Pilot study of a preliminary criterion standard for prescription opioid misuse

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

doi:10.1111/j.1521-0391.2010.00084.x

Pilot study of a preliminary criterion standard for prescription opioid misuse

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

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

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)
Pages (from-to)	523-528
Number of pages	6
Journal	American Journal on Addictions
Volume	19
Issue number	6
DOIs	https://doi.org/10.1111/j.1521-0391.2010.00084.x
State	Published - Nov 2010

ASJC Scopus subject areas

Medicine (miscellaneous)
Clinical Psychology
Psychiatry and Mental health

Access to Document

10.1111/j.1521-0391.2010.00084.x

Fingerprint Dive into the research topics of 'Pilot study of a preliminary criterion standard for prescription opioid misuse'. Together they form a unique fingerprint.

Cite this

@article{85f68d48f0594ae483f127d40765d474,

title = "Pilot study of a preliminary criterion standard for prescription opioid misuse",

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.",

author = "Smith, {Robert C.} and Cathy Frank and Gardiner, {Joseph C.} and Lois Lamerato and Rost, {Kathryn M.}",

year = "2010",

month = nov,

doi = "10.1111/j.1521-0391.2010.00084.x",

language = "English (US)",

volume = "19",

pages = "523--528",

journal = "American Journal on Addictions",

issn = "1055-0496",

publisher = "Wiley-Blackwell",

number = "6",

}

TY - JOUR

T1 - Pilot study of a preliminary criterion standard for prescription opioid misuse

AU - Smith, Robert C.

AU - Frank, Cathy

AU - Gardiner, Joseph C.

AU - Lamerato, Lois

AU - Rost, Kathryn M.

PY - 2010/11

Y1 - 2010/11

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=78349258969&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78349258969&partnerID=8YFLogxK

U2 - 10.1111/j.1521-0391.2010.00084.x

DO - 10.1111/j.1521-0391.2010.00084.x

M3 - Article

C2 - 20958848

AN - SCOPUS:78349258969

VL - 19

SP - 523

EP - 528

JO - American Journal on Addictions

JF - American Journal on Addictions

SN - 1055-0496

IS - 6

ER -