Pilot study of a preliminary criterion standard for prescription opioid misuse

Robert C. Smith, Cathy Frank, Joseph C. Gardiner, Lois Lamerato, Kathryn M. Rost

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


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 languageEnglish (US)
Pages (from-to)523-528
Number of pages6
JournalAmerican Journal on Addictions
Issue number6
StatePublished - Nov 2010

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Medicine (miscellaneous)


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