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Process and implementation of Audio Computer Assisted Self-Interviewing (ACASI) assessments in low resource settings:

J C Kane1, L K Murray1, S Sughrue2

  • 1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Baltimore, MD, 21205, USA.

Global Mental Health (Cambridge, England)
|June 10, 2017
PubMed
Summary

Audio Computer-Assisted Self-Interviewing (ACASI) is feasible and acceptable in Zambia for vulnerable children. Proper planning, training, and supervision are key to its successful implementation in low- and middle-income countries.

Keywords:
ACASIHIVadolescentassessment methodslow- and middle-income country

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Area of Science:

  • Behavioral health research
  • Public health in low- and middle-income countries (LMIC)

Background:

  • Audio Computer-Assisted Self-Interviewing (ACASI) improves reporting accuracy for sensitive behaviors in LMIC.
  • Limited information exists on ACASI design, development, and implementation in LMIC settings.
  • This study details ACASI implementation for orphans and vulnerable children in Zambia.

Purpose of the Study:

  • To describe the process of implementing an ACASI system in Zambia.
  • To identify successes, barriers, and challenges in ACASI development and deployment.

Main Methods:

  • A comprehensive survey on mental health, substance use, and HIV risk was adapted into an ACASI system.
  • The ACASI system underwent pilot and validity testing before implementation in a randomized controlled trial.
  • Experiences from each stage of ACASI development and implementation were documented.

Main Results:

  • A complex survey was successfully converted into a feasible ACASI system for use in Zambia.
  • Key lessons include the importance of piloting, comprehensive assessor training, and attention to logistical factors (space, internet, power).

Conclusions:

  • ACASI is a feasible and acceptable method in Zambia with adequate planning, training, and supervision.
  • ACASI offers more accurate self-report data and immediate download compared to interviewer-administered methods.
  • ACASI presents an effective and economical alternative for behavioral health research in LMIC.