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首页> 美国卫生研究院文献>Population Health Management >Self-Report of Tobacco Use Status: Comparison of Paper-Based Questionnaire Online Questionnaire and Direct Face-to-Face Interview—Implications for Meaningful Use
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Self-Report of Tobacco Use Status: Comparison of Paper-Based Questionnaire Online Questionnaire and Direct Face-to-Face Interview—Implications for Meaningful Use

机译：烟草使用状况的自我报告：纸质问卷在线问卷和直接面对面访谈的比较-有意义的使用意义

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Identifying tobacco use status is essential to address use and provide resources to help patients quit. Being able to collect this information in an electronic format will become increasingly important, as the Centers for Medicare and Medicaid Services has included the assessment of tobacco use as part of its Stage 1 Meaningful Use criteria. The objective was to compare the accuracy of online vs. paper assessment methods to ascertain cigarette smoking status using a face-to-face structured interview as the gold standard. This was a retrospective analysis of a stratified opportunity sample of consecutive patients, reporting in 2010 for a periodic health evaluation, who completed either a scannable paper-based form or an online questionnaire and underwent a standardized rooming interview. Compared with face-to-face structured interview, the overall observed agreement and kappa coefficient for both methods combined (paper and online) were 97.7% and 0.69 (95% confidence interval (CI) 0.51–0.86) . For the online form they were 97.4% and 0.61 (95% CI 0.33–0.90), and for the paper form they were 97.9% and 0.75 (95% CI 0.54–0.96). There was no statistically significant difference in agreement between the online and paper-based methods (P=0.76) compared with a face-to-face structured interview. Online assessment of tobacco use status is as accurate as a paper questionnaire, and both methods have greater than 97% observed agreement with a face-to-face structured interview. The use of online assessment of tobacco use status has several advantages and more widespread use should be explored. (Population Health Management 2014;17:185–189)
机译：确定烟草使用状况对于解决使用问题并提供资源以帮助患者戒烟至关重要。由于医疗保险和医疗补助服务中心已将对烟草使用的评估纳入其第1阶段“有意义的使用”标准的一部分，因此能够以电子格式收集此信息将变得越来越重要。目的是比较以面对面结构化访谈为金标准的在线和纸质评估方法确定香烟吸烟状况的准确性。这是对连续患者的分层机会样本的回顾性分析，于2010年进行了定期健康评估，他们完成了可扫描的纸质表格或在线问卷调查，并接受了标准的房间访谈。与面对面的结构化访谈相比，两种方法（纸质和在线）相结合的总体观察到的一致性和卡帕系数分别为97.7％和0.69（95％置信区间（CI）为0.51-0.86）。在线形式为97.4％和0.61（95％CI 0.33–0.90），而书面形式为97.9％和0.75（95％CI 0.54–0.96）。与面对面的结构化访谈相比，在线和纸质方法之间的一致性没有统计学上的显着差异（P = 0.76）。在线评估烟草使用状况与纸质问卷一样准确，并且两种方法在面对面的结构化访谈中观察到的一致性都超过97％。在线评估烟草使用状况具有许多优点，应探索更广泛的使用方法。 （2014年人口健康管理； 17：185–189）

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