Attachment D10. FASD Training of Trainers Pre-test Survey
Personal ID code: First letter of your mother’s first name ____ First digit of your social security number ____
Last digit of your social security number ____ First letter of your mother’s maiden name ____
In this first section, we’d like to ask you a few questions about yourself. |
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DEMOGRAPHICS 1. In which State do you provide services? Colorado Idaho Montana Nevada North Dakota Utah Wyoming Other _______________________
2. Are you Hispanic or Latino(a)? Yes No
3. How do you describe your race? (Select all that apply) American Indian/Alaska Native Asian Black /African American Native Hawaiian/other Pacific Islander White
4. The highest degree you have attained… High school diploma Associates degree Bachelor’s degree Master’s degree Doctorate Medical degree
5. Are you a licensed/certified alcohol & drug counselor? Yes No
6. Are you the parent/caregiver of a child with FAS/FASD? Yes No |
PROFESSIONALS/PRACTITIONERS 7. What is your current area of practice? Counseling Nursing Social work Substance abuse treatment Psychologist Occupational therapy Physical therapy Speech & language therapy Physician OB/GYN Pediatrician Psychiatrist Family medicine Internal medicine Preventive medicine Occupational medicine Geneticist Dentist Correctional health Other ______________________ Other Profession _______________ ______________________________
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STUDENTS/RESIDENTS 8. What is your current area of study? Counseling student Nursing student Social work student Addictions student Psychology student Occupational therapy student Physical therapy student Speech/language student Medicine OB/GYN resident Pediatric resident Psychiatry resident Family medicine resident Internal medicine resident Genetics resident Dentistry resident Other resident __________ _______________________ Other Student/Area of Study _________________________
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In your current position, do you provide services to women of childbearing age?
Yes (Go to Question 10)
No (Go to Question 11)
On a scale from 0 to 10, where 0 means “Not at all confident” and 10 means “Completely confident,” how confident are you in your skills to do the following? (circle one number per row)
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Screen women for risky or hazardous drinking |
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Educate pregnant women about the effects of alcohol on their babies |
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Conduct brief interventions for reducing alcohol consumption |
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Utilize resources to refer patients who need formal treatment for alcohol abuse |
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In your current position, do you provide services to individuals who may be at risk of an FASD?
Yes (Go to Question 12)
No (Go to Question 13)
On a scale from 0 to 10, where 0 means “Not at all confident” and 10 means “Completely confident,” how confident are you in your skills to do the following? (circle one number per row)
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Identify persons with possible FAS or other prenatal alcohol-related disorders |
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Diagnose persons with possible FAS or other prenatal alcohol-related disorders |
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Utilize resources to refer patients for diagnosis and/or treatment services |
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Manage/coordinate the treatment of persons with an FASD |
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Below are two scenarios that describe alcohol-related behaviors in women. Please read each scenario carefully and respond to the questions that follow regarding the described individual and behavior.
Scenario 1
Over the past few months, Sally has started to drink more than her usual amount of alcohol. In fact, she has noticed that she now needs to drink twice as much in order to get the same effect. Several times she has tried to cut down or stop drinking. However, each time she tried she became very agitated and couldn’t sleep so would start drinking and the symptoms would go away. Her family has complained that she is often hung over, moody, and has become unreliable – making plans one day and cancelling them the next. In fact, they report that she frequently calls them while intoxicated and has no memory of the calls or what she promised the next day.
Please respond to the following by circling the number that most closely corresponds to your reaction to this situation.
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Scenario 2
During the past year, Jessica has started to drink more than her usual amount of alcohol. In fact, she has noticed that she now needs to drink twice as much in order to get the same effect. Three months ago, Jessica found out that she is pregnant and her doctor told her she should not drink alcohol during her pregnancy. Jessica has tried but so far has not been able to stop drinking. Some of Jessica’s friends told her that when they were pregnant the taste and/or smell of alcohol made them sick. Jessica was hoping that she would have the same reaction, but that has not been the case. Out of concern for Jessica’s health and the health of her baby, her family has tried several times to talk with her about it. However, they are telling her that she is being selfish and not behaving in the best interest of her child. This approach is only increasing how guilty and ashamed Jessica is feeling about not being able to stop. As a result, Jessica has become very secretive about her drinking, sneaking a drink whenever she has a chance.
Please respond to the following by circling the number that most closely corresponds to your reaction to this situation.
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The following items deal with factors related to fetal alcohol spectrum disorders.
The best public health message related to alcohol consumption by women of childbearing age is...
Women who know they are pregnant should not consume alcohol.
Women who are pregnant or could become pregnant should not consume alcohol.
All sexually active women should not consume alcohol.
Women of childbearing age should not consume alcohol.
Alcohol use, in moderation, is safe for all women.
An episode of “binge” drinking for women of childbearing age is defined as:
2 drinks or more per occasion
3 drinks or more per occasion
4 drinks or more per occasion
5 drinks or more per occasion
6 drinks or more per occasion
Which one of these is NOT considered a standard drink:
12 ounces of beer
12 ounces of wine cooler
5 ounces of wine
3 ounces of vodka
All of the above are standard drinks
Which of the following is NOT an essential element of all brief interventions?
Empathy
Responsibility
Advice
Confrontation
Feedback
Although specific deficits experienced by individuals with an FASD vary widely, behavioral deficits are likely to include which of the following:
memory problems, underactivity, and self-injurious behavior
inattention, memory problems and hyperactivity
particular mannerisms, hoarding, and memory problems
emotion regulation, weight loss, fatigue, irritability
auditory hallucinations, disorganized speech, and flat affect
Which of the following include all three facial abnormalities associated with fetal alcohol syndrome?
Low set ears, large eye openings, large forehead
Small palpebral fissures, smooth philtrum, thin upper lip
Large palpebral fissures, smooth philtrum, thin upper lip
Large forehead, flattened cheeks, small eyes
Thin upper lip, distinct philtrum, ectropion
Which one of the following statements is NOT correct?
Persons with FASDs may experience problems in school and in getting along with other children.
Persons with FASDs generally do not need support and services to live and work independently as adults.
Persons with FASDs can benefit from obtaining an early diagnosis.
Persons with FASDs may need support and services throughout their lives.
Persons with FASDs may be at an increased risk for victimization and high risk behaviors.
Which of the following is a safe amount of alcohol for a pregnant woman to consume?
A standard drink twice a week
A drink that is less than a standard amount twice a week
After the first trimester, it is safe to have an occasional standard drink
It is safe to drink alcohol during the third trimester
No known amount of alcohol is safe during pregnancy
Which of the following are considered protective factors against secondary disabilities associated with FASDs?
Living in stable and nurturing home environments
Early diagnosis (before 6 years of age)
Absence of exposure to violence
Consistency in caregivers
Eligibility for social and educational services
All of the above
If there is time to ask non-pregnant women only one alcohol-use screening question, which of the following can be used?
Do you get annoyed with people when you drink?
On any single occasion during the past 3 months, have you had more than 4 drinks containing alcohol?
What time of the day do you typically start drinking?
Are you pregnant (because only pregnant women need to be screened for alcohol use)?
None of the above can be used
To what extent to you agree with the following statements? |
Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |
Strongly agree |
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Which of the following is NOT reported as an outcome of research-based interventions for children with FASDs?
improved social functioning
improved child behavior
development of executive functioning and self-regulation
increased parental distress
improved parenting attitudes
Positive responses given to items on the TWEAK or the T-ACE screening instruments indicate
a diagnosis of alcoholism.
the likelihood that the woman will seek treatment for alcohol abuse.
the need for the health care provider to discuss the risks associated with drinking alcohol, especially when the woman is pregnant.
the difference between binge drinking and problem drinking.
the need for immediate admission to a treatment facility for further evaluation.
Alcohol use during pregnancy
interferes with the normal proliferation of nerve cells.
alters the brain’s ability to produce or regulate cell growth, division, and survival.
alters the expression of certain genes.
alters the pathways of biochemical or electrical signals within cells.
All of the above
Which one of the following statements is NOT correct?
Some women expose their fetus to alcohol because of alcohol dependence or addiction.
Health providers seek the best outcomes for women and fetuses by efforts to increase foreseeable benefits and minimize foreseeable harms.
Most medical societies advocate coercive methods as a first intervention for women who expose a fetus to alcohol.
Health providers have an ethical duty to respect their patients.
The legal status of fetuses is addressed by federal and state laws.
Which of these is NOT part of the addictive disease process?
Craving and compulsion
Violent behavior
Loss of control
Continued use despite adverse consequences
All of the above are part of the addictive disease process
Scientific studies of the effects of alcohol on the fetus have shown that:
Alcohol has no effect on the development of the fetus in the third trimester.
Alcohol can only affect fetal development in the first trimester.
A small to moderate amount of alcohol is safest during the second trimester.
Of all the different types of alcohol, wine is the safest for a pregnant woman to consume.
None of the above is correct.
Which of the following is NOT required to confirm a diagnosis of fetal alcohol syndrome (FAS)?
Facial dysmorphia
Growth retardation
Central nervous system (CNS) abnormalities
Documentation of prenatal alcohol exposure
All of the above are required for a diagnosis of FAS
Thanks for your participation!!!
TOT Pre-test 03-01-2012
File Type | application/msword |
File Title | Addiction Counseling Academic Program Survey |
Author | Samantha |
Last Modified By | Grant, Dorthina G. (CDC/ONDIEH/NCBDDD) |
File Modified | 2012-08-20 |
File Created | 2012-08-20 |