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Using Web-Based Questionnaires and Obstetric Records to Assess General Health Characteristics Among Pregnant Women: A Validation Study.

van Gelder MM, Schouten NP, Merkus PJ, Verhaak CM, Roeleveld N, Roukema J - J. Med. Internet Res. (2015)

Bottom Line: Self-reported questionnaire data were compared with obstetric records for 519 pregnant women participating in the Dutch PRegnancy and Infant DEvelopment (PRIDE) Study from July 2011 through November 2012.For specific conditions, we found high observed proportions of negative agreement (range 0.88-1.00) and on average moderate observed proportions of positive agreement with a wide range (range 0.19-0.90).The ICCs for blood pressure readings ranged between 0.72 and 0.92 with very small mean differences between the 2 methods of data collection.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department for Health Evidence, Radboud Institute for Health Sciences, Radboud university medical center, Nijmegen, Netherlands. Marleen.vanGelder@radboudumc.nl.

ABSTRACT

Background: Self-reported medical history information is included in many studies. However, data on the validity of Web-based questionnaires assessing medical history are scarce. If proven to be valid, Web-based questionnaires may provide researchers with an efficient means to collect data on this parameter in large populations.

Objective: The aim of this study was to assess the validity of a Web-based questionnaire on chronic medical conditions, allergies, and blood pressure readings against obstetric records and data from general practitioners.

Methods: Self-reported questionnaire data were compared with obstetric records for 519 pregnant women participating in the Dutch PRegnancy and Infant DEvelopment (PRIDE) Study from July 2011 through November 2012. These women completed Web-based questionnaires around their first prenatal care visit and in gestational weeks 17 and 34. We calculated kappa statistics (κ) and the observed proportions of positive and negative agreement between the baseline questionnaire and obstetric records for chronic conditions and allergies. In case of inconsistencies between these 2 data sources, medical records from the woman's general practitioner were consulted as the reference standard. For systolic and diastolic blood pressure, intraclass correlation coefficients (ICCs) were calculated for multiple data points.

Results: Agreement between the baseline questionnaire and the obstetric record was substantial (κ=.61) for any chronic condition and moderate for any allergy (κ=.51). For specific conditions, we found high observed proportions of negative agreement (range 0.88-1.00) and on average moderate observed proportions of positive agreement with a wide range (range 0.19-0.90). Using the reference standard, the sensitivity of the Web-based questionnaire for chronic conditions and allergies was comparable to or even better than the sensitivity of the obstetric records, in particular for migraine (0.90 vs 0.40, P=.02), asthma (0.86 vs 0.61, P=.04), inhalation allergies (0.92 vs 0.74, P=.003), hay fever (0.90 vs 0.64, P=.001), and allergies to animals (0.89 vs 0.53, P=.01). However, some overreporting of allergies was observed in the questionnaire and for some nonsomatic conditions sensitivity of both measurement instruments was low. The ICCs for blood pressure readings ranged between 0.72 and 0.92 with very small mean differences between the 2 methods of data collection.

Conclusions: Web-based questionnaires can be used to validly collect data on many chronic disorders, allergies, and blood pressure readings among pregnant women.

No MeSH data available.


Related in: MedlinePlus

Flow chart of study participants.
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figure2: Flow chart of study participants.

Mentions: Women enrolled in the PRIDE Study between July 2011 through November 2012 were eligible for this study (N=725). The overall participation rate in the PRIDE Study was 42.90% (725/1690) during this time period. Figure 2 shows the flow of participants. Of the 725 women enrolled during the study period, 22 (3.0%) only completed a few sections of the baseline questionnaire, mostly because of technical issues in the first weeks of enrollment. Among those with complete baseline questionnaires, 24.8% (174/703) did not give consent for medical record review. Furthermore, 10 women were excluded because their obstetric records were not available (n=9) or they participated with multiple pregnancies in the PRIDE Study (n=1). Therefore, 519 women were included in this validation study. Compared with the women who did not give consent to obtain medical records, women participating in this validation study were more likely to have a lower level of education (P=.03) and to be obese (P=.06; Table 1). Furthermore, women who did not give consent for medical record review were more likely to have completed the baseline questionnaire before their first prenatal care visit compared to women included in the validation study (P=.02). We did not observe substantial differences in maternal age, country of birth, gravidity, and gestational age at inclusion between these 2 groups. Regarding the blood pressure readings, follow-up information was not available for all participants for several reasons: (1) they did not reach the gestational week for administration of questionnaire 2 or 3 yet at the date of obstetric record review; (2) they had a miscarriage, stillbirth, termination of pregnancy (TOP), or very preterm birth; or (3) they skipped questionnaire 2 or 3, were lost to follow-up, or changed prenatal care provider resulting in incomplete obstetric records.


Using Web-Based Questionnaires and Obstetric Records to Assess General Health Characteristics Among Pregnant Women: A Validation Study.

van Gelder MM, Schouten NP, Merkus PJ, Verhaak CM, Roeleveld N, Roukema J - J. Med. Internet Res. (2015)

Flow chart of study participants.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4526940&req=5

figure2: Flow chart of study participants.
Mentions: Women enrolled in the PRIDE Study between July 2011 through November 2012 were eligible for this study (N=725). The overall participation rate in the PRIDE Study was 42.90% (725/1690) during this time period. Figure 2 shows the flow of participants. Of the 725 women enrolled during the study period, 22 (3.0%) only completed a few sections of the baseline questionnaire, mostly because of technical issues in the first weeks of enrollment. Among those with complete baseline questionnaires, 24.8% (174/703) did not give consent for medical record review. Furthermore, 10 women were excluded because their obstetric records were not available (n=9) or they participated with multiple pregnancies in the PRIDE Study (n=1). Therefore, 519 women were included in this validation study. Compared with the women who did not give consent to obtain medical records, women participating in this validation study were more likely to have a lower level of education (P=.03) and to be obese (P=.06; Table 1). Furthermore, women who did not give consent for medical record review were more likely to have completed the baseline questionnaire before their first prenatal care visit compared to women included in the validation study (P=.02). We did not observe substantial differences in maternal age, country of birth, gravidity, and gestational age at inclusion between these 2 groups. Regarding the blood pressure readings, follow-up information was not available for all participants for several reasons: (1) they did not reach the gestational week for administration of questionnaire 2 or 3 yet at the date of obstetric record review; (2) they had a miscarriage, stillbirth, termination of pregnancy (TOP), or very preterm birth; or (3) they skipped questionnaire 2 or 3, were lost to follow-up, or changed prenatal care provider resulting in incomplete obstetric records.

Bottom Line: Self-reported questionnaire data were compared with obstetric records for 519 pregnant women participating in the Dutch PRegnancy and Infant DEvelopment (PRIDE) Study from July 2011 through November 2012.For specific conditions, we found high observed proportions of negative agreement (range 0.88-1.00) and on average moderate observed proportions of positive agreement with a wide range (range 0.19-0.90).The ICCs for blood pressure readings ranged between 0.72 and 0.92 with very small mean differences between the 2 methods of data collection.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department for Health Evidence, Radboud Institute for Health Sciences, Radboud university medical center, Nijmegen, Netherlands. Marleen.vanGelder@radboudumc.nl.

ABSTRACT

Background: Self-reported medical history information is included in many studies. However, data on the validity of Web-based questionnaires assessing medical history are scarce. If proven to be valid, Web-based questionnaires may provide researchers with an efficient means to collect data on this parameter in large populations.

Objective: The aim of this study was to assess the validity of a Web-based questionnaire on chronic medical conditions, allergies, and blood pressure readings against obstetric records and data from general practitioners.

Methods: Self-reported questionnaire data were compared with obstetric records for 519 pregnant women participating in the Dutch PRegnancy and Infant DEvelopment (PRIDE) Study from July 2011 through November 2012. These women completed Web-based questionnaires around their first prenatal care visit and in gestational weeks 17 and 34. We calculated kappa statistics (κ) and the observed proportions of positive and negative agreement between the baseline questionnaire and obstetric records for chronic conditions and allergies. In case of inconsistencies between these 2 data sources, medical records from the woman's general practitioner were consulted as the reference standard. For systolic and diastolic blood pressure, intraclass correlation coefficients (ICCs) were calculated for multiple data points.

Results: Agreement between the baseline questionnaire and the obstetric record was substantial (κ=.61) for any chronic condition and moderate for any allergy (κ=.51). For specific conditions, we found high observed proportions of negative agreement (range 0.88-1.00) and on average moderate observed proportions of positive agreement with a wide range (range 0.19-0.90). Using the reference standard, the sensitivity of the Web-based questionnaire for chronic conditions and allergies was comparable to or even better than the sensitivity of the obstetric records, in particular for migraine (0.90 vs 0.40, P=.02), asthma (0.86 vs 0.61, P=.04), inhalation allergies (0.92 vs 0.74, P=.003), hay fever (0.90 vs 0.64, P=.001), and allergies to animals (0.89 vs 0.53, P=.01). However, some overreporting of allergies was observed in the questionnaire and for some nonsomatic conditions sensitivity of both measurement instruments was low. The ICCs for blood pressure readings ranged between 0.72 and 0.92 with very small mean differences between the 2 methods of data collection.

Conclusions: Web-based questionnaires can be used to validly collect data on many chronic disorders, allergies, and blood pressure readings among pregnant women.

No MeSH data available.


Related in: MedlinePlus