J. Med. Internet Res. - Telephone versus internet administration of self-report measures of social anxiety, depressive symptoms, and insomnia: psychometric evaluation of a method to reduce the impact of missing data.


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CKGROUND: Internet-administered self-report measures of social anxiety, depressive symptoms, and sleep difficulties are widely used in clinical trials and in clinical routine care, but data loss is a common problem that could render skewed estimates of symptom levels and treatment effects. One way of reducing the negative impact of missing data could be to use telephone administration of self-report measures as a means to complete the data missing from the online data collection.OBJECTIVE: The aim of the study was to compare the convergence of telephone and Internet administration of self-report measures of social anxiety, depressive symptoms, and sleep difficulties.METHODS: The Liebowitz Social Anxiety Scale-Self-Report (LSAS-SR), Montgomery-?sberg Depression Rating Scale-Self-Rated (MADRS-S), and the Insomnia Severity Index (ISI) were administered over the telephone and via the Internet to a clinical sample (N=82) of psychiatric patients at a clinic specializing in Internet-delivered treatment. Shortened versions of the LSAS-SR and the ISI were used when administered via telephone.RESULTS: As predicted, the results showed that the estimates produced by the two administration formats were highly correlated (r=.82-.91; P<.001) and internal consistencies were high in both administration formats (telephone: Cronbach alpha=.76-.86 and Internet: Cronbach alpha=.79-.93). The correlation coefficients were similar across questionnaires and the shorter versions of the questionnaires used in the telephone administration of the LSAS-SR and ISI performed in general equally well compared to when the full scale was used, as was the case with the MADRS-S.CONCLUSIONS: Telephone administration of self-report questionnaires is a valid method that can be used to reduce data loss in routine psychiatric practice as well as in clinical trials, thereby contributing to more accurate symptom estimates.

Resumo Limpo

ckground internetadminist selfreport measur social anxieti depress symptom sleep difficulti wide use clinic trial clinic routin care data loss common problem render skew estim symptom level treatment effect one way reduc negat impact miss data use telephon administr selfreport measur mean complet data miss onlin data collectionobject aim studi compar converg telephon internet administr selfreport measur social anxieti depress symptom sleep difficultiesmethod liebowitz social anxieti scaleselfreport lsassr montgomerysberg depress rate scaleselfr madrss insomnia sever index isi administ telephon via internet clinic sampl n psychiatr patient clinic special internetdeliv treatment shorten version lsassr isi use administ via telephoneresult predict result show estim produc two administr format high correl r p intern consist high administr format telephon cronbach alpha internet cronbach alpha correl coeffici similar across questionnair shorter version questionnair use telephon administr lsassr isi perform general equal well compar full scale use case madrssconclus telephon administr selfreport questionnair valid method can use reduc data loss routin psychiatr practic well clinic trial therebi contribut accur symptom estim

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