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Rimary care individuals. Much more function is required to improve the clarity on the prescription drug misuse screening item, and additional research is needed to evaluate the validity with the SUBS for detecting unhealthy use and substance use disorders. If it is shown to have adequate sensitivity and specificity for detecting clinically Torin 2 Post Lift relevant substance use, this brief, self-administered instrument could facilitate routine integrated screening for tobacco, alcohol, and drug use in main care settings.Establishing AN Efficient SCREENER FOR TOBACCO, ALCOHOL, AND DRUG USE IN Key CARE: Final results OF Question TESTING AND TEST-RETEST RELIABILITY Studies With the `SUBSTANCE USE Brief SCREEN (SUBS)' Jennifer McNeely1,2; Perry N. Halkitis3,1; Shiela Strauss4; Ariana Horton4; Rubina Khan1; Marc N. Gourevitch1. 1NYU College of Medicine, New York, NY; 2NYU College of Medicine, New York, NY; 3NYU Steinhardt School, New York, NY; 4NYU College of Nursing, New York, NY. (Tracking ID #1641225) BACKGROUND: A significant impediment to implementation of substance use screening and short interventions normally healthcare settings would be the lack of a actually effective however precise screening instrument that may be compatible with clinical workflows. As a very first step toward addressing this have to have, we developed the Substance Use Short Screen (SUBS); a 4-item screener for tobacco, alcohol, illicit drugs, and nonmedical use of prescription drugs that's brief, self-administered, and might be quickly integrated with electronic well being records. Procedures: This was a two-phase instrument improvement study. Prospective participants have been approached consecutively inside the waiting location of a large urban safety-net major care clinic and screened for eligibility. Simple eligibility criteria have been: existing clinic patient, English speaking, age 18?5. In the initial phase, 27 participants completed a 30?0 min cognitive interview to assess item comprehension and acceptability. Detailed field notes have been analyzed for comprehension of your screening products and participants' accuracy in classifying substances in line with these categories, and the instrument was adapted based on these findings. Inside the following test-retest reliability phase, a second group of 61 participants completed the SUBS as a self-administered questionnaire on a touchscreen tablet laptop, and had been asked to return 1? weeks later to repeat it. Agreement among responses atDEVELOPMENT OF AN INSTRUMENT TO MEASURE THE Top quality OF Therapy Decisions FOR ASYMPTOMATIC CAROTID ARTERY Disease Ethan Halm1; Jasmin Tiro1; Colin Nelson2; Kim Batchelor1; Lei Xuan1; Carol Cosenza3; Karen R. Sepucha4. 1Univ of TX Southwestern Med Ctr, Dallas, TX; 2Informed three Health-related Decisions Foundation, Boston, MA; Univ of Massachusetts, 4 Boston, MA; Massachusetts Basic Hospital, Boston, MA. (Tracking ID #1633408) BACKGROUND: Individuals (Pts) with asymptomatic carotid stenosis have three therapy solutions: carotid endarterectomy (CEA), carotid artery stenting (CAS), and healthcare therapy alone (Med) ach with its own added benefits and dangers. The top quality of a selection about no matter whether to undergo elective carotid revascularization is determined by the extent to which the remedy reflects what is most significant to an informed Pt. Valid measures of Pts' information about remedies choices and preferences are necessary to assess decision high quality and guide Pt education approaches about this common asymptomatic situation. We sought to identify a set of crucial information, targets and issues relevant to every treatme.