Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services
Abstract Objective: This study assessed the level of agreement, and predictors of agreement, between patient self‐report and medical records for smoking status and alcohol consumption among patients attending one of four Aboriginal Community Controlled Health Service (ACCHSs). Methods: A convenience...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-06-01
|
| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.13114 |
| _version_ | 1797700726450814976 |
|---|---|
| author | Natasha Noble Jamie Bryant Louise Maher Daniel Jackman Billie Bonevski Anthony Shakeshaft Christine Paul |
| author_facet | Natasha Noble Jamie Bryant Louise Maher Daniel Jackman Billie Bonevski Anthony Shakeshaft Christine Paul |
| author_sort | Natasha Noble |
| collection | DOAJ |
| description | Abstract Objective: This study assessed the level of agreement, and predictors of agreement, between patient self‐report and medical records for smoking status and alcohol consumption among patients attending one of four Aboriginal Community Controlled Health Service (ACCHSs). Methods: A convenience sample of 110 ACCHS patients self‐reported whether they were current smokers or currently consumed alcohol. ACCHS staff completed a medical record audit for corresponding items for each patient. The level of agreement was evaluated using the kappa statistic. Factors associated with levels of agreement were explored using logistic regression. Results: The level of agreement between self‐report and medical records was strong for smoking status (kappa=0.85; 95%CI: 0.75–0.96) and moderate for alcohol consumption (kappa=0.74; 95%CI: 0.60–0.88). None of the variables explored were significantly associated with levels of agreement for smoking status or alcohol consumption. Conclusions: Medical records showed good agreement with patient self‐report for smoking and alcohol status and are a reliable means of identifying potentially at‐risk ACCHS patients. Implications for public health: ACCHS medical records are accurate for identifying smoking and alcohol risk factors for their patients. However, strategies to increase documentation and reduce missing data in the medical records are needed. |
| first_indexed | 2024-03-12T04:25:49Z |
| format | Article |
| id | doaj.art-4bb1cab8a953483ea636d1459cf44e16 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T04:25:49Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-4bb1cab8a953483ea636d1459cf44e162023-09-03T10:21:02ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052021-06-0145327728210.1111/1753-6405.13114Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health ServicesNatasha Noble0Jamie Bryant1Louise Maher2Daniel Jackman3Billie Bonevski4Anthony Shakeshaft5Christine Paul6Health Behaviour Research Collaborative, School of Medicine and Public Health University of Newcastle New South WalesHealth Behaviour Research Collaborative, School of Medicine and Public Health University of Newcastle New South WalesCentre for Epidemiology and Evidence NSW Ministry of Health New South WalesMaari Ma Health Aboriginal Corporation New South WalesHunter Medical Research Institute New South WalesSchool of Medicine and Public Health University of Newcastle New South WalesHealth Behaviour Research Collaborative, School of Medicine and Public Health University of Newcastle New South WalesAbstract Objective: This study assessed the level of agreement, and predictors of agreement, between patient self‐report and medical records for smoking status and alcohol consumption among patients attending one of four Aboriginal Community Controlled Health Service (ACCHSs). Methods: A convenience sample of 110 ACCHS patients self‐reported whether they were current smokers or currently consumed alcohol. ACCHS staff completed a medical record audit for corresponding items for each patient. The level of agreement was evaluated using the kappa statistic. Factors associated with levels of agreement were explored using logistic regression. Results: The level of agreement between self‐report and medical records was strong for smoking status (kappa=0.85; 95%CI: 0.75–0.96) and moderate for alcohol consumption (kappa=0.74; 95%CI: 0.60–0.88). None of the variables explored were significantly associated with levels of agreement for smoking status or alcohol consumption. Conclusions: Medical records showed good agreement with patient self‐report for smoking and alcohol status and are a reliable means of identifying potentially at‐risk ACCHS patients. Implications for public health: ACCHS medical records are accurate for identifying smoking and alcohol risk factors for their patients. However, strategies to increase documentation and reduce missing data in the medical records are needed.https://doi.org/10.1111/1753-6405.13114AboriginalIndigenoussmoking statusalcohol consumptionagreementself‐report |
| spellingShingle | Natasha Noble Jamie Bryant Louise Maher Daniel Jackman Billie Bonevski Anthony Shakeshaft Christine Paul Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services Australian and New Zealand Journal of Public Health Aboriginal Indigenous smoking status alcohol consumption agreement self‐report |
| title | Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services |
| title_full | Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services |
| title_fullStr | Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services |
| title_full_unstemmed | Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services |
| title_short | Patient self‐report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services |
| title_sort | patient self report versus medical records for smoking status and alcohol consumption at aboriginal community controlled health services |
| topic | Aboriginal Indigenous smoking status alcohol consumption agreement self‐report |
| url | https://doi.org/10.1111/1753-6405.13114 |
| work_keys_str_mv | AT natashanoble patientselfreportversusmedicalrecordsforsmokingstatusandalcoholconsumptionataboriginalcommunitycontrolledhealthservices AT jamiebryant patientselfreportversusmedicalrecordsforsmokingstatusandalcoholconsumptionataboriginalcommunitycontrolledhealthservices AT louisemaher patientselfreportversusmedicalrecordsforsmokingstatusandalcoholconsumptionataboriginalcommunitycontrolledhealthservices AT danieljackman patientselfreportversusmedicalrecordsforsmokingstatusandalcoholconsumptionataboriginalcommunitycontrolledhealthservices AT billiebonevski patientselfreportversusmedicalrecordsforsmokingstatusandalcoholconsumptionataboriginalcommunitycontrolledhealthservices AT anthonyshakeshaft patientselfreportversusmedicalrecordsforsmokingstatusandalcoholconsumptionataboriginalcommunitycontrolledhealthservices AT christinepaul patientselfreportversusmedicalrecordsforsmokingstatusandalcoholconsumptionataboriginalcommunitycontrolledhealthservices |