Comparison of a computer-administered and paper-and-pencil-administered questionnaire on health and lifestyle behaviors
Abstract
Purpose The Health Behavior in School-aged Children (HBSC) study is a cross-national survey examining health and lifestyle behaviors of adolescents, traditionally administered by paper and pencil in a school setting. The purpose of the present study was to investigate if a computer format of the questionnaire would affect the responses of the adolescents in comparison with the paper and pencil format.Methods In 2000, the Belgian (Flemish) HBSC survey was administered in 81 secondary schools by paper and pencil (n = 4083) and in 19 schools by computer (n = 1008). Eight hundred four computer participants (aged 12-20 years) were matched with paper and pencil participants on the basis of gender, age, educational level, socioeconomic status, and type of school authority. The questionnaire included items on lifestyle behaviors (e.g., nutrition, substance use, physical inactivity, sexual behavior), psychosomatic health, and social relations.Results For the majority of lifestyle behaviors, we found that mode of administration had no significant effect on adolescents' responses, whereas for several questions about feelings/affective states, more socially desirable responses were found in the paper and pencil format than in the computer format.Conclusion The present findings suggest a need for further exploration of potential mode effects on questions about feelings and affective states before transition from the paper and pencil HBSC-survey to the computer format.
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A review concluded that the Flemish Physical Activity Computerized Questionnaire has the strongest results for reliability and validity of any current measure of leisure-time sedentary behaviour.
“Recently, a review of measures of television viewing time and other nonoccupational sedentary behaviour in adults concluded that this questionnaire has the strongest results for reliability and validity of any current measure of leisure-time sedentary behaviour [37].”
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- Authors
- Vereecken, C. A., & Maes, L.
- Affiliations
- Ghent University (BE)
- Corresponding author
- Vereecken, Carine A.
- ORCID
- Maes, Lea
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2006-04
- Volume
- 38
- Issue
- 4
- Pages
- 426-432
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W2170972515
- Cited by
- 77
- References
- 31
- Citations by year
- 2026: 3 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 2 · 2017: 7 · 2016: 4 · 2015: 7 · 2014: 7 · 2013: 5 · 2012: 7
- FWCI
- 8.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- World Health Organization
- Topics
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
- Social Sciences › Education › Health Education and Validation
- Keywords
- mode of administration, paper-and-pencil questionnaires, adolescent health behavior, lifestyle habits, social desirability bias, affective states
- MeSH terms
- Adolescent, Adolescent Behavior, Adult, Child, Data Collection, Female, Health Status, Health Surveys, Humans, Life Style, Male, Nutritional Physiological Phenomena, Sensitivity and Specificity, Sexual Behavior, Social Behavior, User-Computer Interface, Reproducibility of Results, Health Behavior, Exercise, Substance-Related Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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