SUBSTANCE USE

Definition

Drug, tobacco and alcohol use prior to injury and at follow-up

ALCOHOL

Definition

Form 1 - Drinking habits during the month prior to the injury

Form 2 - Drinking habits during the month prior to the follow-up

A “drink” is 1 can or bottle of beer, 1 glass of wine, 1 can or bottle of wine cooler, 1 cocktail, or 1 shot of liquor. See External Links.

Form

[X] Form 1
[X] Form 2

Source

Form 1 - Pre-Injury History (participant or proxy)
Form 2 - Interview, Mail-out (participant or proxy)

Details

For ALCAnyDrink:
- If coded “0. No” ALCWeek through ALC4Drinks will be autofilled with “888. Not Applicable.”
- If coded “77. Refused”, ALCWeek through ALC4Drinks will be autofilled with ’777. Refused.”
- If coded “66. Variable Did Not Exist”, ALCWeek through ALC4Drinks will be autofilled with “666 = Variable Did Not Exist.”
- If coded “99. Unknown”, ALCWeek through ALC4Drinks will be autofilled with “999 = Unknown”

Base the data recorded for these questions on self-response. Do not be influenced by information about drinking habits that may be available from hospital records, etc.

If cannot get patient’s response, get family, if not family then medical chart.

Use the higher score if a range (in # of drinks) is given.

If participant states they only drink once or twice a month, code “Drinks per Week” as “1”.

Probe for size of drink, and adjust scoring according to answer received.

A “drink” is 1 can or bottle of beer, 1 glass of wine, 1 can or bottle of wine cooler, 1 cocktail, or 1 shot of liquor. See External Links.

Reference

Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System User’s Guide. Atlanta: U.S. Department of Health and Human Services, 1998. National Household Survey on Drug Abuse. Substance Abuse and Mental Health Services Administration, Office of Applied Studies.

Characteristics

A report on substance use that is based on TBIMS data can be found on COMBI: See Links.

QFVI was added to the Form I database as one of the premorbid history questions on 1/1/97. The QFVI was dropped from both Form I and Form II on 10/1/99 and replaced with alcohol questions from NHSDA and BRFSS module 13. The QFVI data are available in a separate database.
Some cases older than 1/1/97 have data for this variable because Centers were encouraged to collect these data retrospectively for older cases.

STARTING 4/1/04 (version 9.5), THE “7” AND “9” CODES WERE REVERSED IN ORDER TO BE CONSISTENT WITH OTHER VARIABLES (7/77=refused, 9/99=unknown/don’t know/not sure). WHEN WORKING WITH DATA COLLECTION FORMS 9.4 AND EARLIER KEEP IN MIND THAT 7’s ON THE FORM SHOULD APPEAR AS 9’s IN THE DATABASE AND VICE VERSA. TAKE THIS INTO ACCOUNT WHEN DATA ON 9.4 OR EARLIER FORMS ARE BEING CORRECTED, OR COMPARED TO DATA IN THE DATABASE.

In 2003, three Model Systems had difficulty collecting part 1 of this item (the same three Model Systems that had difficulty collecting V192a1:Premorbid Drug Use). (10% or more missing data). Between six and eight Model Systems had difficulty collecting the 3 parts of this item.

Variables

Form Type

Variable

ID

Question

History

Form 1

ALC4Drinks

394

FEMALES ONLY: Considering all types of alcoholic beverages, how many times during the month before the injury did you have four or more drinks on an occasion?

2017-01-15 - Variable Added

Form 1

ALC5Drinks

394

Considering all types of alcoholic beverages, how many times during the month before the injury did you have five or more drinks on an occasion?

1999-10-01 - Variable Added

Form 1

ALCAnyDrink

395

During the month before the injury, did you have at least one drink of any alcoholic beverage such as beer, wine, wine coolers, or liquor?

1999-10-01 - Variable Added

Form 1

ALCDrinks

394

A drink is 1 can or bottle of beer, 1 glass of wine, 1 can or bottle of wine cooler, 1 cocktail, or 1 shot of liquor. On the days when you drank, about how many drinks did you drink on the average?

1999-10-01 - Variable Added

Form 1

ALCWeek

7853

During the month before the injury, how many days per week did you drink any alcoholic beverages on the average?

1999-10-01 - Variable Added

Form 2

ALC4DrinksF

575

FEMALES ONLY: Considering all types of alcoholic beverages, how many times during the past month did you have four or more drinks on an occasion?

2017-01-15 - Variable Added

Form 2

ALC5DrinksF

575

Considering all types of alcoholic beverages, how many times during the past month did you have five or more drinks on an occasion?

1999-10-01 - Variable Added

Form 2

ALCAnyDrinkF

576

During the past month have you had at least one drink of any alcoholic beverage such as beer, wine, wine coolers, or liquor?

1999-10-01 - Variable Added

Form 2

ALCDrinksF

575

A drink is 1 can or bottle of beer, 1 glass of wine, 1 can or bottle of wine cooler, 1 cocktail, or 1 shot of liquor. On the days when you drank, about how many drinks did you drink on average?

1999-10-01 - Variable Added

Form 2

ALCWeekF

7854

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

1999-10-01 - Variable Added

Codes and Values

ID

Code

Description

394

666

Variable Did Not Exist

394

777

Refused

394

888

Not Applicable

394

999

Unknown

395

0

No

395

1

Yes

395

66

Variable Did Not Exist

395

77

Refused

395

99

Unknown

575

666

Variable Did Not Exist

575

777

Refused

575

881

Not Applicable

575

882

Not Applicable: Variable not due this year ( Code no longer used; data now collected in all follow-up years )

575

999

Unknown

576

0

No

576

1

Yes

576

66

Variable Did Not Exist

576

77

Refused

576

81

Not Applicable

576

82

Not Applicable: Variable not due this year ( Code no longer used; data now collected in all follow-up years )

576

99

Unknown

7853

66

Variable Did Not Exist

7853

77

Refused

7853

88

Not Applicable

7853

99

Unknown

7854

66

Variable Did Not Exist

7854

77

Refused

7854

81

Not Applicable

7854

82

Not Applicable: Variable not due this year

7854

99

Unknown

History

Date

Description

1999-10-01

Dropped QFVI, replaced with alcohol questions from NHSDA and BRFSS module 13.

2003-01-01

Removed references to this variable as being asked of the person with TBI.

2003-01-01

Deleted the question that identifies respondent as the person with TBI or significant other.

2003-10-01

Added NOTE : that scores for these questions should be based on self-reports and should not be influenced by information available clinically in the Model System.

2004-01-01

Added NOTE : coding instruction for item 'week/month' that 66 should be scored for the item not answered.

2004-01-01

Added NOTE : to code the higher score if a range is given.

2004-01-01

Added NOTE : to probe for size of drink and adjust scoring according to answer received.

2004-04-01

Changed CODE : "Unknown" to code "Don't know/Not sure"

2004-04-01

Changed CODE : reversed the codes for "Refused" (was 9, now 7) and "Unknown/Don't know/Not sure" (was 7, now 9)

2004-04-01

Added NOTE : explaining why there are some cases prior to 1/1/97 that have data.

2004-04-01

Added NOTE : that a report on alcohol use based on TBIMS data is on COMBI.

2005-01-01

Added NOTE : that variable is to be collected from participant if possible, or family, or medical chart.

2017-01-15

Added DEFINITION : FOR FEMALES ONLY: Considering all types of alcoholic beverages, how many times during the month before the injury did you have four or more drinks on an occasion?

2018-01-15

Added NOTE: If participant completes both the days and weeks section for number of drinks, enter the higher rate of drinks.

2022-07-01

Added NOTE : If participant states they only drink once or twice a month, code "Drinks per Week" as "1".

ALCOHOL - CALCULATED

Definition

Items #2-4 are coded “Not Applicable” rather than “0” if the person answers “No” to item #1. Thus, averages for any of the items #2-4 will include data from only for those people who drank, not from all people in the dataset (the average does not include any “0” values).

Variables

Form Type

Variable

ID

Question

History

Form 1

DRINKCat

463

Drinking Category

1999-10-01 - Variable Added

Form 1

PROBLEMUse

536

Substance Problem Use

1999-10-01 - Variable Added

Form 2

DRINKCatF

642

Calculated drinking category

1999-10-01 - Variable Added

Form 2

PROBLEMUseF

735

Substance Problem Use

1999-10-01 - Variable Added

Codes and Values

ID

Code

Description

463

0

Abstaining

463

1

Light

463

2

Moderate

463

3

Heavy

463

99

Unknown

536

0

No

536

1

Yes

536

77

Refused

536

99

Unknown

642

0

Abstaining

642

1

Light

642

2

Moderate

642

3

Heavy

642

99

Unknown

735

0

No

735

1

Yes

735

77

Refused

735

99

Unknown

History

No history found for the Domain.

ILLICIT DRUG USE

Definition

The intent of the question is to capture problematic use of drugs other than alcohol. Illegal or harmful use of substances is considered problematic use. The use of street drugs and drugs prescribed to someone else constitutes illegal use. “Huffing” or the inhalation of a toxic chemical is considered problematic due to the harmful effects (it is also illegal in 46 states). In addition, the overuse of drugs prescribed to the participant is considered problematic use.

Form 1
- ‘’During the year before your injury, did you use any illicit or non-prescription drugs?’’
- “Did you use Marijuana?”
- ‘’Was marijuana prescribed to you?’’

Form 2
- ‘’During the last 12 months, did you use any illicit or non-prescription drugs?’’
- “Did you use Marijuana?”
- ‘’Was marijuana prescribed to you?’’

Form

[X] Form 1
[X] Form 2

Source

Form 1 - Pre-Injury History (participant or proxy)
Form 2 - Interview, Mail-out (participant or proxy)

Details

Use patient’s response, even if response contradicts other information. This is a self-report variable.

If unable to get patient’s response, get information from family. If unable to get family’s response, then use medical chart.

The question should be presented as follows: ‘’During the year before your injury…” (at Form 1) or “During the last 12 months…” (at Form 2), “…did you use any illicit or non-prescription drugs?’’ If further clarification is sought, the following verbiage may be offered: ‘’We are wanting to know about drugs like marijuana, crack or heroin; or about prescription drugs like pain killers or stimulants that were not prescribed to you; or chemicals you might have inhaled or ’huffed’. We also want to know if sometimes you took more than you should have of any drugs that have been prescribed to you.’’

The use of CBD oil, no matter where purchased, should not be counted as marijuana use.

A report on substance use that is based on TBIMS data can be found on COMBI: See Links.

Characteristics

Some cases older than 1/1/97 have data for this variable because Centers were encouraged to collect these data retrospectively for older cases.

In 2003, three Model Systems had difficulty obtaining this information (10% or more missing data).

Prior to 10/1/2011 the variable was defined as follows:

Form 1 - ‘’Indices of drug use and abuse prior to injury: During the year before your injury, did you use any illicit or non-prescription drugs? “Non-prescription drugs” refers to non-prescribed prescription drugs and street drugs.’’

Form 2 - “Index of drug use; asked of best source at every follow-up evaluation.”During the last 12 months (or during the time since your injury – if year 1 follow-up) did you use any illicit or non-prescription drugs?” “Non-prescription drugs” refers to prescription drugs obtained without a prescription and street drugs.”

On 7/1/2020, began capturing responses to two follow-up marijuana questions. These previously were used to code Illicit Drug Use following these instructions: If participant answers ‘’No,’’ ask… ‘’Did you use Marijuana?’’ If ‘’Yes’’ to marijuana use, ask… ‘’Was marijuana prescribed to you?’’ If prescribed, then code “No.’’ If not prescribed, code ‘’Yes.’’

Variables

Form Type

Variable

ID

Question

History

Form 1

Drugs

478

During the year before the injury, did you use any illicit or non-prescription drugs?

1997-01-01 - Variable Added

Form 1

MJPrescribe

478

Was marijuana prescribed to you?

2020-07-01 - Variable ADDED

Form 1

MJUse

478

Did you use marijuana?

2020-07-01 - Variable ADDED

Form 2

DrugsF

664

During the last 12 months did you use any illicit or non-prescription drugs?

1989-10-01 - Variable Added

Form 2

MJPrescribeF

664

Was marijuana prescribed to you?

2020-07-01 - Variable ADDED

Form 2

MJUseF

664

Did you use marijuana?

2020-07-01 - Variable ADDED

Codes and Values

ID

Code

Description

478

0

No

478

1

Yes

478

66

Variable Did Not Exist

478

77

Refused

478

88

Not applicable

478

99

Unknown

664

0

No

664

1

Yes

664

66

Variable Did Not Exist ( [Do Not Use] )

664

77

Refused

664

88

Not applicable

664

99

Unknown

History

Date

Description

1999-10-01

Added NOTE : revised time period from 6-12 months to 12 months.

2001-10-01

Added NOTE : about getting data from medical chart, if not available from ptn or SO.

2003-01-01

Added NOTE : removed references to this variable as being asked of the person with TBI and added instruction to ask of best source at every annual evaluation.

2004-04-01

Added LINK : report on COMBI using TBIMS data.

2004-07-01

Added CHARACTERISTICS : explanation for data in cases existing prior to implementation date (1/1/97).

2004-07-01

Deleted NOTE : removed references to "annual" follow-up.

2006-01-01

Added DEFINITION : of "non-prescription drugs".

2009-01-01

Added CODE : 7 = Refused.

2013-10-01

Added NOTE : If participant answers ''No,'' ask... ''Did you use Marijuana?'' If ''Yes'' to marijuana use, ask... ''Was marijuana prescribed to you?'' If prescribed, then code ''1=No.'' If not prescribed, code ''2=Yes.''

2020-04-01

Added NOTE: The use of CBD oil, no matter where purchased should not be counted as marijuana use.

2020-07-01

Deleted NOTE: If participant answers ''No,'' ask... ''Did you use Marijuana?'' If ''Yes'' to marijuana use, ask... ''Was marijuana prescribed to you?'' If prescribed, then code ''1=No.'' If not prescribed, code ''2=Yes.''

2020-07-01

Added CHARACTERISTICS: On 7/1/2020, began capturing responses to two follow-up marijuana questions. These previously were used to code Illicit Drug Use following these instructions: If participant answers ''No,'' ask... ''Did you use Marijuana?'' If ''Yes'' to marijuana use, ask... ''Was marijuana prescribed to you?'' If prescribed, then code ''1=No.'' If not prescribed, code ''2=Yes.''

SMOKING CIGARETTES

Definition

Form 1 - At the time of your injury, or just prior to your injury, did you smoke cigarettes every day, some days or not at all?
Form 2 - Do you currently smoke cigarettes everyday, some days or not at all?

Form

[X] Form 1
[X] Form 2

Source

Form 1 - Pre-Injury History (participant or proxy)
Form 2 - Interview, Mail-out (participant or proxy)

Details

These measures are to be collected from best source available for the Form I Pre-Injury History Questionnaire/Interview. Do not be influenced by information about smoking habits that may be available from hospital records, etc.

If unable to get patient’s response, get information from family. If unable to get family’s response, then use medical chart.

Base the data recorded for these questions on self-response.

For cigarettes, do not include: electronic cigarettes (e-cigarettes, NJOY, Bluetip), herbal cigarettes, cigars, cigarillos, little cigars, pipes, bidis, kreteks, water pipes (hookahs), or marijuana.

Reference

Cigarette Smoking
BRFSS 7.2 - national and state norms

Characteristics

On 4/1/2013 codes were changed, and existing cases were re-coded in the database.

Codes at implementation:
1 - Everyday
2 - Some Days
3 - Not At All

Codes on/after 4/1/2013:
1 - Not At All
2 - Some Days
3 - Everyday

Variables

Form Type

Variable

ID

Question

History

Form 1

SmkCig

555

At the time of your injury, or just prior to your injury, did you smoke cigarettes every day, some days, or not at all?

2012-10-01 - Variable Added

Form 2

SmkCigF

769

Do you currently smoke cigarettes every day, some days, or not at all?

2012-10-01 - Variable Added

Codes and Values

ID

Code

Description

555

1

Not At All

555

2

Some Days

555

3

Everyday

555

66

Variable Did Not Exist

555

77

Refused

555

99

Unknown

769

1

Not At All

769

2

Some Days

769

3

Everyday

769

66

Variable Did Not Exist

769

77

Refused

769

99

Unknown

History

Date

Description

2016-10-01

Added NOTE : 'For cigarettes, do not include: electronic cigarettes (e-cigarettes, NJOY, Bluetip), herbal cigarettes, cigars, cigarillos, little cigars, pipes, bidis, kreteks, water pipes (hookahs), or marijuana.'