Moussaoui Ghizlane, Yu Ching, Laliberté Vincent, Elie Dominique, Mahdanian Artin A, Dawson Benjamin, Segal Marilyn, Looper Karl J, Soham Rej
Geri-PARTy Research Group, Department of Psychiatry, Jewish General Hospital, McGill University, Montreal, QC, Canada.
Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
Can Geriatr J. 2017 Sep 28;20(3):112-119. doi: 10.5770/cgj.20.282. eCollection 2017 Sep.
With our aging population and limited number of geriatric psychiatrists, innovations must be made in order to meet the growing demands for geriatric psychiatry services. Emerging technologies could greatly improve access to care and systematic data collection.
This randomized study compared completion rates and time to completion (primary outcomes) when using iPad technology vs. traditional paper forms to complete self-report psychiatric symptoms. Geriatric psychiatry outpatients (n = 72) and adult psychiatry inpatients (n = 50) were recruited to complete the Brief Symptom Inventory (BSI-53), the Activities of Daily Living (ADL), and Patient Health Questionnaire (PHQ-9) questionnaires.
Geriatric psychiatry outpatients completed the iPad and paper questionnaires at similar rates (91.7% vs. 97.2%, Fisher's Exact = .61). In two-way ANOVA, including patients aged ≥ 60 (n = 85), outpatient status (F(1,81) = 4.48, = .037) and iPad format (F (1,81) = 8.96, = .04) were associated with a shorter time to completion. The effect of questionnaire formats was especially prominent in the inpatient group on time to completion.
Older adults with mental illness demonstrate a similar ability to complete self-report questionnaires whether iPads or paper forms. iPad questionnaires may even require less time to complete in geriatric psychiatry inpatients. Patients also found iPad questionnaires to be easy to use and read. Tablets could potentially be used for psychiatric symptom assessment for clinical, research, and population health purposes.
随着人口老龄化以及老年精神科医生数量有限，必须进行创新以满足对老年精神病学服务日益增长的需求。新兴技术可以极大地改善医疗服务的可及性和系统数据收集。
这项随机研究比较了使用iPad技术与传统纸质表格完成自我报告精神症状时的完成率和完成时间（主要结果）。招募了老年精神病学门诊患者（n = 72）和成人精神病学住院患者（n = 50）来完成简明症状量表（BSI - 53）、日常生活活动量表（ADL）和患者健康问卷（PHQ - 9）。
老年精神病学门诊患者完成iPad问卷和纸质问卷的比例相似（91.7%对97.2%，费舍尔精确检验 = 0.61）。在双向方差分析中，纳入年龄≥60岁的患者（n = 85），门诊状态（F(1,81) = 4.48，P = 0.037）和iPad格式（F(1,81) = 8.96，P = 0.04）与较短的完成时间相关。问卷格式的影响在住院患者组中对完成时间尤为显著。
患有精神疾病的老年人使用iPad或纸质表格完成自我报告问卷的能力相似。在老年精神病学住院患者中，iPad问卷甚至可能需要更少的时间来完成。患者也发现iPad问卷易于使用和阅读。平板电脑有可能用于临床、研究和人群健康目的的精神症状评估。
