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Related Experiment Videos

Computer-assisted self-assessment in persons with severe mental illness.

Matthew Chinman1, Alexander S Young, Terry Schell

  • 1VA VISN-22 Mental Illness Research, Education, and Clinical Center (MIRECC), Los Angeles, Calif. 90073, USA. chinman@rand.org

The Journal of Clinical Psychiatry
|October 20, 2004
PubMed
Summary

Audio computer-assisted self-interviewing (ACASI) is a reliable method for collecting data from patients with severe mental illness (SMI). This technology can improve the quality of care for individuals with schizophrenia and bipolar disorder.

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Area of Science:

  • Psychiatry and Mental Health
  • Health Informatics
  • Clinical Research Methods

Background:

  • Improving care for severe mental illness (SMI) is hindered by inefficient clinical information management.
  • Effective methods are needed to collect data for evaluating and enhancing healthcare quality in SMI.
  • Audio computer-assisted self-interviewing (ACASI) shows promise for data collection and has improved outcomes in other disorders.

Purpose of the Study:

  • To test the accuracy and reliability of ACASI for data collection in patients with SMI.
  • To compare ACASI with traditional in-person interviews for symptom surveys.
  • To evaluate patient attitudes, understanding, and potential biases associated with ACASI use.

Main Methods:

  • Ninety patients with schizophrenia or bipolar disorder were enrolled.

Related Experiment Videos

  • A crossover design was used, with patients completing standardized symptom surveys via in-person interview and ACASI.
  • Surveys were administered 20 minutes apart, and data on internal consistency, correlations, validity, and administration bias were analyzed.

    • Main Results:

    • ACASI and in-person interview scales demonstrated similar internal reliability and high correlations (r = 0.78-1.00).
    • Mean scores between the two methods were not significantly different (p < .05).
    • A majority of patients found ACASI easier, more enjoyable, more private, and preferred it for regular surveys, with high usability (97%-99% accuracy).

    Conclusions:

    • ACASI is a reliable data collection method for individuals with bipolar disorder and schizophrenia.
    • ACASI can be a valuable tool for improving the quality of care for patients with these severe mental illnesses.
    • The technology is user-friendly and preferred by patients, suggesting its potential for routine clinical use.