import type { AssessmentDefinition, AssessmentOption } from "../types.ts"; const yearlyFrequencyOptions: AssessmentOption[] = [ { value: 0, label: { en: "Never" } }, { value: 1, label: { en: "Less than monthly", }, }, { value: 2, label: { en: "Monthly" }, }, { value: 3, label: { en: "Weekly", }, }, { value: 4, label: { en: "Daily or almost daily", }, }, ]; // Items 9 and 10 score 0 / 2 / 4 — there is no 1 or 3. const injuryOptions: AssessmentOption[] = [ { value: 0, label: { en: "No" } }, { value: 2, label: { en: "Yes, but not in the last year", }, }, { value: 4, label: { en: "Yes, during the last year", }, }, ]; /** * AUDIT — Alcohol Use Disorders Identification Test. * * 10 items developed by the WHO to detect hazardous and harmful alcohol * consumption. Items use variable point systems: 1–8 score 0–4 on * item-specific scales, 9–10 score 0/2/4. Total 0–40, interpreted in the * four risk zones of the WHO manual (Babor et al., 2001). Free to use. */ export const audit: AssessmentDefinition = { id: "audit", version: "1.0.0", categories: ["substance-use"], audience: ["adult"], respondent: "self", title: { en: "Alcohol Use Disorders Identification Test (AUDIT)", }, description: { en: "A 10-item WHO screening instrument for hazardous and harmful alcohol consumption and possible alcohol dependence.", }, instructions: { en: "Please answer the following questions about your use of alcoholic beverages during the past 12 months. One drink means one standard drink (e.g. a glass of beer or wine, or a single measure of spirits).", }, defaultLocale: "en", options: yearlyFrequencyOptions, questions: [ { id: "audit-1", text: { en: "How often do you have a drink containing alcohol?", }, options: [ { value: 0, label: { en: "Never" } }, { value: 1, label: { en: "Monthly or less", }, }, { value: 2, label: { en: "2 to 4 times a month", }, }, { value: 3, label: { en: "2 to 3 times a week", }, }, { value: 4, label: { en: "4 or more times a week", }, }, ], }, { id: "audit-2", text: { en: "How many drinks containing alcohol do you have on a typical day when you are drinking?", }, options: [ { value: 0, label: { en: "1 or 2" } }, { value: 1, label: { en: "3 or 4" } }, { value: 2, label: { en: "5 or 6" } }, { value: 3, label: { en: "7 to 9" } }, { value: 4, label: { en: "10 or more", }, }, ], }, { id: "audit-3", text: { en: "How often do you have six or more drinks on one occasion?", }, }, { id: "audit-4", text: { en: "How often during the last year have you found that you were not able to stop drinking once you had started?", }, }, { id: "audit-5", text: { en: "How often during the last year have you failed to do what was normally expected from you because of drinking?", }, }, { id: "audit-6", text: { en: "How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?", }, }, { id: "audit-7", text: { en: "How often during the last year have you had a feeling of guilt or remorse after drinking?", }, }, { id: "audit-8", text: { en: "How often during the last year have you been unable to remember what happened the night before because you had been drinking?", }, }, { id: "audit-9", text: { en: "Have you or someone else been injured as a result of your drinking?", }, options: injuryOptions, }, { id: "audit-10", text: { en: "Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down?", }, options: injuryOptions, }, ], scoring: { kind: "sum", missing: { strategy: "ignore" }, bands: [ { id: "zone-1", min: 0, max: 7, label: { en: "Zone I: low risk — alcohol education", }, }, { id: "zone-2", min: 8, max: 15, label: { en: "Zone II: hazardous drinking — simple advice recommended", }, }, { id: "zone-3", min: 16, max: 19, label: { en: "Zone III: harmful drinking — brief counselling and continued monitoring", }, }, { id: "zone-4", min: 20, max: 40, label: { en: "Zone IV: possible dependence — referral for diagnostic evaluation", }, }, ], }, meta: { reference: "Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). AUDIT: The Alcohol Use Disorders Identification Test — Guidelines for Use in Primary Care (2nd ed.). Geneva: World Health Organization.", license: "Free — WHO permits reproduction and use of the AUDIT without permission", licenseFlag: "free", translationProvenance: "en: reproduced from the original. Other locales (tr, de, zh, es): AI translation (Anthropic Claude, claude-fable-5) from the original English; official translations were not consulted and the texts are unverified. See SOURCES.md.", timeframe: "past 12 months", }, };