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首页> 外文期刊>Drug and alcohol review >Measuring the use and career histories of drug users in treatment: reliability of the Lifetime Drug Use History (LDUH) and its data yield relative to clinical case notes.
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Measuring the use and career histories of drug users in treatment: reliability of the Lifetime Drug Use History (LDUH) and its data yield relative to clinical case notes.

机译：衡量吸毒者在治疗中的使用和职业历史：终身吸毒史（LDUH）的可靠性及其相对于临床病例记录的数据产生。

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INTRODUCTION AND AIMS: There is no generally accepted clinical or research instrument available for recording the longitudinal course of a drug-using 'career'. This paper reports on an initial examination of the properties of the Lifetime Drug Use History Questionnaire (LDUH), built around monthly mapping of drug use patterns in relation to other life events. DESIGN AND METHODS: Forty heroin and cocaine users completed structured interviews at two treatment sites. Twenty subjects were interviewed on two occasions separated by a 3-day interval, using either the same interviewer (n = 10) or two different interviewers (n = 10) as assessments of inter-rater and test - retest reliability. RESULTS: Very good inter-rater agreements were observed, demonstrated by Cronbach's alpha and intraclass correlation coefficients generally higher than 0.8 and 0.7, respectively. Additionally, concordance with clinical notes was assessed for four drug use history variables, resulting in poorer rates of agreement. An exact matching with clinical records was obtained for the variable 'age of first use of heroin' in 47.2% (n = 17) of the heroin users, while a good agreement (only 1 or 2 years' difference) was found in 36.1% of cases (n = 5). DISCUSSION AND CONCLUSIONS: The LDUH method resulted in high reliability for heroin and cocaine and suggests an effective, clinically applicable method for history-taking. The paucity and inconsistency of similar information in the clinical notes would further justify the use of a standardised method for recording drug histories.
机译：引言和目的：目前尚无普遍公认的临床或研究工具可用来记录使用毒品的“职业”的纵向进程。本文报告了对终生吸毒史调查表（LDUH）的属性的初步检查，该调查围绕着与其他生活事件相关的吸毒模式的每月映射建立。设计与方法：40名海洛因和可卡因使用者在两个治疗地点完成了结构化访谈。使用相同的访调员（n = 10）或两名不同的访调员（n = 10）进行两次评估，以3天为间隔，分别对20名受试者进行访谈，以评估评估者之间的相互信度和重测信度。结果：Cronbach的α和组内相关系数通常分别高于0.8和0.7，这表明观察者之间的一致性非常好。此外，还对四个药物使用历史变量评估了与临床记录的一致性，从而导致较差的一致性。在47.2％（n = 17）的海洛因使用者中，变量“首次使用海洛因的年龄”与临床记录完全一致，而在36.1％的使用者中发现了良好的一致性（仅相差1或2年）。 （n = 5）。讨论与结论：LDUH方法对海洛因和可卡因具有很高的可靠性，并提出了一种有效的，可用于临床的历史记录方法。临床笔记中相似信息的匮乏和矛盾将进一步证明采用标准化方法来记录药物历史的合理性。

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