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Related Experiment Videos

The FAST Alcohol Screening Test.

Ray Hodgson1, Tina Alwyn, Bev John

  • 1University of Wales College of Medicine, Lansdowne Hospital, Cardiff CF11 8PL, UK.

Alcohol and Alcoholism (Oxford, Oxfordshire)
|February 5, 2002
PubMed
Summary
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The Fast Alcohol Screening Test (FAST) is a quick, four-item questionnaire for identifying hazardous alcohol use in medical settings. It shows good sensitivity and specificity compared to the Alcohol Use Disorders Identification Test (AUDIT).

Area of Science:

  • Public Health
  • Clinical Medicine
  • Screening Tools

Background:

  • Alcohol use disorders are a significant public health concern.
  • Effective screening tools are needed for busy clinical environments.
  • The Alcohol Use Disorders Identification Test (AUDIT) is a validated but lengthy screening instrument.

Purpose of the Study:

  • To develop and validate a brief screening tool for hazardous alcohol consumption.
  • To create a rapid screening method suitable for emergency and primary care settings.
  • To assess the performance of the Fast Alcohol Screening Test (FAST) against the AUDIT.

Main Methods:

  • The Fast Alcohol Screening Test (FAST) was developed using items from the AUDIT.
  • Principal components analysis and sensitivity/specificity indices were employed for test development.

Related Experiment Videos

  • A four-item FAST questionnaire was validated in accident & emergency (A&E) departments and other healthcare settings.

    • Main Results:

    • The FAST questionnaire demonstrated good sensitivity and specificity when compared to the AUDIT.
    • Over 50% of patients were categorized using a single screening question.
    • The FAST tool proved effective across diverse National Health Service settings, including A&E, fracture clinics, primary care, and dental hospitals.

    Conclusions:

    • The four-item FAST questionnaire is a valid and efficient tool for screening hazardous alcohol use.
    • FAST offers a practical solution for busy medical settings requiring rapid patient assessment.
    • The study supports the use of FAST as a reliable alternative to longer screening instruments like AUDIT.