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Cited by 238Survey Methodology and NonresponseMental Health Treatment and AccessPsychological Testing and Assessment

A Computer-Administered Telephone Interview to Identify Mental Disorders

Kobak, Kenneth A.·1997·JAMA: The Journal of the American Medical Association
DOI 10.1001/jama.1997.03550110043034
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Abstract

CONTEXT: Common mental disorders are often not identified in primary care settings. OBJECTIVE: To evaluate the validity and clinical utility of a telephone-assisted computer-administered version of Primary Care Evaluation of Mental Disorders (PRIME-MD), a brief questionnaire and interview instrument designed to identify psychiatric disorders in primary care patients. DESIGN: Comparison of diagnoses obtained by computer over the telephone using interactive voice response (IVR) technology vs those obtained by a trained clinician over the telephone using the Structured Clinical Interview for DSM-IV [Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition] Diagnosis (SCID). A subsample also received the clinician-administered version of PRIME-MD. PATIENTS: Outpatients (N=200) from 4 primary care clinics, an eating disorders clinic, an alcohol treatment facility, psychiatric outpatients, and community controls. SETTING: Interviews conducted by telephone, except for face-to-face administration of PRIME-MD, which was conducted at either the primary care clinic or a research clinic. MEASUREMENTS AND MAIN RESULTS: Prevalence rates for any psychiatric disorder were similar between diagnoses made by the computer and those made by a mental health professional using the SCID (60.0% vs 58.5%). Prevalence rates for individual diagnoses were generally similar across versions. However, primary care patients reported twice as much alcohol abuse on the computer (15.0%) as on either the SCID (7.5%) or the clinician-administered PRIME-MD (7.5%). Using the SCID as the criterion, both the computer- and clinician-administered versions of PRIME-MD demonstrated high and roughly equivalent levels of sensitivity and specificity. Overall agreement (K) for any diagnosis was 0.67 for the computer-administered PRIME-MD and 0.70 for the clinician-administered PRIME-MD. CONCLUSIONS: The computer-administered PRIME-MD appears to be a valid instrument for assessing psychopathology in primary care patients. Interactive voice response technology allows for increased availability, and provides primary care physicians with information that will increase the quality of patient care without additional physician time and at minimal expense.

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Crossref · 10.1001/jama.1997.03550110043034

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Authors
Kobak, K. A.
Corresponding author
Kobak, Kenneth A.
ORCID
Kobak, Kenneth A.
Venue
JAMA: The Journal of the American Medical Association
Publisher
American Medical Association (AMA)
Published
1997-09-17
Volume
278
Issue
11
Pages
905
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
DOI
10.1001/jama.1997.03550110043034
OpenAlex
W2125578473
Cited by
238
References
40
Citations by year
2024: 1 · 2023: 18 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 4 · 2016: 3 · 2015: 7 · 2014: 4 · 2013: 6 · 2012: 10
FWCI
56.60
Type
journal article
Language
en
Open access
closed
Locations
  • JAMA (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Keywords
PRIME-MD, interactive voice response, primary care, alcohol abuse, diagnostic validity, sensitivity and specificity, psychopathology assessment
MeSH terms
Adult, Mental Disorders, Family Practice, Female, Humans, Male, Medical Informatics Computing, Surveys and Questionnaires, Sensitivity and Specificity, Telephone, Reproducibility of Results, Remote Consultation

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