Postal and face-to-face administration of stroke outcome measures: can mixed modes be used?

Stroke. 2013 Jan;44(1):217-9. doi: 10.1161/STROKEAHA.112.671743. Epub 2012 Nov 20.

Abstract

Background and purpose: Different modes of administration are used to collect stroke outcomes, even within the same study, potentially leading to different results. We investigated the effect of administration mode (postal questionnaire; face-to-face interview) on self-reports of activities of daily living and mood.

Methods: The study was nested within a poststroke motivational interviewing trial. Activities of daily living (Barthel; Nottingham Extended) and mood (General Health Questionnaire; Yale) were collected at 3 and 12 months via postal questionnaire. Participants were approached to respond again via face-to-face interview. Paired t tests (McNemar test) and intraclass correlation coefficients (Cohen κ) were used, with 95% CI, to compare scores (items).

Results: Forty-four participants consented. Only Barthel scores were significantly different; they were 1.0 (95% CI, 0.5-1.6) higher face-to-face. The intraclass correlation coefficient for the Barthel was 0.90; for the other scales it was between 0.83 and 0.87. The Yale κ was 0.72.

Conclusions: Modes of administration might be used interchangeably, albeit in conjunction with corrections for the Barthel.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living / psychology*
  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Motivational Interviewing / methods*
  • Outcome Assessment, Health Care / methods*
  • Postal Service / methods*
  • Stroke / epidemiology
  • Stroke / psychology*
  • Stroke / therapy
  • Surveys and Questionnaires*
  • Time Factors