A. Gorman, M. Odalović, P. McCallion, A. Paul, É. Burke, M. MacLachlan, M. McCarron, M. C. Henman, M. Moran, J. O'Connell, R. Shankar, C. Ryan, M. O'Dwyer
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引用次数: 0
摘要
背景：用药数据是流行病学研究的宝贵资源。由于最常见的药物数据收集方法是自我报告，因此了解自我报告与配药记录等其他方法相比的准确性非常重要。本研究旨在比较两种不同来源的智障老年人用药数据之间的一致性：方法：从《爱尔兰老龄化纵向研究》（Irish Longitudinal Study on Ageing）的《智障补充研究》（Intellectual Disability Supplement）中收集自我报告的用药数据，并将其与全国药房配药记录联系起来。采用卡帕统计量来衡量两个数据源在精神药物治疗方面的一致性：结果：报告的抗焦虑药物数量的最低一致性水平为 "中等"（kappa 0.56）。在抗精神病药物这一二元变量上，一致度最高的是 "几乎完全一致"（kappa 0.91）。其他一致性结果为 "基本一致 "或 "几乎完全一致"：结论：爱尔兰老龄化纵向研究药物数据集的智障补充数据与国家配药记录之间存在良好的一致性。自我报告用药数据似乎是收集智障成人精神药物使用情况的有效方法。
Comparing self-report medication data from a longitudinal study on intellectual disability and national dispensing records
Background
Medication data are a valuable resource in epidemiological studies. As the most common data collection method of medication data is self-report, it is important to understand the accuracy of this in comparison with other methods such as dispensing records. The aim of this study was to compare the agreement between two different sources of medication data of older adults with intellectual disability (ID).
Methods
Self-report medication data were gathered from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing and linked to national pharmacy dispensing records. The kappa statistic was used to measure agreement between the two data sources for psychotropic medication.
Results
The lowest agreement level was ‘moderate’ for the number of anxiolytics reported (kappa 0.56). The highest level of agreement was ‘almost perfect’ for the binary variable of antipsychotics (kappa 0.91). Other agreement results were ‘substantial’ or ‘almost perfect’.
Conclusions
Good agreement was found between the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing medication dataset and national dispensing records. Self-report medication data appear to be a valid method of data collection in psychotropic medication use in adults with ID.
期刊介绍：
The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.
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