J. Med. Internet Res. - Web-based versus traditional paper questionnaires: a mixed-mode survey with a Nordic perspective.

Tópicos

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Resumo

CKGROUND: Survey response rates have been declining over the past decade. The more widespread use of the Internet and Web-based technologies among potential health survey participants suggests that Web-based questionnaires may be an alternative to paper questionnaires in future epidemiological studies.OBJECTIVE: To compare response rates in a population of parents by using 4 different modes of data collection for a questionnaire survey of which 1 involved a nonmonetary incentive.METHODS: A random sample of 3148 parents of Danish children aged 2-17 years were invited to participate in the Danish part of the NordChild 2011 survey on their children's health and welfare. NordChild was conducted in 1984 and 1996 in collaboration with Finland, Iceland, Norway, and Sweden using mailed paper questionnaires only. In 2011, all countries used conventional paper versions only except Denmark where the parents were randomized into 4 groups: (1) 789 received a paper questionnaire only (paper), (2) 786 received the paper questionnaire and a log-in code to the Web-based questionnaire (paper/Web), (3) 787 received a log-in code to the Web-based questionnaire (Web), and (4) 786 received log-in details to the Web-based questionnaire and were given an incentive consisting of a chance to win a tablet computer (Web/tablet). In connection with the first reminder, the nonresponders in the paper, paper/Web, and Web groups were also present with the opportunity to win a tablet computer as a means of motivation. Descriptive analysis was performed using chi-square tests. Odds ratios were used to estimate differences in response rates between the 4 modes.RESULTS: In 2011, 1704 of 3148 (54.13%) respondents answered the Danish questionnaire. The highest response rate was with the paper mode (n=443, 56.2%). The other groups had similar response rates: paper/Web (n=422, 53.7%), Web (n=420, 53.4%), and Web/tablet (n=419, 53.3%) modes. Compared to the paper mode, the odds for response rate in the paper/Web decreased by 9% (OR 0.91, 95% CI 0.74-1.10) and by 11% (OR 0.89, 95% CI 0.73-1.09) in the Web and Web/tablet modes. The total number of responders for NordChild declined from 10,291 of 15,339 (67.09%) in 1984 and 10,667 of 15,254 (69.93%) in 1996 to 7805 of 15,945 (48.95%) in 2011 with similar declines in all 5 Nordic countries.CONCLUSIONS: Web-based questionnaires could replace traditional paper questionnaires with minor effects on response rates and lower costs. The increasing effect on the response rate on participants replying for a nonmonetary incentive could only be estimated within the 2 Web-based questionnaire modes before the first reminder. Alternative platforms to reach higher participation rates in population surveys should reflect the development of electronic devices and the ways in which the population primarily accesses the Internet.

Resumo Limpo

ckground survey respons rate declin past decad widespread use internet webbas technolog among potenti health survey particip suggest webbas questionnair may altern paper questionnair futur epidemiolog studiesobject compar respons rate popul parent use differ mode data collect questionnair survey involv nonmonetari incentivemethod random sampl parent danish children age year invit particip danish part nordchild survey children health welfar nordchild conduct collabor finland iceland norway sweden use mail paper questionnair countri use convent paper version except denmark parent random group receiv paper questionnair paper receiv paper questionnair login code webbas questionnair paperweb receiv login code webbas questionnair web receiv login detail webbas questionnair given incent consist chanc win tablet comput webtablet connect first remind nonrespond paper paperweb web group also present opportun win tablet comput mean motiv descript analysi perform use chisquar test odd ratio use estim differ respons rate modesresult respond answer danish questionnair highest respons rate paper mode n group similar respons rate paperweb n web n webtablet n mode compar paper mode odd respons rate paperweb decreas ci ci web webtablet mode total number respond nordchild declin similar declin nordic countriesconclus webbas questionnair replac tradit paper questionnair minor effect respons rate lower cost increas effect respons rate particip repli nonmonetari incent estim within webbas questionnair mode first remind altern platform reach higher particip rate popul survey reflect develop electron devic way popul primarili access internet

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