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Assessing psychiatric disorder with a human interviewer or a computer

¹Institute of Psychiatry, London.

Journal of Epidemiology and Community Health

|April 1, 1994

Summary

Computerized assessments for psychiatric morbidity are as valid as human interviews, showing no over or underestimation. This technology offers potential for primary care screening and clinical guideline development.

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Area of Science:

Psychiatry
Medical Informatics
Epidemiology

Background:

Assessing psychiatric morbidity is crucial for effective healthcare.
Traditional human interviews can be resource-intensive.
Exploring alternative assessment methods is vital for improving efficiency and accessibility.

Purpose of the Study:

To compare self-administered computerized assessments with human-administered interviews for psychiatric morbidity.
To determine if computerized assessments accurately reflect psychiatric morbidity prevalence compared to human interviews.

Main Methods:

A randomized controlled study was conducted in a UK health center.
92 health center attendees completed both a computerized and a human-administered assessment.
The order of assessment administration was randomized to mitigate order effects.

Main Results:

The mean total scores for psychiatric morbidity were nearly identical between computerized (8.77) and human (8.69) assessments.
A high correlation (0.91) was observed between the two assessment methods.
No significant overestimation or underestimation of psychiatric morbidity prevalence was found with the computerized method.

Conclusions:

Self-administered computerized assessments are valid and unbiased tools for measuring psychiatric morbidity.
These digital tools have significant potential for research and primary care applications, including screening.
Computerized assessments can serve as a foundation for developing evidence-based clinical guidelines.

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