Utility of telephone assessments in an older adult population.

Senior, Ashley; Kunik, Mark E.; Rhoades, Howard M.; Novy, Diane M.; Wilson, Nancy; Stanley, Melinda A.

doi:10.1037/0882-7974.22.2.392

Cited by 28 publications

(23 citation statements)

References 42 publications

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“…Psychometric properties for telephone-based assessment instruments were comparable to in-person versions. 39 …”

Section: Methodsmentioning

confidence: 99%

“…In future studies, it will be important to examine the impact of treatment delivered by providers without specialized CBT expertise. Improved integration with ongoing care would be facilitated through use of an EMR to identify patients and communicate with providers, 39 and collaborative models of care that incorporate both CBT and medication need to be tested.…”

Section: Commentmentioning

confidence: 99%

See 1 more Smart Citation

Cognitive Behavior Therapy for Generalized Anxiety Disorder Among Older Adults in Primary Care

Stanley¹,

Wilson²,

Novy³

et al. 2009

JAMA

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“…Psychometric properties for telephone-based assessment instruments were comparable to in-person versions. 39 …”

Section: Methodsmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Cognitive Behavior Therapy for Generalized Anxiety Disorder Among Older Adults in Primary Care

Stanley¹,

Wilson²,

Novy³

et al. 2009

JAMA

Self Cite

240

173

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“…Participants were provided with blank copies of the self-report measures with which to follow along during the telephone assessment and received a $20 gift card upon completion. Data from an overlapping sample suggest comparable psychometric properties for telephone-administered and in-person instruments (Senior, et al, 2007). …”

mentioning

confidence: 98%

Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients

Gloster

Rhoades

Novy

et al. 2008

Journal of Affective Disorders

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378

290

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The Depression Anxiety Stress Scale (DASS) was designed to efficiently measure the core symptoms of anxiety and depression and has demonstrated positive psychometric properties in adult samples of anxiety and depression patients and student samples. Despite these findings, the psychometric properties of the DASS remain untested in older adults, for whom the identification of efficient measures of these constructs is especially important.To determine the psychometric properties of the DASS 21-item version in older adults, we analyzed data from 222 medical patients seeking treatment to manage worry. Consistent with younger samples, a three-factor structure best fit the data. Results also indicated good internal consistency, excellent convergent validity, and good discriminative validity, especially for the depression scale. Receiver operating curve analyses indicated that the DASS-21 predicted the diagnostic presence of generalized anxiety disorder and depression as well as other commonly used measures.These data suggest that the DASS may be used with older adults in lieu of multiple scales designed to measure similar constructs, thereby reducing participant burden and facilitating assessment in settings with limited assessment resources. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Psychometric Properties of the Depression Anxiety and Stress Scale-21 in Older Primary Care PatientsLovibond and Lovibond (1995a) developed a single measure to assess the core symptoms of depression and anxiety while maximizing discriminant validity between these constructs. Using an empirically driven iterative process, they identified a third factor, which they labeled stress. Their research resulted in the Depression Anxiety Stress Scale (DASS), which consists of 42 items comprising three scales of 14 items. Items refer to the past week; and scores range from 0, "Did not apply to me at all," to 4, "Applied to me very much, or most of the time." The Depression scale measures hopelessness, low self-esteem, and low positive affect. The Anxiety scale assesses autonomic arousal, physiological hyperarousal, and the subjective feeling of fear. The Stress scale items measure tension, agitation, and negative affect. Brown, et al., 1997;Clara et al., 2001), , and Depression -Stress (.57 -.79). Older AdultsDespite encouraging psychometric data with the DASS in younger adults, the measure remains untested in older adults. Given the high prevalence of anxiety, depression, and comorbid anxiety-depression in older adults and the need for briefer instruments that efficiently ev...

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“…Additionally, while many researchers suggest that the use of telephone-based evaluations produce results that are comparable to face-to-face administration [6, 7, 11–17], others question the reliability and validity of some applications of telephone-based data collection [25]. Senior and colleagues [26] have recently discussed this concern specifically related to patient self-report measures, and found that telephone-administered follow-up does adequately correlate with in-person interviews for two commonly used depression and anxiety self-reports. Furthermore, they surmise that additional benefits provided by telephone assessments include facilitating a more diverse patient population and once again providing a more beneficial cost-effectiveness model for clinical research [26].…”

Section: Introductionmentioning

confidence: 99%

“…Senior and colleagues [26] have recently discussed this concern specifically related to patient self-report measures, and found that telephone-administered follow-up does adequately correlate with in-person interviews for two commonly used depression and anxiety self-reports. Furthermore, they surmise that additional benefits provided by telephone assessments include facilitating a more diverse patient population and once again providing a more beneficial cost-effectiveness model for clinical research [26]. We believe that telephone-based assessments provide the best chance for minimizing missing data, a common problem in longitudinal depression studies.…”

Section: Introductionmentioning

confidence: 99%

Telephone-based assessments to minimize missing data in longitudinal depression trials: A project IMPACTS study report

Claassen

Kurian

Trivedi³

et al. 2009

Contemporary Clinical Trials

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Purpose Missing data in clinical efficacy and effectiveness trials continue to be a major threat to the validity of study findings. The purpose of this report is to describe methods developed to ensure completion of outcome assessments with public mental health sector subjects participating in a longitudinal, repeated measures study for the treatment of major depressive disorder. We developed longitudinal assessment procedures that included telephone-based clinician interviews in order to minimize missing data commonly encountered with face-to-face assessment procedures. Methods A pre-planned, multi-step strategy was developed to ensure completeness of data collection. The procedure included obtaining multiple pieces of patient contact information at baseline, careful education of both staff and patients concerning the purpose of assessments, establishing good patient rapport, and finally being flexible and persistent with phone appointments to ensure the completion of telephone-based follow-up assessments. A well-developed administrative and organizational structure was also put in place prior to study implementation. Results The assessment completion rate for the primary outcome for 310 of 504 subjects who enrolled and completed 52 weeks (at the time of manuscript) of telephone-based follow-up assessments was 96.8%. Conclusion By utilizing telephone-based follow-up procedures and adapting our easy-to-use pre-defined multi-step approach, researchers can maximize patient data retention in longitudinal studies.

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Utility of telephone assessments in an older adult population.

Cited by 28 publications

References 42 publications

Cognitive Behavior Therapy for Generalized Anxiety Disorder Among Older Adults in Primary Care

Cognitive Behavior Therapy for Generalized Anxiety Disorder Among Older Adults in Primary Care

Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients

Telephone-based assessments to minimize missing data in longitudinal depression trials: A project IMPACTS study report

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