Screening and care for alcohol use disorder in France: expectations, barriers and levers using a mixed-methods approach

Costa, Marie; Barré, Tangui; Coste, Marion; Yaya, Issifou; Berenger, Cyril; Tanti, Marc; Cutarella, Christophe; Mora, Marion; Poloméni, Pierre; Maynard, Marianne; Teuma, Danielle; Bazin, Michaël; Maradan, Gwenaelle; Roux, Perrine; Carrieri, Patrizia Maria

doi:10.1186/s12889-020-08495-x

Table 1 ASIA Questionnaire

From: Screening and care for alcohol use disorder in France: expectations, barriers and levers using a mixed-methods approach

I. General information
Question	Possible answers	Additional details
1. Gender	Male/Female
2. Education	High school diploma/Bachelor’s degree/Postgraduate degree
3. Children	Yes/no	Do they live with you?
4. Do you live …?	Alone/ in a couple/ with other adults/ other
5. Do you have a job?	Yes/no	What kind of contract do you have? Permanent contract, fixed-term contract/temporary worker/self-employed/other: No: Student/Retired/Jobseeker/other:
6. Employment	Unemployment benefit/ Disability allowance/scholarship/ retirement pension
7. Do you live in …?	Own house/friend’s house/parents’ house/homeless shelter
8. Housing conditions	Very uncomfortable / Uncomfortable / Comfortable / Very comfortable
9. In the last 3 years, have you consulted a dentist?	Yes/no
10. Do you wear glasses?	Yes/no	In the last 3 years, have you consulted an ophthalmologist? (Yes/no)
11. Do you have access to the internet?	Yes/no
12. Do you have a means of transport (car, bike, public transport network nearby, etc.)?	Yes/no
II. Alcohol consumption
1. Do you think that your alcohol consumption could harm your health?	Yes/no
2. Do you feel a physical / psychological craving when you do not consume alcohol?	Yes/no
3. Have you ever had any health problems related to your drinking?	No/Yes, slight problems which decreasing my consumption resolved/ Yes, serious problems that required medical treatment (medicines, surgery, etc.)
4. How long have you been at your current level of alcohol consumption?	Less than 1 year / 1 to 3 years / 3 to 5 years / 5 to 10 years / Over 10 years
5. ETIAM SCALE [30] In the last week, how would you describe your desire to drink (0 corresponding to no desire to drink and 5 to a very strong desire to drink)	a) ... when you wake up?	0 1 2 3 4 5
	b) ... in the morning, between waking up and lunch?	0 1 2 3 4 5
	c) ... at lunch?	0 1 2 3 4 5
	d) ... in the afternoon before 5 pm?	0 1 2 3 4 5
	e) ... after 5 pm and before dinner?	0 1 2 3 4 5
	f) ... at dinner?	0 1 2 3 4 5
	g) ... in the late evening after dinner?	0 1 2 3 4 5
III. Consumption of other drugs
1. In the past 3 months, have you used any of the following psychoactive substances? (Several choices possible)	Opiates (heroin) / Cocaine / Cannabis / Synthetic Drugs (MDMA, ecstasy, etc.)	For each substance cited, the frequency is requested Less than once a month / Once a month / Once a week / Almost every day
2. In the past 3 months, have you taken benzodiazepines (anxiolytics: Valium®, Xanax®, Lexomil®)	Yes/no	Outside of medical prescription / As part of a medical prescription, respecting the dosage and/or duration of treatment / As part of a medical prescription, exceeding the dosage and/or duration of treatment
3. Do you smoke tobacco?	Yes, regularly / Yes, a cigarette from time to time / No, but you smoked regularly in the past / No, never
IV. Experiences and feelings related to alcohol consumption
1. In general, what sensations does drinking give you?	Euphoria / Well-being / Appeasement / Decreased Anxiety / Decreased Sadness / Disinhibition / Self-Confidence / Feeling time goes faster / Sleep / Shame / Depression / Aggressiveness / Depression / Suicidal thoughts / Anxiety / Boredom / None / Other:
2. Do you socialize with heavy drinkers?	Yes/no	Do they live with you?
3. In general, in which context (s) do you consume alcohol?	Alone / With your spouse, companion / At work / At home / With friends / In a bar / In public places (park, street, etc.) / In a restaurant / When going out to a party (nightclub, etc.) / Other:
4. Have you ever felt discriminated against because of your drinking? (By discriminated we mean that you did not receive the same treatment / reception / attention as another person).	Yes/no	In the hospital / At the doctor’s / In my daily life (friends, shops, institutions, etc.) / In my professional environment / In my family / Other(s):
V. Objectives/Aims concerning alcohol consumption
1. Would you like to change your alcohol consumption?	Yes/no	Reducing your consumption/Becoming sober/Controlling your consumption
2. Are you aware that you can receive medical care for alcohol misuse even if you do not wish to be completely sober?	Yes/no
VI. Care received
1. Do you have a doctor (usual doctor, family doctor)?	Yes/no
2. How would you describe your relationship with your doctor?	Very good / Good / Not bad / Poor / Very poor
3. Have you ever talked about your drinking with your doctor?	Yes, of his/her initiative / Yes, of my initiative / No
4. Have you ever sought or received medical help to try to stop or reduce your alcohol consumption?	Yes, in the last 3 years / Yes, more than 3 years ago / Never	If never: You do not need it / You do not feel like it / You are scared / You do not have enough money / You live too far away from a hospital / doctor / health facility / You do not want to do not want to be sober / You do not feel able / You do not have enough time / You do not know who to talk to / You are ashamed to talk about it / You do not trust the healthcare system / You previously had a very negative experience / You did seek help, but did not receive the help you expectedp

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