自我报告的物质使用与临床医生采访者对比自行管理的调查
Lauren Gorfinkel1,2, Malki Stohl2, Dvora Shmulewitz2,3
1Department of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Journal of studies on alcohol and drugs
|October 5, 2023
概括
自治调查和临床医生采访显示,大多数物质使用报告都达成良好一致. 计算机化问卷可能更好地捕捉非医疗处方止痛药的使用情况.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 准确的自我报告物质使用对于研究和治疗至关重要.
- 在自我报告研究中报告不足是一个常见的问题.
- 有限的研究比较了使用物质的不同自我报告方法.
研究的目的:
- 为了比较临床医生采访和计算机调查之间的自我报告的物质使用情况.
- 评估各种物质的一致性,包括酒精,大麻,可卡因,海洛因和处方止痛药.
- 确定影响自我报告方法不一致的因素.
主要方法:
- 从住院和社区环境中招募了有问题的物质使用成年人.
- 药物使用在基线,3个月和6个月被评估,使用两种方法:临床医生采访和计算机调查.
- 使用科恩的卡帕系数测量了协议;后勤回归分析了不一致因素.
主要成果:
- 对于酒精,大麻,可卡因和海洛因,发现了中度到强度的协议.
- 对于非医疗处方止痛药的使用,观察到较弱至中度的一致性 (kappa = .55.71).
- 计算机调查报告了非医疗处方止痛药使用的更高患病率 (2.4%的差异).
结论:
- 临床医生采访和自我管理调查对酒精,大麻,可卡因和海洛因使用产生了类似的结果.
- 自治问卷可能更有效地捕捉非医疗处方阿片类药物使用.
- 这些发现为收集物质使用数据提供了最佳实践信息.
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