Assessing sexual risk behaviour with the Timeline Followback (TLFB) approach: continued development and psychometric evaluation with psychiatric outpatients

Assessing sexual risk behaviour with the Timeline Followback (TLFB) approach: continued development and psychometric evaluation with psychiatric outpatients
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DOI:
10.1258/0956462011923309
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发表时间:
2001-06-01
影响因子:
1.4
通讯作者:
Weinhardt, LS
Weinhardt, LS
中科院分区:
医学4区
文献类型:
--
作者:
Carey, MP;Carey, KB;Weinhardt, LS

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本文介绍了一系列的4项研究,旨在提供证据的可行性,可靠性和有效性的时间轴随访(TLFB)方法时,用于评估精神科门诊患者的性风险行为。之所以选择这一人群,是因为患者由于注意力、记忆力和沟通技能的缺陷,往往难以完成对性风险行为的评估。所有4项研究均证明了HIV风险TLFB的可行性。研究1还表明,它可以在20分钟内完成,并在不到10分钟的评分。定性数据显示,患者和评估发现TLFB的功能有帮助。研究2提供的证据表明,艾滋病毒风险TLFB可以可靠地评分的访谈,而研究3表明,这项措施可以可靠地完成患者和TLFB的性行为是一致的,随着时间的推移。研究4提供了HIV风险TLFB有效性的初步证据,但也表明TLFB可能产生的频率估计值略低于单项目措施。我们的结论是,TLFB是可行的,可靠的,有效的,即使在一个已知有困难的自我报告措施的人口。
This paper describes a series of 4 studies, designed to provide evidence of the feasibility, reliability, and validity of the Timeline Followback (TLFB) method when used to assess sexual risk behaviour with psychiatric outpatients. This population was selected because patients often have difficulty completing assessments of sexual risk behaviours due to deficits in attention, memory, and communication skills. All 4 studies demonstrated the feasibility of the HIV-risk TLFB. Study 1 also demonstrated that it can be completed in 20 min, and scored in less than 10 min. Qualitative data revealed that both patients and assessors found the features of the TLFB helpful. Study 2 provided evidence that the HIV-risk TLFB can be reliably scored by interviewers whereas Study 3 demonstrated that this measure can be completed reliably by patients and that TLFB of sexual behaviour were consistent over time. Study 4 provided initial evidence for the validity of the HIV-risk TLFB but also suggested that the TLFB may yield frequency estimates that are slightly less than those obtained with single-item measures. We conclude that the TLFB is feasible, reliable, and valid, even in a population known to have difficulty with self-report measures.