Reliability of Self-Reported Health Service Use: Evidence from the Women with Co-occurring Disorders, and Violence Study.

Autor: Sukyung Chung, Domino, Marisa Elena, Jackson, Elizabeth W., Morrissey, Joseph P.
Předmět:
Zdroj: Journal of Behavioral Health Services & Research; Jul2008, Vol. 35 Issue 3, p265-278, 14p, 1 Diagram, 5 Charts
Abstrakt: In behavioral health services research, self-reporting provides comprehensive information on service use, but may have limited reliability because of recall bias and misclassification. This study examines test–retest reliability of self-reported health service use, factors affecting reliability, and the impact of inconsistent reporting on the robustness of cost estimates using the test–retest data from the Women, Co-occurring Disorders, and Violence Study ( n = 186). Reliability varies widely across service types: moderate to substantial ( k = 0.65–0.94) for any use; slight to substantial (ICC = 0.12–0.93) for quantity of use; and none to moderate ( k = −0.06–0.79) for service content, but is not affected by psychiatric symptom severity. Cost estimates do not differ according to the use of test or retest data. Findings suggest that self-reporting provides reliable data on service quantity and is adequate for economic evaluations. However, self-reporting of treatment content in highly specified service categories (e.g., individual counseling during residential treatment) may not be reliable. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index