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Screen all females of childbearing age for alcohol use with standardized screening instruments such as TWEAK, T-ACE, or AUDIT.
Other tools include TWEAK (Tolerance, Worry, Eye-opener, Amnesia, (K)Cut down), T-ACE (Tolerance, Annoyed, Cut down, Eye opener), and AUDIT (Alcohol Use Disorder Identification Test).
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).
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.
In contrast, the T-ACE is a test developed to ascertain drinking in a very specific population--pregnant women.
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).
New assessment tools for risk drinking during pregnancy: T-ACE, TWEAK, and others.
T-ACE was found to be superior to other standard instruments used for detecting alcohol abuse, such as MAST and CAGE.
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.
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.