The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
A Computer-Administered Telephone Interview to Identify Mental Disorders
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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“Having a simple self-administered measure to complete either in the clinic or by telephone administration (e.g., nurse administration23 or interactive voice recording24) would save clinicians the time needed to inquire about the presence and severity of each of the 9 DSM-IV symptoms to assess outcomes.”
From The PHQ-9: Validity of a brief depression severity measure (2001) · cites this paper as [24]
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“Research supports the validity of structured telephone interviews for data collection from primary care patients [35].”
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Metadata
- 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
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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