What does the "E" in the TWEAK screening tool stand for?

The "E" in the TWEAK screening tool stands for "Eye opener." This term refers to a common item in alcohol use screening tools where individuals are asked if they consume alcohol to relieve withdrawal symptoms or to cope with issues. The presence of an “eye opener” drink is indicative of alcohol dependence, as individuals may use it to manage their cravings or symptoms when they wake up. This component helps healthcare providers identify the severity of alcohol use and the potential need for treatment, thereby acting as an early warning sign of problematic consumption patterns.

In contrast, the other options—education level, efforts to cut down, and emotional support—do not specifically relate to the TWEAK tool and its focus on identifying risky drinking behaviors.