeline follow-back method offers clearer insights into consumption patterns.
- Consider alternative measures for outcome monitoring in clinical settings.
"The ceiling of AUDIT-C might be too low for individuals with severe alcohol use disorders".
Ever wondered if the tools we use to measure alcohol consumption are as reliable as they seem? In this episode of Addiction Audio, Dr Tsen Vei Lim chats with Dr Danilo Romero, a clinical psychologist from Sweden, about the Alcohol Use Disorders Identification Test – Consumption (AUDIT-C). This widely used screening tool might not be the hero it's cracked up to be when it comes to monitoring treatment progress in clinical trials.
Dr Romero's research questions the AUDIT-C's effectiveness, revealing that its ceiling effect might be too low for individuals with severe alcohol use disorders. Imagine trying to measure the height of a giraffe with a yardstick – that's the kind of problem we're dealing with here. Dr Romero explains how this ceiling effect could lead to missed changes in alcohol consumption among patients. The episode also delves into collider bias, a tricky concept that might be skewing results in clinical trials.
It's like playing darts blindfolded – you might hit the board, but you'll never know if you hit the bullseye. As the conversation unfolds, Dr Romero shares insights on how the AUDIT-C's limitations could impact research and clinical practice. He suggests using alternative methods like the timeline follow-back method, which provides a clearer picture of alcohol consumption patterns.
This episode is a must-listen for anyone involved in addiction research or clinical practice, offering valuable perspectives on improving how we measure and understand alcohol use. So, if you're curious about the nuances of alcohol assessment tools and their implications for treatment, this episode is your perfect companion. Grab your headphones and dive into this enlightening discussion.