Abstract
Multidisciplinary experts created a behaviorally defined preliminary criterion standard definition of probable prescription opioid misuse (PPOM) that could be rated from material found in administrative, pharmacy, and electronic health record databases. They then derived a scoring system to identify PPOM patients requiring referral to a specialist. Experts next rated cases of misuse and nonmisuse. Rater no. 1 correctly differentiated 37 of 40 cases (92.5%); kappa coefficient was.79 (CI:.57, 1.00). Rater no. 2 correctly identified 39 of 40 cases (97.5%); kappa was.94 (CI:.81, 1.00). Kappa for comparing raters was.73 (CI:.49,.98). This preliminary study demonstrates that multidisciplinary raters can use behaviorally based criteria to identify patients with known PPOM from health plan databases.
Original language | English (US) |
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Pages (from-to) | 523-528 |
Number of pages | 6 |
Journal | American Journal on Addictions |
Volume | 19 |
Issue number | 6 |
DOIs | |
State | Published - Nov 2010 |
ASJC Scopus subject areas
- Psychiatry and Mental health
- Clinical Psychology
- Medicine (miscellaneous)