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Telepsychiatry: assessment of televideo psychiatric interview reliability with present‐ and next‐generation internet infrastructures
Author(s) -
Yoshino Aihide,
Shigemura Jun,
Kobayashi Yuji,
Nomura Soichiro,
Shishikura Kurie,
Den Ryosuke,
Wakisaka Hitoshi,
Kamata Shiho,
Ashida Hiroshi
Publication year - 2001
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1034/j.1600-0447.2001.00236.x
Subject(s) - intraclass correlation , telepsychiatry , psychiatry , brief psychiatric rating scale , the internet , psychology , reliability (semiconductor) , rating scale , medicine , telemedicine , clinical psychology , psychometrics , psychosis , computer science , health care , power (physics) , developmental psychology , physics , quantum mechanics , world wide web , economics , economic growth
Objective: We assessed the reliability of remote video psychiatric interviews conducted via the internet using narrow and broad bandwidths. Method: Televideo psychiatric interviews conducted with 42 in‐patients with chronic schizophrenia using two bandwidths (narrow, 128 kilobits/s; broad, 2 megabits/s) were assessed in terms of agreement with face‐to‐face interviews in a test–retest fashion. As a control, agreement was assessed between face‐to‐face interviews. Psychiatric symptoms were rated using the Oxford version of the Brief Psychiatric Rating Scale (BPRS), and agreement between interviews was estimated as the intraclass correlation coefficient (ICC). Results: The ICC was significantly lower in the narrow bandwidth than in the broad bandwidth and the control for both positive symptoms score and total score. Conclusion: While reliability of televideo psychiatric interviews is insufficient using the present narrow‐band internet infrastructure, the next generation of infrastructure (broad‐band) may permit reliable diagnostic interviews.