Covell Nancy H, Donahue Sheila A, Ulaszek Wendy R, Dunakin Linda, Essock Susan M, Felton Chip J
Department of Psychology, University of Connecticut, Storrs, USA.
Psychiatr Serv. 2006 Sep;57(9):1324-7. doi: 10.1176/ps.2006.57.9.1324.
The authors examined alternative methods for obtaining feedback from people receiving anonymous mental health services via Project Liberty, an initiative that provided free counseling to residents of the New York City area after the 2001 attacks on the World Trade Center.
Counselors offered all English-speaking and Spanish-speaking adults who used Project Liberty crisis counseling services the opportunity to evaluate Project Liberty via a telephone interview (eight sites) or a brief questionnaire (four sites).
A total of 107 service recipients provided feedback via a brief 32-item questionnaire, and 153 gave feedback via a 45-minute telephone interview. Although the overall participation rates were modest (less than 20 percent), nearly three-quarters of those who volunteered to participate in the telephone interview (for which they received $20) did so. Neither gender nor racial or ethnic group was associated with a greater likelihood of participating in one method over another.
Responses to items on the brief questionnaire and in the telephone interview were similar, and offering multiple response methods increased participation rates. Although telephone interviews were more costly than the questionnaire to administer, they provided important additional information about ongoing symptoms and problems that individuals experienced after the attacks. The modest response rates obtained in the evaluation indicate that future evaluations of postdisaster services need to use methodstomaximizeresponse rates and provider adherence to administrative tasks that are critical to the evaluation.
作者研究了通过“自由计划”从接受匿名心理健康服务的人群中获取反馈的替代方法。“自由计划”是一项在2001年世贸中心袭击事件后为纽约市地区居民提供免费咨询的倡议。
咨询师向所有使用“自由计划”危机咨询服务的英语和西班牙语成年使用者提供通过电话访谈（八个地点）或简短问卷（四个地点）评估“自由计划”的机会。
共有107名服务接受者通过一份简短的32项问卷提供了反馈，153人通过45分钟的电话访谈提供了反馈。尽管总体参与率不高（不到20%），但近四分之三自愿参加电话访谈（为此他们获得20美元）的人参与了。性别、种族或族裔群体与参与一种方法而非另一种方法的可能性增加均无关联。
简短问卷和电话访谈中对问题的回答相似，提供多种回答方法提高了参与率。尽管电话访谈的管理成本高于问卷，但它们提供了关于袭击后个体持续出现的症状和问题的重要额外信息。评估中获得的适度回复率表明，未来对灾后服务的评估需要使用方法来最大限度地提高回复率以及提供者对评估至关重要的行政任务的依从性。
