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Accuracy of telepsychiatric assessment of new routine outpatient referrals.

Singh SP, Arya D, Peters T - BMC Psychiatry (2007)

Bottom Line: This is a primary, cross-sectional, single-cluster, balanced crossover, blind study involving new routine psychiatric referrals.The accuracy ratio of the pooled results for DSM-IV diagnoses, risk assessment, non-drug and drug interventions were all above 0.76, and the combined overall accuracy ratio was 0.81.There were substantial intermethod agreements for Cohen's kappa on all the major components of evaluation except on the Risk Assessment Scale where there was only weak agreement.

View Article: PubMed Central - HTML - PubMed

Affiliation: Wolverhampton City Primary Care Trust, Mental Health Directorate, Steps to Health, Showell Circus, Low Hill, Wolverhampton WV10 9TH, UK. spd@mediware.it

ABSTRACT

Background: Studies on the feasibility of telepsychiatry tend to concentrate only on a subset of clinical parameters. In contrast, this study utilises data from a comprehensive assessment. The main objective of this study is to compare the accuracy of findings from telepsychiatry with those from face to face interviews.

Method: This is a primary, cross-sectional, single-cluster, balanced crossover, blind study involving new routine psychiatric referrals. Thirty-seven out of forty cases fulfilling the selection criteria went through a complete set of independent face to face and video assessments by the researchers who were blind to each other's findings.

Results: The accuracy ratio of the pooled results for DSM-IV diagnoses, risk assessment, non-drug and drug interventions were all above 0.76, and the combined overall accuracy ratio was 0.81. There were substantial intermethod agreements for Cohen's kappa on all the major components of evaluation except on the Risk Assessment Scale where there was only weak agreement.

Conclusion: Telepsychiatric assessment is a dependable method of assessment with a high degree of accuracy and substantial overall intermethod agreement when compared with standard face to face interview for new routine outpatient psychiatric referrals.

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Related in: MedlinePlus

The sample randomisation. The numbers in the boxes are the serial numbers of the sample cases. Those crossed are drop-outs.
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Figure 1: The sample randomisation. The numbers in the boxes are the serial numbers of the sample cases. Those crossed are drop-outs.

Mentions: The assessment order for each method and for each psychiatrist was predetermined using a method of random allocation. The whole list was randomly divided into the two sub-lists, then participants were randomly allocated to have their first assessment either by researcher R1 or R2. The randomly selected half of the cases of each researcher (R1 and R2) had their first assessment by method S and the remaining half had their first assessment by method V. The second assessment (S or V as appropriate) of each individual case was subsequently completed by the other researcher (R1 or R2). The details of the randomisations and assessment procedures have been displayed in the Figure 1.


Accuracy of telepsychiatric assessment of new routine outpatient referrals.

Singh SP, Arya D, Peters T - BMC Psychiatry (2007)

The sample randomisation. The numbers in the boxes are the serial numbers of the sample cases. Those crossed are drop-outs.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2194760&req=5

Figure 1: The sample randomisation. The numbers in the boxes are the serial numbers of the sample cases. Those crossed are drop-outs.
Mentions: The assessment order for each method and for each psychiatrist was predetermined using a method of random allocation. The whole list was randomly divided into the two sub-lists, then participants were randomly allocated to have their first assessment either by researcher R1 or R2. The randomly selected half of the cases of each researcher (R1 and R2) had their first assessment by method S and the remaining half had their first assessment by method V. The second assessment (S or V as appropriate) of each individual case was subsequently completed by the other researcher (R1 or R2). The details of the randomisations and assessment procedures have been displayed in the Figure 1.

Bottom Line: This is a primary, cross-sectional, single-cluster, balanced crossover, blind study involving new routine psychiatric referrals.The accuracy ratio of the pooled results for DSM-IV diagnoses, risk assessment, non-drug and drug interventions were all above 0.76, and the combined overall accuracy ratio was 0.81.There were substantial intermethod agreements for Cohen's kappa on all the major components of evaluation except on the Risk Assessment Scale where there was only weak agreement.

View Article: PubMed Central - HTML - PubMed

Affiliation: Wolverhampton City Primary Care Trust, Mental Health Directorate, Steps to Health, Showell Circus, Low Hill, Wolverhampton WV10 9TH, UK. spd@mediware.it

ABSTRACT

Background: Studies on the feasibility of telepsychiatry tend to concentrate only on a subset of clinical parameters. In contrast, this study utilises data from a comprehensive assessment. The main objective of this study is to compare the accuracy of findings from telepsychiatry with those from face to face interviews.

Method: This is a primary, cross-sectional, single-cluster, balanced crossover, blind study involving new routine psychiatric referrals. Thirty-seven out of forty cases fulfilling the selection criteria went through a complete set of independent face to face and video assessments by the researchers who were blind to each other's findings.

Results: The accuracy ratio of the pooled results for DSM-IV diagnoses, risk assessment, non-drug and drug interventions were all above 0.76, and the combined overall accuracy ratio was 0.81. There were substantial intermethod agreements for Cohen's kappa on all the major components of evaluation except on the Risk Assessment Scale where there was only weak agreement.

Conclusion: Telepsychiatric assessment is a dependable method of assessment with a high degree of accuracy and substantial overall intermethod agreement when compared with standard face to face interview for new routine outpatient psychiatric referrals.

Show MeSH
Related in: MedlinePlus