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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

Bland-Altman plots showing the differences in reported systolic blood pressure (SBP) and diastolic blood pressure (DBP) between the 3 Web-based questionnaires and the obstetric record plotted against the mean of the 2 methods of data collection. Each data point shows one participant. The short dashed line shows the mean difference. The long dashed lines show the 95% limits of agreement (mean difference ±2 SD).
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figure3: Bland-Altman plots showing the differences in reported systolic blood pressure (SBP) and diastolic blood pressure (DBP) between the 3 Web-based questionnaires and the obstetric record plotted against the mean of the 2 methods of data collection. Each data point shows one participant. The short dashed line shows the mean difference. The long dashed lines show the 95% limits of agreement (mean difference ±2 SD).

Mentions: At baseline, the ICCs for SBP and DBP were 0.72 (95% CI 0.65-0.79) and 0.79 (95% CI 0.73-0.84), respectively. In the follow-up questionnaires, ICCs were substantially higher, ranging between 0.89 (95% CI 0.86-0.91; DBP in questionnaire 3) and 0.92 (95% CI 0.89-0.94; SBP in questionnaire 2). The Bland-Altman plots (Figure 3) also showed good agreement between the 2 methods of data collection with very small mean differences, ranging between 1.26 mm Hg (SD 7.72) for SBP in the baseline questionnaire and –0.04 (SD 4.09) for DBP in questionnaire 3. No trends in bias within the SBP and DBP ranges were observed. The secondary analyses, in which the date of the prenatal care visit was allowed to differ up to 5 days between the questionnaire and the obstetric record, yielded similar results (data not shown).


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)

Bland-Altman plots showing the differences in reported systolic blood pressure (SBP) and diastolic blood pressure (DBP) between the 3 Web-based questionnaires and the obstetric record plotted against the mean of the 2 methods of data collection. Each data point shows one participant. The short dashed line shows the mean difference. The long dashed lines show the 95% limits of agreement (mean difference ±2 SD).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

figure3: Bland-Altman plots showing the differences in reported systolic blood pressure (SBP) and diastolic blood pressure (DBP) between the 3 Web-based questionnaires and the obstetric record plotted against the mean of the 2 methods of data collection. Each data point shows one participant. The short dashed line shows the mean difference. The long dashed lines show the 95% limits of agreement (mean difference ±2 SD).
Mentions: At baseline, the ICCs for SBP and DBP were 0.72 (95% CI 0.65-0.79) and 0.79 (95% CI 0.73-0.84), respectively. In the follow-up questionnaires, ICCs were substantially higher, ranging between 0.89 (95% CI 0.86-0.91; DBP in questionnaire 3) and 0.92 (95% CI 0.89-0.94; SBP in questionnaire 2). The Bland-Altman plots (Figure 3) also showed good agreement between the 2 methods of data collection with very small mean differences, ranging between 1.26 mm Hg (SD 7.72) for SBP in the baseline questionnaire and –0.04 (SD 4.09) for DBP in questionnaire 3. No trends in bias within the SBP and DBP ranges were observed. The secondary analyses, in which the date of the prenatal care visit was allowed to differ up to 5 days between the questionnaire and the obstetric record, yielded similar results (data not shown).

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