Article

A comparison between audio computer-assisted self-interviews and clinician interviews for obtaining the sexual history

Center for AIDS and STD, University of Washington, Seattle, Washington 98195-7266, USA.
Sex Transm Dis (Impact Factor: 2.75). 01/2005; 31(12):719-26. DOI: 10.1097/01.olq.0000145855.36181.13
Source: PubMed

ABSTRACT The objective of this study was to compare reporting between audio computer-assisted self-interview (ACASI) and clinician-administered sexual histories.
The goal of this study was to explore the usefulness of ACASI in sexually transmitted disease (STD) clinics.
The authors conducted a cross-sectional study of ACASI followed by a clinician history (CH) among 609 patients (52% male, 59% white) in an urban, public STD clinic. We assessed completeness of data, item prevalence, and report concordance for sexual history and patient characteristic variables classified as socially neutral (n=5), sensitive (n=11), or rewarded (n=4).
Women more often reported by ACASI than during CH same-sex behavior (19.6% vs. 11.5%), oral sex (67.3% vs. 50.0%), transactional sex (20.7% vs. 9.8%), and amphetamine use (4.9% vs. 0.7%) but were less likely to report STD symptoms (55.4% vs. 63.7%; all McNemar chi-squared P values <0.003). Men's reporting was similar between interviews, except for ever having had sex with another man (36.9% ACASI vs. 28.7% CH, P <0.001). Reporting agreement as measured by kappas and intraclass correlation coefficients was only moderate for socially sensitive and rewarded variables but was substantial or almost perfect for socially neutral variables. ACASI data tended to be more complete. ACASI was acceptable to 89% of participants.
ACASI sexual histories may help to identify persons at risk for STDs.

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    • "A clinician-administered questionnaire may help solve potential problems such as difficulty understanding the questions, interference with cognitive symptoms, and the discrimination of medication-related changes in sexual performance and sexual problems that are not medication related. On the other hand, some authors have suggested that sensitive information, such as on sexual functioning, is more easily reported in self-report questionnaires (Keller et al., 2006; Kurth et al., 2004). "
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    • "The touch-screen ACASI was an additional advantage (Westman, Hampel, & Bradley, 2000). Kurth et al. (2004) reported that 82% of participants said ACASI allowed more honest reporting (compared to 7% for FFI, and 9% who perceived that both interview formats were equally conducive to honesty). ACASI has the additional advantage of reducing missing data because it requires participants to answer each item before they can proceed (Hallforsa , Khatapoushb, Kadushinb, Watsonb, & Saxeb, 2000). "
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    • "Audio computer-assisted self-interviews (ACASI) are increasingly being used in behavioral health research, most frequently for measuring sexual risks and illegal drug use. Advantages of ACASI include improved reporting of sensitive behaviors (Bernabe-Ortiz et al., 2008; Ghanem, Hutton, Zenilman, Zimba, & Erbelding, 2005; Hewett et al., 2008; Le, Blum, Magnani, Hewett, & Do, 2006; Metzger et al., 2000; Schroder, Carey, & Vanable, 2003; Simoes, Bastos, Moreira, Lynch, & Metzger, 2006; Tourangeau & Smith, 1996; Turner et al., 1998; van Griensven et al., 2006), fewer missing data (Jaspan et al., 2007; Johnson et al., 2001; Kurth et al., 2004), and enhanced participant experience (Edwards et al., 2007; Kurth et al., 2004; Metzger et al., 2000). However, evidence is limited and inconsistent on the extent to which improvements in data quality can result from using ACASI in populations in low-income countries or with limited experience using computers (Jennings, Lucenko, Malow, & Devieux, 2002; Mensch, Hewett, & Erulkar, 2003; Mensch, Hewett, Gregory, & Helleringer, 2008; Newman et al., 2002; NIMH Multisite HIV/STD Prevention Group, 2008) and specifically for measurement of domestic violence (Kim, Dubowitz, Hudson- Martin, & Lane, 2008; MacMillan et al., 2006; Rhodes et al., 2006; Rhodes, Lauderdale, He, Howes, & Levinson, 2002). "
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