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首页> 外文期刊>Journal of Clinical Epidemiology >Randomized trial showed that an 'embedded' survey strategy optimized authorization rates compared with two 'after survey' strategies in veterans with PTSD.
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Randomized trial showed that an 'embedded' survey strategy optimized authorization rates compared with two 'after survey' strategies in veterans with PTSD.

机译：随机试验显示，与PTSD退伍军人的两种“事后调查”策略相比，“嵌入式”调查策略可优化授权率。

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OBJECTIVES: To test methods to optimize mail survey response and authorization rates (i.e., allowing one's survey to be linked to medical records) when the survey is sensitive and the targeted population has a mental disorder. STUDY DESIGN AND SETTING: Randomized controlled trial of 1,099 veterans treated for posttraumatic stress disorder (PTSD) at a Midwestern Veteran Affairs Medical Center. Subjects were randomized to one of three groups: (1) Health Insurance Portability and Accountability Act (HIPAA) authorization form embedded in the survey (checking "yes" for consent); (2) HIPAA form requiring signature for consent sent after the survey; or (3) HIPAA form requiring a signature and social security number (SSN) for consent sent after the survey. RESULTS: The "embedded" strategy yielded the lowest survey response rate (67.5%) but highest authorization rate (59.1%). Requiring respondents' signatures and SSNs after the survey was returned generated the highest survey response rate (74.2%) but lowest authorization rate (48.7%). However, the response rate difference was not statistically significant. Reported emotional upset was low (1.5%) and primarily directed to the survey, not the HIPAA form. Older age and greater trustfulness were associated with higher authorization rates. CONCLUSION: Even with our most optimized strategy, authorization rates were disappointingly low.
机译：目的：测试在敏感调查且目标人群患有精神疾病时优化邮件调查回复和授权率的方法（即允许将调查与病历相关联）。研究设计与设置：在中西部老兵医疗中心对1,099名接受过创伤后应激障碍（PTSD）治疗的退伍军人的随机对照试验。将受试者随机分为以下三组之一：（1）调查表中嵌入的《健康保险携带与责任法案》（HIPAA）授权表（选中“是”表示同意）; （2）HIPAA表格，要求在调查后发送同意书;或（3）HIPAA表格，要求在调查后发送签名并提供社会安全号码（SSN）以表示同意。结果：“嵌入式”策略产生最低的调查答复率（67.5％）但获得最高的授权率（59.1％）。返回调查后，要求受访者的签名和SSN产生最高的调查响应率（74.2％），但最低的授权率（48.7％）。但是，应答率差异在统计学上不显着。报道的情绪低落率低（1.5％），主要是针对调查，而非HIPAA形式。年龄越大，信任度越高，授权率越高。结论：即使采用我们最优化的策略，授权率仍然令人失望。

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