{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T17:48:18Z","timestamp":1792691298627,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T00:00:00Z","timestamp":1646956800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["K01AA024796"],"award-info":[{"award-number":["K01AA024796"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R21AA028073"],"award-info":[{"award-number":["R21AA028073"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R33AA028073"],"award-info":[{"award-number":["R33AA028073"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcoholism Clin &amp;amp; Exp Res"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Alcohol use disorder (AUD) is underdiagnosed and undertreated in medical settings, in part due to a lack of AUD assessment instruments that are reliable and practical for use in routine care. This study evaluates the test\u2010retest reliability of a patient\u2010report Alcohol Symptom Checklist questionnaire when it is used in routine care, including primary care and mental health specialty settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a pragmatic test\u2010retest reliability study using electronic health record (EHR) data from Kaiser Permanente Washington, an integrated health system in Washington state. The sample included 454 patients who reported high\u2010risk drinking on a behavioral health screen and completed two Alcohol Symptom Checklists 1 to 21\u00a0days apart. Subgroups of these patients who completed both checklists in primary care (<jats:italic>n<\/jats:italic>\u00a0=\u00a0271) or mental health settings (<jats:italic>n<\/jats:italic>\u00a0=\u00a079) were also examined. The primary measure was an Alcohol Symptom Checklist on which patients self\u2010reported whether they experienced each of the 11 AUD criteria within the past year, as defined by the Diagnostic and Statistical Manual of Mental Disorders\u20105<jats:sup>th<\/jats:sup> edition (DSM\u20105).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Alcohol Symptom Checklists completed in routine care and documented in EHRs had excellent test\u2010retest reliability for measuring AUD criterion counts (ICC\u00a0=\u00a00.79, 95% CI: 0.76 to 0.82). Test\u2010retest reliability estimates were also high and not significantly different for the subsamples of patients who completed both checklists in primary care (ICC\u00a0=\u00a00.82, 95% CI: 0.77 to 0.85) or mental health settings (ICC\u00a0=\u00a00.74, 95% CI: 0.62 to 0.83). Test\u2010retest reliability was not moderated by having a past two\u2010year AUD diagnosis, nor by the age or sex of the patient completing it.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Alcohol Symptom Checklists can reliably and pragmatically assess AUD criteria in routine care among patients who screen positive for high\u2010risk drinking. The Alcohol Symptom Checklist may be a valuable tool in supporting AUD\u2010related care and monitoring AUD criteria longitudinally in routine primary care and mental health settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.14778","type":"journal-article","created":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T15:10:22Z","timestamp":1647011422000},"page":"458-467","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Practical assessment of DSM\u20105 alcohol use disorder criteria in routine care: High test\u2010retest reliability of an Alcohol Symptom Checklist"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8386-3984","authenticated-orcid":false,"given":"Kevin A.","family":"Hallgren","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"},{"name":"Kaiser Permanente Washington Health Research Institute  Seattle Washington USA"},{"name":"Department of Health Systems and Population Health University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4551-7981","authenticated-orcid":false,"given":"Theresa E.","family":"Matson","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute  Seattle Washington USA"},{"name":"Department of Health Systems and Population Health University of Washington  Seattle Washington USA"},{"name":"Health Services Research and Development Center of Innovation for Veteran\u2010Centered and Value\u2010Driven Care Veteran Affairs Puget Sound HealthCare System  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malia","family":"Oliver","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan M.","family":"Caldeiro","sequence":"additional","affiliation":[{"name":"Mental Health and Wellness Kaiser Permanente of Washington  Renton Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel R.","family":"Kivlahan","sequence":"additional","affiliation":[{"name":"Health Services Research and Development Center of Innovation for Veteran\u2010Centered and Value\u2010Driven Care Veteran Affairs Puget Sound HealthCare System  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharine A.","family":"Bradley","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute  Seattle Washington USA"},{"name":"Department of Health Systems and Population Health University of Washington  Seattle Washington USA"},{"name":"Department of Medicine University of Washington  Seattle Washington 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