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Short MAST-Geriatric (SMAST-G)

Ten-item alcohol misuse screen for older adults.

Short MAST-Geriatric (SMAST-G)
Do you tend to underestimate how much you actually drink?
After a few drinks, do you sometimes skip meals because you are not hungry?
Do a few drinks help settle shakiness or tremor?
Does alcohol sometimes make it hard to remember parts of the day or night?
Do you usually take a drink to relax or calm your nerves?
Do you drink to take your mind off your troubles?
Have you increased your drinking after a loss in your life?
Has a doctor or nurse ever voiced concern about your drinking?
Have you ever set yourself rules to manage your drinking?
When you feel lonely, does having a drink help?
Result0 points

Fewer than two positive responses; screen negative.

SMAST-G score
0 points

When to use

  • Screening older adults for alcohol misuse, where classic screens are less sensitive.

Formula

Ten yes/no items; each 'yes' scores 1. A total of 2 or more is a positive screen for an alcohol problem.

Pearls and pitfalls

  • Tailored to older adults, in whom age-related changes lower the threshold for alcohol-related harm.
  • A positive screen warrants a fuller diagnostic assessment, not an immediate diagnosis.

References

  1. Blow FC, et al. Alcohol Clin Exp Res. 1992;16(2):372 (MAST-G / SMAST-G).