Validity of self-reported misuse of prescription opioid analgesics

Meredith Smith, Andrew Rosenblum, Mark Parrino, Chunki Fong, Salvatore Colucci

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Aim: To determine concurrent validity of self-reported misuse of prescription opioids. Design and Setting: Cross-sectional study in five U.S. methadone maintenance programs. Participants: 92 addicts. Measurements: Self-reported questionnaire assessing past-month misuse of 14 opioid analgesics, and color photographs of five opioid analgesics with instructions to mark those used in the past month "to get high." Concordance between self-report and photograph endorsement was assessed via Kappa statistic. Findings: 29 respondents completed both questionnaire and photograph endorsements. Kappas were 0.62 (OxyContin®), 0.59 (methadone), 0.49 (Dilaudid®), and 0.46 (generic extended-release oxycodone). Conclusions: Good-to-fair concurrent validity of self-reported abuse was seen for OxyContin®, methadone, Dilaudid®, and generic extended-release oxycodone.

Original languageEnglish
Pages (from-to)1509-1524
Number of pages16
JournalSubstance Use and Misuse
Issue number10
StatePublished - Jun 2010
Externally publishedYes


  • Dilaudid®
  • Opioid analgesic abuse
  • OxyContin®
  • Self-reported drug misuse
  • Validity


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