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Accuracy of behavioural assessment by computer.

A C Carr, A Ghosh

The British Journal of Psychiatry : the Journal of Mental Science

|January 1, 1983

Summary

An automated assessment interview using microcomputers effectively evaluated phobia patients, matching clinician assessments for severity and treatment targets. This technology offers a cost-effective tool for screening, assessment, and progress monitoring in mental healthcare.

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Area of Science:

Psychology
Clinical Psychology
Behavioral Therapy

Background:

Phobia treatment often relies on time-consuming clinical assessments.
Automated tools could improve efficiency and accessibility in mental health evaluations.

Purpose of the Study:

To evaluate the efficacy of an automated assessment interview delivered by microcomputer for phobia patients.
To compare computer-based assessments with traditional clinical evaluations.

Main Methods:

A microcomputer administered an automated assessment interview to 26 phobia patients.
Computer-derived ratings were compared with clinician global ratings and structured clinical assessments.
Behavioral targets for exposure treatment were elicited by the computer and assessed by blind evaluators.

Main Results:

Computer-derived ratings of phobia severity closely correlated with clinician and independent assessments.
Automated elicitation of behavioral targets was rated comparable to clinician-derived targets in practicability, precision, and appropriateness.
The automated technique proved inexpensive and time-saving for clinicians.

Conclusions:

Automated computer interviews offer a valid and reliable method for assessing phobia severity and identifying treatment targets.
This technology can be widely implemented for screening, assessment, and progress monitoring.
The automated approach may also form the basis for automated exposure therapy.

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