COMPUTER DIAGNOSIS--EPIDEMIOLOGIC APPLICATIONS

本研究涉及五台微型计算机的研制和评价 NIMH-诊断性面谈时间表(DIS)的管理版本。这个 DIS在许多流行病学、研究和临床中得到了应用和研究 已被证明具有良好可靠性的设置。时间到了 管理访谈对于大多数研究用途都是可以接受的，但添加 新的诊断将使完整的面谈对一些人来说太长 申请。面试的评分已经需要一台电脑了。 具体目标1是在微型计算机系统上提供所有面谈 能够以可接受的方式和低成本运行它们。IBM PC-XT已被选中，将能够存储超过400个Full 访谈以及在数据收集几分钟后生成摘要 完成。DIS面谈将以腮腺炎标准和一个 第二版也可以在C/PM-86或DOS 2.C下运行。 具体目标2是准备和评估五次DIS面谈 用于微型计算机管理。三个计算机面试将是 准备好提示面试官：完整的DIS、缩短的DIS和Quick 进入DIS。还将准备两次直接的患者-计算机访谈： 完全DIS和缩短DIS。所有五个面试都将使用相同的分数 程序，并可以生成用于标识数据源的摘要 (面试者或病人)和面谈的性质(完整、简短或快速 条目)。重点将放在缩短的版本上。 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 有300多名患者，并将允许比较 针对四个主要诊断类别(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， 可以以较低的成本广泛使用。这些计划将减少时间 和培训面试官的成本，在很大程度上消除了 患者计算机版本中的面试者，并允许进行更新 都是从软盘上取的。

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.