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Reliability, validity, and usefulness of touch-screen administration of QOL and adherence instruments in an outpatient clinic.

Wu A, Yu-Isenberg K, McGrath M, Jacobson D; Conference on Retroviruses and Opportunistic Infections.

Program Abstr 6th Conf Retrovir Oppor Infect Conf Retrovir Oppor Infect 6th 1999 Chic Ill. 1999 Jan 31-Feb 4; 6th: 85 (abstract no. 99).

Johns Hopkins School of Hygiene and Public Health, Baltimore, MD.

Objectives: To compare the reliability, validity and feasibility of touch-screen PC, interview and self-administration of QOL and adherence questionnaires. Methods: Patients on antiretroviral therapy (N=129) at an HIV Clinic were randomized to complete the MOS-HIV, ACTG Baseline Adherence and ACTG Symptom Distress questionnaires by: (1) touch-screen PC (n= 47), (2) interview (n=43), or (3) self-administration (n=39). Internal consistency and construct validity were compared for modes of administration and IDU status. Results: Mean age was 41.8 years, 76% were male, 72% African-American, and 29% IDU. Patients enjoyed using the PC, and mean completion times were similar across modes (14 minutes). For modes of administration, Cronbach's alphas (.68-.93) and similar scores were observed on symptom and 9/10 MOS-HIV scales; reports and reasons for missed ART were also similar: 24-33% missed a dose in the past week, most commonly due to: drug toxicity (19-26%), others noticing (21-31%), side effects (21-35%), and too many pills (24-29%). Number of symptoms was significantly correlated with MOS-HIV scores with correlations highest for interview (-0.46, -0.82), followed by PC (-0.19, -0.93), and self administration (-0.07, -0.70). Conclusions: Patient-reported data collection using a touch-screen PC was feasible in an urban HIV clinic. Reliability was comparable to other modes of administration, and the validity of symptom data may be superior compared to self-administration.

Publication Types:
  • Meeting Abstracts
Keywords:
  • Acquired Immunodeficiency Syndrome
  • Ambulatory Care Facilities
  • Data Collection
  • HIV Infections
  • HIV Seropositivity
  • Humans
  • Interviews as Topic
  • Male
  • Questionnaires
  • organization & administration
Other ID:
  • 20711342
UI: 102188718

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