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一篇叙述性综述显示,将自我报告问卷用于个体用药情况作为结果指标的做法未经验证。

A narrative review shows the unvalidated use of self-report questionnaires for individual medication as outcome measures.

作者信息

Paterson Charlotte, Britten Nicky

机构信息

MRC Health Services Research Collaboration, Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Briston BS8 2PR, United Kingdom.

出版信息

J Clin Epidemiol. 2005 Oct;58(10):967-73. doi: 10.1016/j.jclinepi.2005.03.012.

DOI:10.1016/j.jclinepi.2005.03.012
PMID:16168341
Abstract

OBJECTIVE

Accurate individualized data on drug consumption is required for a number of purposes. While electronic medication event monitoring is the best objective measure available, self-report tools would be a useful alternative in certain situations. We searched for validated self-completion questionnaires suitable for measuring change in medication.

METHODS

A systematic search of the English language literature since 1980, and a narrative literature review.

RESULTS

Few articles described the development or use of self-report methods to measure change in medication over time. We found no questionnaire that was commonly used for this purpose, nor one that had been evaluated and published. Considerable work has been undertaken to develop questionnaires or diaries for individual projects, but because these tools and their validation are rarely published, they are not available for other researchers to use, and comparison across studies is difficult. Some work has been done developing diary formats and the Medication Quantification Scale converts complex medication change data to a single numerical score.

CONCLUSION

Medication change is rarely considered as an outcome, and when it is measured, nonstandardized methods are used. More attention needs to be given to developing self-report tools and validating them across a range of criteria.

摘要

目的

出于多种目的,需要准确的个体化药物消费数据。虽然电子药物事件监测是现有的最佳客观测量方法,但在某些情况下,自我报告工具将是一种有用的替代方法。我们寻找了适用于测量药物变化的经过验证的自我完成问卷。

方法

对1980年以来的英文文献进行系统检索,并进行叙述性文献综述。

结果

很少有文章描述自我报告方法在测量药物随时间变化方面的开发或使用情况。我们没有找到常用于此目的的问卷,也没有找到经过评估并发表的问卷。为个别项目开发问卷或日记已经做了大量工作,但由于这些工具及其验证很少发表,其他研究人员无法使用,而且跨研究比较也很困难。在开发日记格式方面已经做了一些工作,药物量化量表将复杂的药物变化数据转换为单一数值分数。

结论

药物变化很少被视为一个结果,而在进行测量时,使用的是非标准化方法。需要更加关注开发自我报告工具并根据一系列标准对其进行验证。

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