VISN 20 Mental Illness Research Education and Clinical Center, Seattle, Washington, USA.
Am J Addict. 2011 Jan-Feb;20(1):63-8. doi: 10.1111/j.1521-0391.2010.00094.x. Epub 2010 Nov 8.
Most studies comparing frequent self-monitoring protocols and retrospective assessments of alcohol use find good correspondence, but have excluded participants with significant comorbidity and/or social instability, and some have included abstainers. We evaluated the correspondence between measures of alcohol use based on daily interactive voice response (IVR) telephone monitoring and a 28-day modification of the Form-90 (Form-28). Participants were 25 outpatients with alcohol use disorder and significant PTSD symptomatology . Overall correlations between the IVR and Form-28 on days drinking and total standard drink units (SDUs) were strong for the entire sample and the subsample of drinkers (n = 7). Day-to-day correspondence between IVR and Form-28 was modest, but much stronger for the most recent week assessed than for the prior 3 weeks. Finally, the drinkers reported significantly greater total SDUs and heavy drinking days on the Form-28 than via IVR. The results indicate a need for further refinement of IVR methodology for treatment seeking populations as well as caution when retrospectively assessing drinking over time periods longer than a week among these individuals.
大多数比较频繁自我监测方案和回顾性酒精使用评估的研究发现两者具有良好的一致性，但这些研究都排除了共病和/或社会不稳定的参与者，有些研究还包括了戒酒者。我们评估了基于每日互动语音应答（IVR）电话监测和 90 天表格（Form-90）的 28 天修改版（Form-28）的酒精使用测量之间的一致性。参与者是 25 名有酒精使用障碍和显著创伤后应激症状的门诊患者。对于整个样本和饮酒者亚组（n=7），IVR 和 Form-28 在饮酒日和总标准饮酒单位（SDU）上的总体相关性很强。IVR 和 Form-28 之间的日常一致性适度，但最近一周评估的一致性比前 3 周强。最后，饮酒者报告说在 Form-28 上的总 SDU 和重度饮酒日比通过 IVR 报告的要多。研究结果表明，需要进一步改进 IVR 方法，以适应寻求治疗的人群，同时在这些人群中回顾性评估超过一周的饮酒时间时需要谨慎。
