DUDIT (Drug Use Disorders Identification Test)
For each question select your answer and fill in the score given in the box at the end of the row
Questions / 0 / 1 / 2 / 3 / 4 / Score1 / How often do you use drugs other than alcohol? / Never / Monthly or less / 2-4 x a month / 2-3 x a week / 4 or more x a week
Uzisebenzisa kangaphi iziyobisi ngaphandle kotywala / Azange / Ngenyanga okanye ngaphezulu / 2-4
ngenyanga / 2-3
ngeveki / 4
kanye
Okanye
ngaphezulu
ngeveki
2 / Do you use more than one type of drug on the same occasion? / Never / Once a month or less / 2-4 x a month / 2-3 x a week / 4 x a week or more
Ingaba usebenzisa uhlobo olunye leziyobisi nexesha elinye / azange / Kanye
Ngenyanga
Okanye ngaphantsi / 2-4
ngenyanga / 2-3
ngeveki / 4
Kanye
Okanye
Ngaphezulu
ngeveki
3 / How many times do you take drugs on a typical day when you use drugs? / Never / 1-2 / 3-4 / 5-6 / 7 or more
Uzisebenzisa kangakanani iziyobisi xa uthe wazicinga / azange / 1-2 / 3-4 / 5-6 / 7
Okanye
ngaphezulu
4 / How often are you influenced heavily by drugs? / Never / Less than monthly / Monthly / Weekly / Daily or almost daily
Kukangaphi apho iziyobisi zibene futhe kuwe / azange / Ngaphantsi
kwenyanga / Inyanga
yonke / Iveki yonke / Usuku
Okanye
Ntsuku zonke
5 / Over the past year, have you felt that your longing for drugs was so strong that you could not resist it? / Never / Less than monthly / Monthly / Weekly / Daily or almost daily
Kulonyaka ophelileyo ukhe waziva ufuna iziyobisi kakhulu wangakwazi ukuzi bamba / azange / Ngaphantsi
kwenyanga / Inyanga
yonke / Iveki
yonke / Usuku
Okanye
Ntsuku zonke
6 / Has it happened, over the past year, that you have not been able to stop taking drugs once you started? / Never / Less than monthly / Monthly / Weekly / Daily or almost daily
Kulonyaka ophelile kukhe kwenzeka xa uqale ukuzisebenzisa woyiswe kukuziyeka / azange / Ngaphantsi
kwenyanga / Inyanga
yonke / Iveki
yonke / Usuku
Okanye ntsuku
zonke
7 / How often over the past year have you taken drugs and then neglected to do something you should have done? / Never / Less than monthly / Monthly / Weekly / Daily or almost daily
Kulonyaka ophelileyo kukangaphi apho uye woyiswa kukwenza obufanele ukukwenza ngenxa yeziyobisi / aznge / Ngaphantsi
kwenyanga / Inyanga
yonke / Iveki
yonke / Usuku
Okanye
Ntsuku zonke
8 / How often over the past year have you needed to take a drug the morning after heavy drug use the day before? / Never / Less than monthly / Monthly / Weekly / Daily or almost daily
Kulonyaka ophelile kukangaphi apho ubulele usebenzise iziyobisi uvuke kusasa ufuna zona ngaphambi kokwenza nontonina? / azange / Ngaphantsi
kwenyanga / Inyanga
yonke / Iveki
yonke / Usuku
Okanye
Ntsuku zonke
9 / How often over the past year have you had guilt feelings or a bad conscience because you used drugs? / Never / Yes, but not in the last year / Yes, during the last year
Kulonyaka ophelile ukhe waziva unesazela kuba usebenzisa iziyobisi / azange / Ewe,kodwa hayi kulonyaka ophelile / Ewe,kulonyaka
ophelile
10 / Have you or anyone else been hurt (mentally or physically) because you used drugs? / No / Yes, but not in the last year / Yes, during the last year
Ukhe wonzakala okanye wonzakalisa umntu emzimbeni okanye nasengqondweni kuba usebenzise iziyobisi? / hayi / Ewe,hayi kulonyaka
ophelile / Ewe,kulonyaka
ophelile
11 / Has a relative or a friend, a doctor or a nurse, or anyone else, been worried about your drug use or said to you that you should stop using drugs? / No / Yes, but not in the last year / Yes, during the last year
Kukhe kwakho isizalwana sakho umhlobo,uqgirha,unesi okanye nabanina okwaziyo bathi kwakho othi yeka ukusebenzisa iziyobisi / hayi / Ewe,kodwa
Hayi kulonyaka
ophelile / Ewe,kulonyaka
ophelile
TOTAL
Add up the total score, allocate to a zone and manage according to the guideline below
SCORE / RISK LEVEL / INTERVENTIONMale < 6
Female < 3 / Low risk or abstinence / Basic education.
- Explain risks of drug use using the information sheet
- Explain known impact on adherence and viral suppression
Up to 25 / In excess of low-risk guide-lines. Probably at risk for problems caused by drugs / Basic education as above
Brief intervention incorporating motivational interviewing principles
Engage patient empathetically
Show discrepancies between expressed goals and current behaviour
Identify levels of motivation and confidence to change
Accept initial resistance – it often changes with time
Exchange information relevant to achieving consult goals
List problem under current diagnoses to ensure follow-up at future consultations
> 25 / ZONE 4
Drugs likely to be causing significant problems and dependence probable present / Needs more specialised intervention
Use motivational interviewing principles to direct the patient to local substance abuse programs (see attached resources list)
List problem under current diagnoses to ensure follow-up at future consultations