Differences in Young People’s Reports of Sexual Behaviors According to Interview Methodology: A Randomized Trial in India

Jaya,; Hindin, Michelle J.; Ahmed, Saifuddin

doi:10.2105/ajph.2006.099937

Cited by 77 publications

(64 citation statements)

References 16 publications

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“…Benefits for patients CAHTS can be used in several clinical settings and are particularly useful in eliciting potentially sensitive information, for example, on alcohol consumption, 29,30 psychiatric care, [31][32][33][34] sexual health 35 and gynaecological health. 36 Using CAHTS before the consultation would also, in principle, allow more time for the patient to discuss their actual health problem rather than routine aspects of medical history with their physician.…”

Section: 26-28mentioning

confidence: 99%

Computer-assisted history-taking systems (CAHTS) in health care: benefits, risks and potential for further development

Pappas

Anandan²,

Liu³

et al. 2011

Journal of Innovation in Health Informatics

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Background A computer-assisted history-taking system (CAHTS) is a tool that aids clinicians in gathering data from patients to inform a diagnosis or treatment plan. Despite the many possible applications and even though CAHTS have been available for nearly three decades, these remain underused in routine clinical practice. Objective Through an interpretative review of the literature, we provide an overview of the field of CAHTS, which also offers an understanding of the impact of these systems on policy, practice and research. Methods We conducted a search and critique of the literature on CAHTS. Using a comprehensive set of terms, we searched: MEDLINE, EMBASE, The Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, The Cochrane Central Register of Controlled Trials, The Cochrane Methodology Register, Health Technology Assessment Database and the NHS Economic Evaluation Database over a ten-year period (January 1997 to May 2007) to identify systematic reviews, technical reports and health technology assessments, and randomised controlled trials. Results The systematic review of the literature suggests that CAHTS can save professionals' time, improve delivery of care to those with special needs and also facilitate the collection of information,

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Section: 26-28mentioning

confidence: 99%

Computer-assisted history-taking systems (CAHTS) in health care: benefits, risks and potential for further development

Pappas

Anandan²,

Liu³

et al. 2011

Journal of Innovation in Health Informatics

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“…Four found mixed results. 11,13,14,15 In all of these studies, participants completed both ACASI and IAQ but were randomized to which they completed first.…”

Section: Discussionmentioning

confidence: 99%

“…Four found mixed results. 11,13,14,15 In all of these studies, participants completed both ACASI and IAQ but were randomized to which they completed first.For the most part, no strong reporting bias in responses to sexual and drug behavior questions was observed based on assessment methodology in this study of Russians with alcohol and/or drug dependence. There was excellent agreement between responses from ACASI and IAQ for the majority of responses.…”

mentioning

confidence: 99%

Behavioral Assessments in Russian Addiction Treatment Inpatients: A Comparison of Audio Computer-Assisted Self-Interviewing and Interviewer-Administered Questionnaires

Edwards

Cheng

Levenson

et al. 2008

HIV Clinical Trials

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Purpose: Assess agreement between reported sex and drug use behaviors from audio computerassisted self-interviewing (ACASI) and interviewer-administered questionnaire (IAQ).Method: Participants (N = 180) enrolled in an HIV intervention trial in Russia completed ACASI and IAQ on the same day. Agreement between responses was evaluated.Results: Of the 13 sex behavior questions, 10 items had excellent agreement (kappas/ICC 0.80-0.95) and 3 items had moderate agreement (kappas/ICC 0.59-0.75). The 3 drug behavior questions had excellent agreement (kappas/ICC 0.94-0.97). Among HIV-specific questions asked of HIVpositive participants (n = 21) only, 2 items had excellent agreement (kappas 1.0) and 3 items had moderate agreement (kappas 0.40-0.71). Conclusions:Assessment of drug and sex risk behaviors by ACASI and IAQ had generally strong agreement for the majority of items. The lack of discrepancy may result from these Russian subjects' perception that computers do not ensure privacy. Another potential explanatory factor is that both interviews were delivered on the same day. These data raise questions as to whether use of ACASI is uniformly beneficial in all settings, and what influence cultural factors have on its utility. Keywords HIV infections; interview methods; prevention & control; RussiaObtaining information on self-reported risk behaviors related to HIV transmission has been both a critical and a challenging factor throughout the HIV epidemic. In HIV-related studies, patients may need to disclose sensitive, embarrassing, or even illegal information about sex and drug-related activities. Some individuals may deny engaging in what are perceived to be undesirable behaviors, resulting in social desirability bias. Use of CASI and ACASI systems has been increasing internationally in diverse populations such as adolescents in Vietnam, 9 Kenya, 10 and India 11 ; alcohol and drug users in Brazil 12 ; women in Zimbabwe 13 and Kenya 14 ; urban market workers in China 15 ; and community volunteers in China, India, Peru, Russia, and Zimbabwe. 16 All of these studies compared reporting by ACASI to IAQ. Four found higher prevalence of sensitive behaviors among those using ACASI. Adolescents in Vietnam who were randomized to ACASI were more likely to report risky sexual practices than those who were randomized to IAQ. 9 Adolescent girls in Kenya who were randomized to ACASI reported significantly different sexual practices than girls who were randomized to IAQ. 10 Drug users in Brazil who were randomized to ACASI were more likely to report multiple drug use and risky sexual behaviors compared to those who were randomized to IAQ. 11 Finally, breastfeeding women in Kenya who were assigned to complete both ACASI and IAQ in a randomized crossover design were more likely to report sensitive behaviors such as less time breastfeeding or earlier introduction of complementary foods to ACASI. 14 The other three studies found mixed results. In India, adolescent girls were more likely to underreport sensitive sexual behaviors in A...

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“…Because only a few randomised controlled trials involving CATHS have been performed so far, it has been speculated that the improvements in the volume and accuracy of the answers seen in studies (34,57,24) may not accurately reflect the intervention. It has been suggested that the effects may be attributed to novelty and performance biases whereby the behaviour of researchers and patients was influenced (24).…”

Section: Introductionmentioning

confidence: 99%

Computer-Assisted versus Oral-and-Written History Taking for the Prevention and Management of Cardiovascular Disease: a Systematic Review of the Literature

Pappas

Všetečková

Poduval

et al. 2017

Acta Med. (Hradec Kralove, Czech Repub.)

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A B ST R AC T Background and objectives: CVD is an important global healthcare issue; it is the leading cause of global mortality, with an increasing incidence identified in both developed and developing countries. It is also an extremely costly disease for healthcare systems unless managed effectively. In this review we aimed to: -Assess the effect of computer-assisted versus oral-and-written history taking on the quality of collected information for the prevention and management of CVD.-Assess the effect of computer-assisted versus oral-and-written history taking on the prevention and management of CVD. Methods: A systematic review of randomised controlled trials that included participants of 16 years or older at the beginning of the study, who were at risk of CVD (prevention) or were either previously diagnosed with CVD (management). We searched all major databases. We assessed risk of bias using the Cochrane Collaboration tool. Results: Two studies met the inclusion criteria. One comparing the two methods of history-taking for the prevention of cardiovascular disease n = 75. The study shows that generally the patients in the experimental group underwent more laboratory procedures, had more biomarker readings recorded and/or were given (or had reviewed), more dietary changes than the control group. The other study compares the two methods of history-taking for the management of cardiovascular disease (n = 479). The study showed that the computerized decision aid appears to increase the proportion of patients who responded to invitations to discuss CVD prevention with their doctor. The ComputerAssisted History Taking Systems (CAHTS) increased the proportion of patients who discussed CHD risk reduction with their doctor from 24% to 40% and increased the proportion who had a specific plan to reduce their risk from 24% to 37%. Discussion: With only one study meeting the inclusion criteria, for prevention of CVD and one study for management of CVD we did not gather sufficient evidence to address all of the objectives of the review. We were unable to report on most of the secondary patient outcomes in our protocol. Conclusions: We tentatively conclude that CAHTS can provide individually-tailored information about CVD prevention. However, further primary studies are needed to confirm these findings. We cannot draw any conclusions in relation to any other clinical outcomes at this stage. There is a need to develop an evidence base to support the effective development and use of CAHTS in this area of practice. In the absence of evidence on effectiveness, the implementation of computer-assisted history taking may only rely on the clinicians' tacit knowledge, published monographs and viewpoint articles.

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Differences in Young People’s Reports of Sexual Behaviors According to Interview Methodology: A Randomized Trial in India

Abstract: Our results showed that young people were more likely to report sexual behaviors in culturally specific interactive interviews than in face-to-face interviews. By contrast, ACASIs did not uniformly lead to higher reporting levels than did face-to-face interviews.

Cited by 77 publications

References 16 publications

Computer-assisted history-taking systems (CAHTS) in health care: benefits, risks and potential for further development

Computer-assisted history-taking systems (CAHTS) in health care: benefits, risks and potential for further development

Behavioral Assessments in Russian Addiction Treatment Inpatients: A Comparison of Audio Computer-Assisted Self-Interviewing and Interviewer-Administered Questionnaires

Computer-Assisted versus Oral-and-Written History Taking for the Prevention and Management of Cardiovascular Disease: a Systematic Review of the Literature

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