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通过互联网和交互式语音应答 (IVR) 对危险饮酒和药物使用进行人群筛查:一项随机样本的可行性和心理测量学研究。

Population screening of risky alcohol and drug use via Internet and Interactive Voice Response (IVR): a feasibility and psychometric study in a random sample.

机构信息

Karolinska Institutet, Department of Clinical Neuroscience, Center for Psychiatry Research, Box 17070, SE-10462 Stockholm, Sweden.

出版信息

Drug Alcohol Depend. 2011 Mar 1;114(1):55-60. doi: 10.1016/j.drugalcdep.2010.09.004. Epub 2010 Oct 27.


DOI:10.1016/j.drugalcdep.2010.09.004
PMID:21030164
Abstract

BACKGROUND: The wide accessibility of computer-based technologies like the Internet and Interactive Voice Response (IVR) systems raises the question of whether population survey data could be collected more easily and cheaply compared to using paper questionnaires. In the area of possibly stigmatized behaviors such as problematic alcohol and drug use, the question extends to whether the prevalence of such behaviors in the general population could be surveyed without compromising the quality of the data. AIMS: This study compares Internet and IVR versions of the AUDIT and DUDIT with respect to: (1) response rate, (2) problematic alcohol and drug use and (3) reliability. METHOD: 5000 individuals, randomly selected from the Swedish general population, were contacted via postal mail and invited to complete the AUDIT and DUDIT questionnaires via Internet or IVR. In total, 1861 (37.8%) participated in the study, 1089 via Internet and 772 via IVR. RESULTS: The Internet administration mode yielded a higher response rate (38.1%) compared to the IVR mode (33.9%). When respondents were given a choice between Internet and IVR, a higher response rate resulted (43.2-46.6%). Problematic alcohol and drug use occurred among 21.1% and 2.8% of the sample, respectively, with no significant differences by administration mode. Both the AUDIT and DUDIT exhibited satisfactory reliability across administration modes, Cronbach's α 0.76/0.86. CONCLUSIONS: Data quality does not deteriorate with computerized administration methods for the AUDIT and DUDIT in population studies but paper questionnaires should also be made available to respondents in order to maximize response rates.

摘要

背景:互联网和交互式语音应答(IVR)系统等基于计算机的技术广泛普及,这引发了一个问题,即与使用纸质问卷相比,是否可以更轻松、更廉价地收集人群调查数据。在可能带有污名的行为领域,如问题性饮酒和药物使用,这个问题还延伸到是否可以在不影响数据质量的情况下,对普通人群中的此类行为的流行情况进行调查。

目的:本研究比较了 AUDIT 和 DUDIT 的互联网和 IVR 版本,具体内容如下:(1)应答率;(2)问题性饮酒和药物使用;(3)可靠性。

方法:从瑞典普通人群中随机抽取 5000 人,通过邮寄信件联系他们,并邀请他们通过互联网或 IVR 填写 AUDIT 和 DUDIT 问卷。共有 1861 人(37.8%)参与了这项研究,其中 1089 人通过互联网,772 人通过 IVR。

结果:与 IVR 模式(33.9%)相比,互联网管理模式的应答率更高(38.1%)。当受访者可以在互联网和 IVR 之间进行选择时,应答率更高(43.2%-46.6%)。该样本中分别有 21.1%和 2.8%的人存在问题性饮酒和药物使用情况,两种管理模式之间无显著差异。AUDIT 和 DUDIT 在两种管理模式下的信度均令人满意,Cronbach's α 分别为 0.76/0.86。

结论:在人群研究中,AUDIT 和 DUDIT 的计算机化管理方法不会降低数据质量,但也应向受访者提供纸质问卷,以最大限度地提高应答率。

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