Equivalence of alcohol use disorder symptom assessments in routine clinical care when completed remotely via online patient portals versus in-clinic via paper questionnaires: Psychometric evaluation (Preprint) DOI Creative Commons
Theresa E. Matson, Amy K Lee, Malia Oliver

и другие.

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e52101 - e52101

Опубликована: Июнь 7, 2024

Background The National Institute on Alcohol Abuse and Alcoholism (NIAAA) recommends the paper-based or computerized Symptom Checklist to assess alcohol use disorder (AUD) symptoms in routine care when patients report high-risk drinking. However, it is unknown whether response characteristics differ administered online (eg, remotely via an electronic health record [EHR] patient portal before appointment) versus clinic paper after appointment check-in). Objective This study evaluated psychometric performance of completed during clinical care. Methods cross-sectional, obtained EHR data from by adult integrated system Washington state. sample included who had a primary visit 2021 at 1 32 practices, were due for annual behavioral screening, reported drinking screen (Alcohol Use Disorder Identification Test–Consumption score ≥7). After with typically asked complete Checklist—an 11-item questionnaire which self-report they experienced each 11 AUD criteria listed Diagnostic Statistical Manual Mental Disorders, Fifth Edition (DSM-5) over past-year timeframe. Patients could computer, smartphone, tablet any location) as part rooming process appointments). We examined measurement conducted differential item functioning analyses using theory examine consistency across these 2 assessment modalities. Results Among 3243 meeting eligibility this secondary analysis (2313/3243, 71% male; 2271/3243, 70% White; 2014/3243, 62% non-Hispanic), 1640 (51%) while 1603 (49%) clinic. Approximately 46% (752/1640) 48% (764/1603) ≥2 (the threshold diagnosis) (P=.37), respectively. A small degree was observed 4 items. produced only minimal impact total scores used clinically severity, affecting count maximum 0.13 (on scale ranging 0 11). Conclusions Completing online, prior check-in, performed similarly in-clinic modality medical assistant time appointment. Findings have implications symptom assessments streamline workflows, reduce staff burden, stigma, potentially do not receive in-person Whether DSM-5 differentially impacts treatment unknown.

Язык: Английский

Equivalence of alcohol use disorder symptom assessments in routine clinical care when completed remotely via online patient portals versus in-clinic via paper questionnaires: Psychometric evaluation (Preprint) DOI Creative Commons
Theresa E. Matson, Amy K Lee, Malia Oliver

и другие.

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e52101 - e52101

Опубликована: Июнь 7, 2024

Background The National Institute on Alcohol Abuse and Alcoholism (NIAAA) recommends the paper-based or computerized Symptom Checklist to assess alcohol use disorder (AUD) symptoms in routine care when patients report high-risk drinking. However, it is unknown whether response characteristics differ administered online (eg, remotely via an electronic health record [EHR] patient portal before appointment) versus clinic paper after appointment check-in). Objective This study evaluated psychometric performance of completed during clinical care. Methods cross-sectional, obtained EHR data from by adult integrated system Washington state. sample included who had a primary visit 2021 at 1 32 practices, were due for annual behavioral screening, reported drinking screen (Alcohol Use Disorder Identification Test–Consumption score ≥7). After with typically asked complete Checklist—an 11-item questionnaire which self-report they experienced each 11 AUD criteria listed Diagnostic Statistical Manual Mental Disorders, Fifth Edition (DSM-5) over past-year timeframe. Patients could computer, smartphone, tablet any location) as part rooming process appointments). We examined measurement conducted differential item functioning analyses using theory examine consistency across these 2 assessment modalities. Results Among 3243 meeting eligibility this secondary analysis (2313/3243, 71% male; 2271/3243, 70% White; 2014/3243, 62% non-Hispanic), 1640 (51%) while 1603 (49%) clinic. Approximately 46% (752/1640) 48% (764/1603) ≥2 (the threshold diagnosis) (P=.37), respectively. A small degree was observed 4 items. produced only minimal impact total scores used clinically severity, affecting count maximum 0.13 (on scale ranging 0 11). Conclusions Completing online, prior check-in, performed similarly in-clinic modality medical assistant time appointment. Findings have implications symptom assessments streamline workflows, reduce staff burden, stigma, potentially do not receive in-person Whether DSM-5 differentially impacts treatment unknown.

Язык: Английский

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