Reliability of telepsychiatry assessments

Subjective versus observational ratings

Beverly N. Jones, Deirdre Johnston, Beth Reboussin, William Vaughn McCall

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Geriatric patients in underserved areas could benefit from the use of telecommunications to expand access to mental health services. It is important to determine the clinical limitations of using videoconferencing for psychiatric assessments, particularly in the elderly. The goal of this study was to test the hypothesis that videoconferencing ratings based on visual observations of behavior would be less reliable than ratings based on patients' verbal reports of symptoms. Videoconferencing assessments of 30 geriatric patients using low-bandwidth (ISDN) equipment were compared to gold standard face-to-face assessments. The Brief Psychiatric Rating Scale (BPRS) was dichotomized into subjective items based on patients' verbal reports and observational items based on visual ratings of behavior. Reliability of the BPRS subjective items was consistently higher than for the observational items. Future studies should emphasize the accuracy of telemedicine ratings that require visual observation of behavior, which is crucial to clinical assessment of psychogeriatric conditions.

Original languageEnglish (US)
Pages (from-to)66-71
Number of pages6
JournalJournal of Geriatric Psychiatry and Neurology
Volume14
Issue number2
DOIs
StatePublished - Jan 1 2001
Externally publishedYes

Fingerprint

Videoconferencing
Brief Psychiatric Rating Scale
Geriatric Assessment
Geriatric Psychiatry
Telecommunications
Telemedicine
Mental Health Services
Vulnerable Populations
Geriatrics
Psychiatry
Equipment and Supplies
Behavior Observation Techniques

ASJC Scopus subject areas

  • Clinical Neurology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

Reliability of telepsychiatry assessments : Subjective versus observational ratings. / Jones, Beverly N.; Johnston, Deirdre; Reboussin, Beth; McCall, William Vaughn.

In: Journal of Geriatric Psychiatry and Neurology, Vol. 14, No. 2, 01.01.2001, p. 66-71.

Research output: Contribution to journalArticle

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