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比较一项关于智力残疾的纵向研究中的自我报告用药数据与国家配药记录。

Comparing self-report medication data from a longitudinal study on intellectual disability and national dispensing records.

作者信息

Gorman A, Odalović M, McCallion P, Paul A, Burke É, MacLachlan M, McCarron M, Henman M C, Moran M, O'Connell J, Shankar R, Ryan C, O'Dwyer M

机构信息

School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland.

School of Nursing and Midwifery, Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin, Ireland.

出版信息

J Intellect Disabil Res. 2025 Jan;69(1):103-111. doi: 10.1111/jir.13192. Epub 2024 Oct 15.

Abstract

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.

摘要

背景

药物数据是流行病学研究中的宝贵资源。由于药物数据最常用的数据收集方法是自我报告,因此了解其与其他方法(如配药记录)相比的准确性非常重要。本研究的目的是比较智障老年人两种不同药物数据源之间的一致性。

方法

从爱尔兰老龄化纵向研究的智力残疾补充资料中收集自我报告的药物数据,并与国家药房配药记录相链接。kappa统计量用于衡量两种数据源在精神药物方面的一致性。

结果

抗焦虑药报告数量的一致性水平最低为“中等”(kappa 0.56)。抗精神病药物二元变量的一致性水平最高为“几乎完美”(kappa 0.91)。其他一致性结果为“实质性”或“几乎完美”。

结论

爱尔兰老龄化纵向研究药物数据集的智力残疾补充资料与国家配药记录之间发现了良好的一致性。自我报告的药物数据似乎是智障成年人精神药物使用数据收集的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb44/11621587/23d215e78652/JIR-69-103-g001.jpg

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