A Comparison Between Audio Computer-Assisted Self-Interviews and Clinician Interviews for Obtaining the Sexual History

Department of Health Services, University of Washington Seattle, Seattle, Washington, United States
Sex Transm Dis (Impact Factor: 2.84). 01/2005; 31(12):719-26. DOI: 10.1097/01.olq.0000145855.36181.13
Source: PubMed


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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    ABSTRACT: Sexual dysfunction is a frequent side effect of antipsychotics, but information is scant regarding the psychometric properties and clinical usefulness of currently existing questionnaires. This systematic review compares the psychometric properties and content of questionnaires for assessment of sexual functioning in patients using antipsychotics. A systematic literature search was performed using three electronic databases (PubMed, Embase, and PsycINFO) with predefined search terms. We identified six validated instruments for assessment of sexual functioning in patients using antipsychotics: the Antipsychotic Non-Neurological Side Effects Rating Scale (ANNSERS), the Arizona Sexual Experience Scale (ASEX), the Antipsychotics and Sexual Functioning Questionnaire (ASFQ), the Changes in Sexual Function Questionnaire-14 (CSFQ-14), the Nagoya Sexual Function Questionnaire (NSFQ), and the Psychotropic-Related Sexual Dysfunction Questionnaire (PRSexDQ). The ASFQ, CSFQ-14, and PRSexDQ cover all stages of sexual functioning, which makes these questionnaires preferable to the other three questionnaires described. The ASFQ and PRSexDQ are clinician-administered and ask for a change in sexual functioning related to medication. The ASFQ assesses improvement as well as deterioration of sexual functioning, and includes items about hyperprolactinemia. The CSFQ-14 is useful when self-report is desired but contains more items.
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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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    ABSTRACT: Abstract Research with injecting drug users (IDUs) suggests greater willingness to report sensitive and stigmatised behaviour via audio computer-assisted self-interviewing (ACASI) methods than during face-to-face interviews (FFIs); however, previous studies were limited in verifying this within the same individuals at the same time point. This study examines the relative willingness of IDUs to report sensitive information via ACASI and during a face-to-face clinical assessment administered in health services for IDUs. During recruitment for a randomised controlled trial undertaken at two IDU-targeted health services, assessments were undertaken as per clinical protocols, followed by referral of eligible clients to the trial, in which baseline self-report data were collected via ACASI. Five questions about sensitive injecting and sexual risk behaviours were administered to participants during both clinical interviews and baseline research data collection. "Percentage agreement" determined the magnitude of concordance/discordance in responses across interview methods, while tests appropriate to data format assessed the statistical significance of this variation. Results for all five variables suggest that, relative to ACASI, FFI elicited responses that may be perceived as more socially desirable. Discordance was statistically significant for four of the five variables examined. Participants who reported a history of sex work were more likely to provide discordant responses to at least one socially sensitive item. In health services for IDUs, information collection via ACASI may elicit more reliable and valid responses than FFI. Adoption of a universal precautionary approach to complement individually tailored assessment of and advice regarding health risk behaviours for IDUs may address this issue.
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    • "These questions were administered via computer, rather than in the interview, as they were standardized and not designed to elicit narratives, as the interview questions were. Additionally, some research has indicated that individuals are more likely to report sensitive information such as sexual behavior in response to a computer survey (Kurth et al. 2004). Interviews ranged from 30 min to 2 h and the questionnaire took on average 15 min to complete. "
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    ABSTRACT: Despite the reframing of ‘prostitution’ as ‘sex work’ in research and advocacy literature, the stigma associated with this activity persists. This study examines how independent female sex workers advertising online as “escorts” perceive and manage the stigma associated with their work, and how these coping strategies impact their personal relationships. Thirty escorts participated in semi-structured qualitative interviews; Goffman’s (1963) theory of stigma and information management strategies was used as a theoretical framework to guide the analysis of women’s experiences. Women who engaged in selective disclosure regarding sex work reported greater access to social support, while women who concealed their work from most people often reported feeling lonely and socially isolated. Escorts’ stigma coping strategies may have significant impact on their social relationships and access to social support.
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