Lapham S C, Henley E, Kleyboecker K
Center for Health and Population Research, Lovelace Medical Foundation.
Fam Med. 1993 Mar;25(3):197-202.
Computer interviews have potential value in screening pregnant patients for substance abuse and other behavioral risk factors linked to adverse pregnancy outcomes. The focus of this study was to determine whether a patient-interactive computerized assessment and education program was an acceptable and valid means of obtaining behavioral risk data.
Study participants completed a computer interview, and computer-generated reports of substance use and physical abuse within the past year were compared with information in the participants' prenatal records. The accuracy of computer interview reports of substance use was evaluated by performing urine drug screens.
More than 95% of the 265 women who completed the computer interview rated it favorably. Drug use and physical abuse were reported significantly more often during the computer interview, compared with information obtained from the patients' medical records. Results of urine drug screens demonstrated a high concurrence rate between self-reports of drug use and the results of urine analyses.
Results indicated that the computerized assessment was well received by patients and yielded valid information regarding risk factors for adverse pregnancy outcomes.
计算机访谈在筛查孕期患者药物滥用及其他与不良妊娠结局相关的行为风险因素方面具有潜在价值。本研究的重点是确定患者交互式计算机化评估与教育项目是否是获取行为风险数据的可接受且有效的方式。
研究参与者完成一次计算机访谈，将过去一年中计算机生成的药物使用和身体虐待报告与参与者产前记录中的信息进行比较。通过进行尿液药物筛查来评估计算机访谈中药物使用报告的准确性。
完成计算机访谈的265名女性中，超过95%对其评价良好。与从患者病历中获取的信息相比，计算机访谈中报告的药物使用和身体虐待情况明显更多。尿液药物筛查结果显示，药物使用的自我报告与尿液分析结果之间的一致性很高。
结果表明，计算机化评估受到患者的好评，并产生了关于不良妊娠结局风险因素的有效信息。
