T-ACE

T-ACE

An abbreviated 4-question instrument that circumvents the problems of denial and under-reporting that historically make self-reporting of alcohol abuse during pregnancy of limited value. It has the further advantage of not seeming to pry into current drinking habits, which might prompt untruthful answers.

T-ACE

Obstetrics, substance abuse An abbreviated 4-question test that '…circumvents the problems of denial and underreporting that historically make self-reporting–of alcohol abuse during pregnancy…of limited value…(it has the further advantage of not seeming to pry into current drinking habits, which might prompt untruthful answers. The key question concerns Tolerance, one of the best predictors of continued drinking during pregnancy: 'How many drinks does it take to make you feel high?'…more than two …is…enough alcohol to bear a child with ARBD–alcohol-related birth defects. That risk is amplified by positive responses to one of T-ACE's other queries about whether she has been Annoyed by criticism of her drinking, has felt she should Cut down, and has ever had an Eye-opener–a drink first thing in the morning to steady herself or get rid of a hangover
References in periodicals archive ?
According to the Canadian guidelines, all pregnant women should be screened for alcohol use using validated screening tools such as the T-ACE (tolerance, annoyed, cut-down, eye-opener) or TWEAK (tolerance, worry, eye-opener, amnesia, cut-down).
16) Only 3 prenatal record forms (25%) specifically prompted the prenatal care provider to intervene for maternal risk drinking, following risk classification for heavy alcohol using an antenatal risk assessment score or a screening tool for alcohol use such as the T-ACE (MB, NL, PEI).
The predefined risk criteria for study enrollment included a total score of two or more on the four-item T-ACE alcohol screening instrument and any alcohol use in the 3 months before study enrollment (while pregnant), consumption of at least one drink per day in the 6 months before study enrollment, or drinking during a previous pregnancy.
Numerous alcohol screening tools are available, but the TWEAK screen and the T-ACE screen have been specifically developed for and validated in women.
The T-ACE screen contains four questions, takes about 1 minute to administer, and can be given by a physician or any staff member.
In contrast, the T-ACE is a test developed to ascertain drinking in a very specific population--pregnant women.
The AUDIT, CAGE, and T-ACE are presented here in their entirety.
The T-ACE (Sokol, Martier, & Ager, 1989) is similar to the CAGE, except that it substitutes a question on tolerance for the CAGE question on guilt (see Table 1).
The TWEAK "combines questions from the MAST, CAGE, and T-ACE tests that have been found most effective" (Russell, 1994, p.
If not, the T-ACE, a four-item screening questionnaire based on the CAGE assessment tool, has been demonstrated to be a valuable and efficient method for identifying a range of alcohol use.
It also describes the implementation of the T-ACE questionnaire as an effective screening instrument for prenatal alcohol consumption, outlines the usefulness of brief interventions with pregnant women, and reviews studies that investigate the use of brief interventions with pregnant women who screen positive on the T-ACE.
The T-ACE was the first validated sensitive screen for risk drinking (defined as alcohol consumption of 1 ounce or more per day) developed for use in obstetric-gynecologic practices (Sokol et al.