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Name
Label/Question

New Study ID

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Visit (month)

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Days from baseline to assessment

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Year of assessment

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Have you been screened for this study in the past?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Recruitment Site

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Gender

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Is subject fluent in English?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Is subject fluent in Spanish?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Race

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Other race

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Are you Hispanic or Latino?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Are you willing to establish or continue existing primary care at BMC?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Are you willing and able to return to BMC in next 12 months?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Are you willing and able to attend an outpt visit at BMC within 2-3 days?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Could you provide two contacts?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Are you on suboxone prescribed at BMC?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

During the past month, how many days did you drink per week, on average?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

During the past month, how many drinks did you have on a typical day, when you were drinking?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Drinks per week

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

IF FEMALE ASK: how many times during the past month have you had 4 or more drinks on one occasion?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

IF MALE ASK: how many times during the past month have you had 5 or more drinks on one occasion?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Recent heavy drinking

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

In the past 30 days, have you used cocaine/stimulants or heroin/opiates?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

Does subject meet criteria for recent heavy drinking?

Taken from: Addiction Health Evaluation and Disease (AHEAD) Management Study in Boston, Massachusetts, 2006-2010 - Screening and Baseline Data.

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