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      Audio Computer-Assisted Interview: uma nova tecnologia em avaliação de comportamento de risco em doenças sexualmente transmissíveis, HIV e uso de drogas Translated title: Audio Computer-Assisted Interview: a new technology in the assessment of sexually transmitted diseases, HIV, and drug use

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          Abstract

          A preocupação com a fidedignidade das respostas em questionários que envolvem comportamentos passíveis de julgamento, crítica ou estigma social tem levado pesquisadores a considerar métodos alternativos de coleta de informações. O presente artigo procede a uma revisão sistemática da literatura internacional referente à implementação, utilização, validade e confiabilidade do ACASI (Entrevista Computadorizada de Autopreenchimento), relacionadas à mensuração do consumo de drogas e/ou comportamento sexual. Foram analisados 24 artigos, nenhum deles refere-se a estudos feitos no Brasil e apenas três fora dos Estados Unidos. Os estudos têm evidenciado que este método é capaz de reduzir barreiras psicológicas e chamam a atenção para a possibilidade do ACASI apresentar confiabilidade mais elevada quando empregado na avaliação de comportamentos estigmatizantes. Os achados corroboram a expectativa do ACASI como um método que proporciona uma avaliação rápida e fidedigna de um grande número de participantes e sua utilidade na geração de dados que possam ser rapidamente processados e analisados.

          Translated abstract

          Reliable responses are crucial when applying questionnaires on sensitive and stigmatized behaviors. This challenge has motivated researchers to develop new data collection methods. We conducted a systematic literature review on the implementation, effectiveness, reliability, and validity studies of ACASI (Audio Computer-Assisted Interview) in the assessment of drug use and sexual behavior. We reviewed 24 papers, none of which published by Brazilian researchers, and only three of which describing research implemented outside the United States. The studies showed that the computerized method is able to reduce psychological barriers linked to the collection of sensitive health-related information, thereby increasing its reliability. According to the surveys, the ACASI format is a fast and valid assessment method for large samples. ACASI generates databanks that can be easily processed and analyzed.

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          Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology.

          Surveys of risk behaviors have been hobbled by their reliance on respondents to report accurately about engaging in behaviors that are highly sensitive and may be illegal. An audio computer-assisted self-interviewing (audio-CASI) technology for measuring those behaviors was tested with 1690 respondents in the 1995 National Survey of Adolescent Males. The respondents were randomly assigned to answer questions using either audio-CASI or a more traditional self-administered questionnaire. Estimates of the prevalence of male-male sex, injection drug use, and sexual contact with intravenous drug users were higher by factors of 3 or more when audio-CASI was used. Increased reporting was also found for several other risk behaviors.
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            The differential effects of face-to-face and computer interview modes.

            This study assessed the differential effects of face-to-face interviewing and audio-computer assisted self-interviewing (audio-CASI) on categories of questions. Syringe exchange program participants (n = 1417) completed face-to-face interviews or audio-CASI. The questionnaire was categorized into the groups "stigmatized behaviors," "neutral behaviors," and "psychological distress." Interview modes were compared for questions from each category. Audio-CASI elicited more frequent reporting of "stigmatized behaviors" than face-to-face interviews. Face-to-face interviewing elicited more frequent reporting of "psychological distress" than audio-CASI. Responding to potentially sensitive questions should not be seen as merely "providing data," but rather as an activity with complex motivations. These motivations can include maintaining social respect, obtaining social support, and altruism. Ideally, procedures for collecting self-report data would maximize altruistic motivation while accommodating the other motives.
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              Application of computer-assisted interviews to sexual behavior research.

              Collection of sensitive data with the use of video-enhanced, computer-assisted, self-administered interviews (V-CASI) has the potential to reduce interview bias and improve the validity of the study. The purpose of this study was to compare responses to sensitive questions elicited by V-CASI and by face-to-face interview (FTFI) methods. Women attending a New Orleans, Louisiana, public family planning or sexually transmitted disease clinic from July 1995 to July 1996, diagnosed with a Chlamydia trachomatis infection responded to eight close-ended behavioral questions (four socially undesirable, two socially desirable, and two neutral behaviors) using both FTFI and V-CASI techniques in a randomized crossover design. Of the 280 women included, the mean age was 23 years, 95 percent were African American, and 71 percent felt comfortable using computers. While kappa scores indicated good-to-excellent agreement between interview techniques, women tended to admit to socially undesirable behaviors more often on V-CASI compared with FTFI. Thirty percent of the women gave a discrepant response between V-CASI and FTFI toward social desirability. Women who reported a socially undesirable behavior in V-CASI (i.e., more than two sex partners and infrequent condom usage) were more likely to have a discrepant response. Utilization of the same logistic regression model to predict condom use yielded different results when data from V-CASI were used compared with data from FTFI. The V-CASI technique can reduce social desirability bias and improve validity in research requiring information on sensitive sexual behaviors.
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                Author and article information

                Journal
                csp
                Cadernos de Saúde Pública
                Cad. Saúde Pública
                Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz (Rio de Janeiro, RJ, Brazil )
                0102-311X
                1678-4464
                October 2004
                : 20
                : 5
                : 1169-1181
                Affiliations
                [02] Rio de Janeiro orgnameFundação Oswaldo Cruz orgdiv1Centro de Informação Científica e Tecnológica orgdiv2Departamento de Informações em Saúde Brasil
                [01] orgnameSecretaria de Estado de Saúde do Estado do Rio de Janeiro orgdiv1Centro Estadual de Tratamento e Reabilitação de Adictos
                Article
                S0102-311X2004000500010 S0102-311X(04)02000510
                10.1590/S0102-311X2004000500010
                15486659
                e170b6bb-bfac-405a-830c-c343b97d5dc6

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 25 May 2004
                : 08 August 2003
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 27, Pages: 13
                Product

                SciELO Brazil

                Self URI: Texto completo somente em PDF (PT)
                Categories
                Revisão

                Sexually Transmitted Diseases,Sexual Behavior,HIV,Street Drug,Drogas Ilícitas,Doenças Sexualmente Transmissíveis,Comportamento Sexual

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