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Preliminary Development of a Brief Cannabis Use Disorder Screening Tool: The Cannabis Use Disorder Identification
Marcel O Bonn-Miller1,2,3,4, Adrienne J Heinz1,2, Everett V Smith5
1Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California.
Cannabis and Cannabinoid Research
|September 2, 2017
Summary
A new 3-item Cannabis Use Disorder Identification Test-Short Form (CUDIT-SF) effectively screens for cannabis use disorder in clinical settings. This tool aids in identifying individuals with CUD, supporting timely intervention and treatment.
Area of Science:
- Psychiatry
- Clinical Psychology
- Public Health
Background:
- Rising rates of cannabis use disorder (CUD) necessitate efficient screening tools for vulnerable populations.
- Current screening methods may not be suitable for busy clinical environments.
Purpose of the Study:
- To develop and validate a shortened version of the Cannabis Use Disorder Identification Test-Revised (CUDIT-R).
- To create an efficient screening tool for identifying cannabis use disorder in clinical practice.
Main Methods:
- Item response theory and traditional statistical methods were used to shorten the CUDIT-R to three items.
- Four item selection techniques were employed to identify the optimal short form.
- Receiver operating characteristic curves evaluated the diagnostic accuracy of the CUDIT-SF.
Main Results:
- The 3-item CUDIT-Short Form (CUDIT-SF) demonstrated good reliability (alpha=0.66-0.80).
- The CUDIT-SF accurately identified individuals meeting DSM-5 criteria for CUD (78.26%-78.31%).
- High agreement was observed between the CUDIT-SF and the full CUDIT-R in classifying CUD.
Conclusions:
- The CUDIT-SF is a potentially valuable tool for stepwise screening in busy clinical settings.
- Further validation studies with larger, diverse samples are recommended to confirm its utility.

