Agreement of self-reported medical history: Comparison of an in-person interview with a self-administered questionnaire
Agreement of self-reported medical history: Comparison of an in-person interview with a self-administered questionnaire
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DOI：
10.1023/b:ejep.0000027350.85974.47
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发表时间：
2004-05-01
影响因子：
13.6
通讯作者：
Boeing, H
中科院分区：
文献类型：
--
作者：
Bergmann, MM;Jacobs, EJ;Boeing, H
目的：比较现场访谈中报告的 22 种不同疾病的病史与邮寄自填问卷中报告的病史。方法：欧洲癌症前瞻性调查 (EPIC)-波茨坦研究的 7841 名参与者。基线访谈和大约两年后随访时的问卷调查包括相同的问题，即参与者是否曾经接受过医生对每种疾病的诊断。访谈和问卷调查之间发生的事件诊断被排除在分析之外。结果：对于心肌梗塞、癌症和糖尿病，访谈自我报告与问卷自我报告的一致性最高（kappa = 0.83-0.88）；痛风、高血压、花粉热、哮喘、骨质疏松、十二指肠溃疡、甲状腺疾病、中风、肾结石的值较低（kappa = 0.68-0.77），慢性胃炎、胃溃疡、脑缺血、良性肿瘤、炎症性肠病、心绞痛、高脂血症、风湿病、结肠息肉等的值最低（kappa = 0.39-0.59）。皮肤病。对于较不严重或较短暂的疾病的一致性较差，主要是因为疾病经常在访谈中报告，而不是在问卷中报告。结论：自填问卷不会产生与个人访谈相同的信息，特别是对于不太严重或短暂的疾病。对于这些疾病，不建议采用自填问卷。测试有效性的试点研究是必要的。
Purpose: To compare history of 22 different diseases reported during an in-person interview with that reported on a mailed self-administered questionnaire. Methods: 7841 participants of the European Prospective Investigation into Cancer (EPIC)-Potsdam study. The interview at baseline and the questionnaire at follow-up approximately 2 years later included identical questions about whether the participant had ever had a physician diagnosis of each disease. Incident diagnoses occurring in the interval between the interview and questionnaire were excluded from the analysis. Results: Agreement between self-report from the interview and from the questionnaire was highest (kappa = 0.83-0.88) for myocardial infarction, cancer and diabetes mellitus; it was lower (kappa = 0.68-0.77) for gout, hypertension, hay fever, asthma, osteoporosis, ulcer of the duodenum, thyroid disease, stroke, and kidney stones, and was lowest (kappa = 0.39-0.59) for chronic gastritis, ulcer of the stomach, cerebral ischemia, benign tumor, inflammatory bowel disease, angina pectoris, hyper-lipidemia, rheumatism, colon polyps and skin disease. The poor agreement for less severe or more transient diseases was primarily a result of disease frequently being reported at the interview but not on the questionnaire. Conclusion: Self-administered questionnaires do not generate same information particularly for less severe or transient diseases as personal interviews. For these diseases, self-administered questionnaires are not recommended. Pilot studies that test validity will be necessary.