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Related Experiment Videos

A computer-administered telephone interview to identify mental disorders

K A Kobak1, L H Taylor, S L Dottl

  • 1Dean Foundation for Health, Research and Education, Middleton, Wis 53562, USA. Kobak_Ken_A@ssmhcs.com

JAMA
|September 25, 1997
PubMed
Summary

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A computer-assisted telephone interview using Primary Care Evaluation of Mental Disorders (PRIME-MD) is a valid tool for identifying mental health conditions in primary care. This technology improves patient care accessibility and quality for physicians.

Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Health Technology Assessment

Background:

  • Mental health disorders are frequently undiagnosed in primary care settings.
  • Accurate and efficient screening tools are crucial for early intervention.
  • Primary care physicians require accessible methods to identify psychiatric conditions.

Purpose of the Study:

  • To assess the validity and clinical utility of a telephone-based, computer-administered version of the Primary Care Evaluation of Mental Disorders (PRIME-MD).
  • To determine if this technology can effectively identify psychiatric disorders in primary care patients.
  • To compare its diagnostic accuracy against established clinical interviews.

Main Methods:

  • A telephone-assisted computer-administered version of PRIME-MD was compared with the Structured Clinical Interview for DSM-IV Diagnosis (SCID) administered by a clinician.

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  • Interviews were conducted via telephone using interactive voice response (IVR) technology.
  • Participants included 200 outpatients from various primary care and specialty clinics.

    • Main Results:

    • Prevalence rates for overall psychiatric disorders were similar between computer-administered PRIME-MD (60.0%) and SCID (58.5%).
    • Both computer- and clinician-administered PRIME-MD showed high sensitivity and specificity compared to the SCID.
    • Agreement (K) for any diagnosis was comparable: 0.67 for computer-administered and 0.70 for clinician-administered PRIME-MD.

    Conclusions:

    • The telephone-assisted, computer-administered PRIME-MD is a valid instrument for assessing psychopathology in primary care.
    • Interactive voice response (IVR) technology enhances availability and provides valuable information to physicians.
    • This approach can improve patient care quality without increasing physician workload or costs.