Computer-assisted assessment of depression and function in older primary care patients

Reyis Kurt, Hillary R. Bogner, Joseph B. Straton, Allen Y. Tien, Joseph J Gallo

Research output: Contribution to journalArticle

Abstract

We wanted to test the psychometric reliability and validity of self-reported information on psychological and functional status gathered by computer in a sample of primary care outpatients. Persons aged 65 years and older visiting a primary care medical practice in Baltimore (n=240) were approached. Complete baseline data were obtained for 54 patients and 34 patients completed 1-week retest follow-up. Standard instruments were administered by computer and also given as paper and pencil tests. Test-retest reliability estimates were calculated and comparisons across mode of administration were made. Separately, an interviewer administered a questionnaire to gauge patient attitudes and feelings after using the computer. Most participants (72%) reported no previous computer use. Nevertheless, inter-method reliability of the GDS15 at baseline (0.719, n=47), intra-method reliability of the computer in time (0.797, n=31), inter-method reliability of the CESDR20 at baseline (0.740, n=53), and the correlation between the CESDR20 computer version at baseline and follow-up (0.849, n=34) were all excellent. The inter-method reliability of the CESDR20 at follow-up (0.615, n=37) was lower but still acceptable. Although 28% were anxious prior to using the computer testing system, that percent decreased to 19% while using the system. The efficiency and reliability in comparison to the paper instruments were good or better. Even though most participants had not ever used a computer prior to participating in the study, they had generally favorable attitudes toward the use of computers, and also reported having favorable experience with the computer testing system.

Original languageEnglish (US)
Pages (from-to)165-171
Number of pages7
JournalComputer Methods and Programs in Biomedicine
Volume73
Issue number2
DOIs
StatePublished - Feb 2004
Externally publishedYes

Fingerprint

Primary Health Care
Depression
Computer testing
Computer Systems
Reproducibility of Results
Baltimore
Health care
Psychometrics
Gages
Emotions
Outpatients
Interviews
Psychology

Keywords

  • Computerized assessment
  • Depression
  • Geriatrics
  • Primary care

ASJC Scopus subject areas

  • Software

Cite this

Computer-assisted assessment of depression and function in older primary care patients. / Kurt, Reyis; Bogner, Hillary R.; Straton, Joseph B.; Tien, Allen Y.; Gallo, Joseph J.

In: Computer Methods and Programs in Biomedicine, Vol. 73, No. 2, 02.2004, p. 165-171.

Research output: Contribution to journalArticle

Kurt, Reyis ; Bogner, Hillary R. ; Straton, Joseph B. ; Tien, Allen Y. ; Gallo, Joseph J. / Computer-assisted assessment of depression and function in older primary care patients. In: Computer Methods and Programs in Biomedicine. 2004 ; Vol. 73, No. 2. pp. 165-171.
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