Lifestyle assessment: applying microcomputers in family practice.

Area of Science:

• Health Informatics
• Primary Care Medicine
• Behavioral Health

Background:

• Assessing sensitive health information, such as substance use, presents challenges in traditional clinical settings.
• Previous research suggests computer-based methods may improve data accuracy for sensitive topics.
• Patient acceptance of technology in healthcare is crucial for effective implementation.

Purpose of the Study:

• To compare the accuracy and patient experience of computer-based vs. traditional methods for assessing alcohol, tobacco, and drug use.
• To evaluate patient perceptions and preferences regarding different assessment modalities.
• To determine if direct experience with computers influences patient acceptance in family practice.

Main Methods:

• A randomized trial involving 180 family practice patients.
• Assessment of alcohol, tobacco, and drug use via computer, in-person interview, or self-administered questionnaire.
• Collection of patient ratings on assessment methods and post-assessment preference shifts.

Main Results:

• No significant differences in reported levels of substance consumption or related problems were found across the three assessment methods.
• Patients rated computers as more interesting but also more mechanical and impersonal initially.
• A significant increase in preference for computer assessment was observed after patients completed the evaluation (13% to 43%).

Conclusions:

• Direct patient experience with microcomputers in family practice can positively influence acceptance.
• While initial perceptions of computers may be mixed, prolonged use can foster preference.
• Computerized health assessments are a viable option in family practice, with potential for improved patient comfort and acceptance over time.