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

7 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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/j.1521-0391.2010.00084.x

Cite this

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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.",

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AU - Frank, Cathy

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Pilot study of a preliminary criterion standard for prescription opioid misuse

Abstract

ASJC Scopus subject areas

UN SDGs

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