COMPUTER DIAGNOSIS--EPIDEMIOLOGIC APPLICATIONS

这项研究涉及五个微型计算机的开发和评估 NIMH诊断访谈时间表（DIS）的管理版本。 的 DIS正在许多流行病学、研究和临床中被使用和研究 它被证明具有良好的可靠性。 时间 管理面试是可以接受的大多数研究用途，但除了 新的诊断将使完整的采访太长， 应用. 面试评分已经需要电脑了。 具体目标#1是在微机系统上提供所有访谈 能够以可接受的方式和低成本运行它们。 的IBM PC-XT已被选中，将能够存储超过400个完整的 访谈以及在数据收集后几分钟生成摘要， 完成 综合安全分遣队的面谈将按照MUMPS标准和 第二个版本也将在C/PM-86或DOS 2.C下运行。 具体目标2是筹备和评价综合安全分遣队的五次约谈 用于微机管理。 三个电脑面试将是 准备提示人类面试官：完整DIS;缩短DIS;和快速 还将准备两次直接的患者-计算机访谈： 完整的DIS和缩短的DIS。所有五个面试将使用相同的评分 程序，并可以生成将识别数据源的摘要 （访谈者或患者）和访谈性质（完整、简短或快速 entry）。 重点将放在缩短的版本。 评估将在威斯康星州的麦迪逊和密苏里州的圣路易斯进行 超过300名患者，并将允许比较 四种主要诊断类别（精神分裂症， 情感障碍、焦虑症和药物滥用或反社会 人格障碍）。 这项研究的最终产品将是一套计算机程序， 可以以低成本广泛使用。 这些计划将减少时间 培训面试官的成本，在很大程度上消除了 访问者在病人的计算机版本，并允许更新， 统一从软盘。

This research involves the development and evaluation of five microcomputer administered versions of the NIMH-Diagnostic Interview Schedule (DIS). The DIS is being used and studied in many epidemiologic, research and clinical settings where it has been shown to have good reliability. Time to administer the interview is acceptable for most research uses but addition of new diagnoses will make the full interview too long for some applications. Scoring of the interview already requires a computer. Specific Aim #1 is to provide all interviews on a microcomputer system capable of running them in an acceptable manner and at a low cost. The IBM PC-XT has been selected and will be capable of storing more than 400 full interviews as well as generating summaries minutes after data collection is completed. The DIS interviews will be programmed in MUMPS standard and a second version will also run under C/PM-86 or DOS 2.C. Specific Aim #2 is the preparation and evaluation of five DIS interviews for microcomputer administration. Three computer interviews will be prepared to prompt human interviewers: Full DIS; Shortened DIS; and Quick Entry DIS. Two direct patient-computer interviews will also be prepared: Full DIS and Shortened DIS. All five interviews will use the same scoring program and can generate summaries which will identify the data source (interviewer or patient) and nature of the interview (full, short or quick entry). Emphasis will be placed on the shortened versions. Evaluations will be conducted in Madison, Wisconsin and St. Louis, Missouri with more than 300 patients and will permit comparisons between the different methods for four major diagnostic categories (schizophrenia, affective disorders, anxiety disorders and drug abuse or antisocial personality disorders). The final product of this research will be a set of computer programs that can be made widely available at low cost. These programs will reduce time and cost of training interviewers, largely eliminate the need for interviewers in the patient-computer version and permit updates to be made uniformly from floppy discs.