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首页> 外文期刊>The journal of clinical psychiatry >Computer-assisted self-assessment in persons with severe mental illness.
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Computer-assisted self-assessment in persons with severe mental illness.

机译：严重精神疾病患者的计算机辅助自我评估。

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BACKGROUND: It has been difficult to improve care for severe mental illness (SMI) in usual care settings because clinical information is not reliably and efficiently managed. Methods are needed for efficiently collecting this information to evaluate and improve health care quality. Audio computer-assisted self-interviewing (ACASI) can facilitate this data collection and has improved outcomes for a number of disorders, suggesting the need to test its accuracy and reliability in people with SMI. METHOD: Ninety patients with DSM-IV schizophrenia or schizoaffective disorder (N = 45) or bipolar disorder (N = 45) recruited between Oct. 15, 2002, and July 1, 2003, were randomly assigned to 1 of 2 study groups and completed 2 standardized symptom surveys (Revised Behavior and Symptom Identification Scale and the symptom severity scale of the Schizophrenia Outcomes Module 2) 20 minutes apart in a crossover study design. Half of the patients first completed the scales via an in-person interview, and the other half first completed the scales via an ACASI survey self-administered through an Internet browser using a touchscreen developed to meet the cognitive needs of people with SMI. We evaluated attitudes toward ACASI, understanding of the ACASI survey, internal consistency, correlations between the ACASI and interview modes, concurrent validity, and a possible administration mode bias. RESULTS: All ACASI and in-person interview scales had similar internal reliability, high correlations (r = 0.78-1.00), and mean scores similar enough as not to be different at p < .05. A large majority rated the ACASI survey as easier, more enjoyable, more preferable if monthly completion of a survey were required, and more private, and 97% to 99% perfectly answered questions about how to use it. CONCLUSION: ACASI data collection is reliable among people with bipolar disorder and schizophrenia and could be a valuable tool to improve their care.
机译：背景：由于临床信息无法可靠且有效地管理，因此很难在常规护理环境中改善对严重精神疾病（SMI）的护理。需要有效收集信息以评估和改善医疗质量的方法。音频计算机辅助自我访谈（ACASI）可以促进这种数据收集并改善许多疾病的预后，提示需要在SMI患者中测试其准确性和可靠性。方法：从2002年10月15日至2003年7月1日之间招募的90例DSM-IV精神分裂症或精神分裂症（N = 45）或双相情感障碍（N = 45）患者被随机分配至2个研究组中的1个并完成在交叉研究设计中相隔20分钟进行2次标准化症状调查（精神分裂症结果模块2的修订后的行为和症状识别量表以及症状严重程度量表）。一半的患者首先通过面对面访谈完成了量表，另一半则首先通过ACASI调查完成了量表，该调查是通过互联网浏览器自我管理的，触摸屏是为满足SMI患者的认知需求而开发的。我们评估了对ACASI的态度，对ACASI调查的理解，内部一致性，ACASI与面试模式之间的相关性，并发效度以及可能的管理模式偏差。结果：所有ACASI和面对面访谈量表均具有相似的内部信度，高度相关性（r = 0.78-1.00），并且平均得分相似，以至于p <.05时没有差异。如果需要每月完成一项调查，并且大多数人认为ACASI调查更容易，更有趣，更可取，则ACASI调查更为私密，并且97％到99％的人对如何使用它完全回答了问题。结论：ACASI数据收集在躁郁症和精神分裂症患者中是可靠的，并且可能是改善其护理的有价值的工具。

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