J Telemed Telecare - Validity of the Patient Health Questionnaire, PHQ-9, administered through interactive-voice-response technology.

Tópicos

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Resumo

We compared the administration of the 9-item Patient Health Questionnaire (PHQ-9) to assess depressive symptoms using interactive voice response (IVR) technology with the method of administration using paper-and-pencil. Data were collected from 51 veterans participating in an 8-week randomized controlled trial of an illness management programme for heart failure. To counter possible bias in answering questions via IVR technology, the anchoring responses of the PHQ-9 questionnaire were reversed so that lower numbers corresponded to more severe depression. The mean for the pencil-and-paper administered PHQ-9 was 4.1 (SD = 4.5) and the mean for IVR administration was 2.8 (SD = 3.1). The internal consistency (Cronbach's alpha) of the PHQ-9 was 0.76 for IVR administration and 0.82 for paper administration. The intraclass correlation coefficient for the two modes of administration was 0.65, indicating moderate agreement. IVR administration of the PHQ-9 produces similar results to pencil-and-paper administration, but the former is not as sensitive to higher levels of depressive symptom severity. This suggests that a lower threshold for probable depression is warranted when assessing depressive symptoms with IVR.

Resumo Limpo

compar administr item patient health questionnair phq assess depress symptom use interact voic respons ivr technolog method administr use paperandpencil data collect veteran particip week random control trial ill manag programm heart failur counter possibl bias answer question via ivr technolog anchor respons phq questionnair revers lower number correspond sever depress mean pencilandpap administ phq sd mean ivr administr sd intern consist cronbach alpha phq ivr administr paper administr intraclass correl coeffici two mode administr indic moder agreement ivr administr phq produc similar result pencilandpap administr former sensit higher level depress symptom sever suggest lower threshold probabl depress warrant assess depress symptom ivr

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