Self-Report of Tobacco Use Status: Comparison of Paper-Based Questionnaire, Online Questionnaire, and Direct Face-to-Face Interview—Implications for Meaningful Use
- 1 June 2014
- journal article
- research article
- Published by Mary Ann Liebert Inc in Population Health Management
- Vol. 17 (3), 185-189
- https://doi.org/10.1089/pop.2013.0051
Abstract
Identifying tobacco use status is essential to address use and provide resources to help patients quit. Being able to collect this information in an electronic format will become increasingly important, as the Centers for Medicare and Medicaid Services has included the assessment of tobacco use as part of its Stage 1 Meaningful Use criteria. The objective was to compare the accuracy of online vs. paper assessment methods to ascertain cigarette smoking status using a face-to-face structured interview as the gold standard. This was a retrospective analysis of a stratified opportunity sample of consecutive patients, reporting in 2010 for a periodic health evaluation, who completed either a scannable paper-based form or an online questionnaire and underwent a standardized rooming interview. Compared with face-to-face structured interview, the overall observed agreement and kappa coefficient for both methods combined (paper and online) were 97.7% and 0.69 (95% confidence interval (CI) 0.51-0.86) . For the online form they were 97.4% and 0.61 (95% CI 0.33-0.90), and for the paper form they were 97.9% and 0.75 (95% CI 0.54-0.96). There was no statistically significant difference in agreement between the online and paper-based methods (P=0.76) compared with a face-to-face structured interview. Online assessment of tobacco use status is as accurate as a paper questionnaire, and both methods have greater than 97% observed agreement with a face-to-face structured interview. The use of online assessment of tobacco use status has several advantages and more widespread use should be explored.Keywords
This publication has 13 references indexed in Scilit:
- The Validity of Self-Reported Nicotine Product Use in the 2001–2008 National Health and Nutrition Examination SurveyMedical Care, 2010
- Impact of T-ACASI on Survey Measurements of Subjective PhenomenaPublic Opinion Quarterly, 2009
- Have you had a tetanus booster in the last 10 years? Sensitivity and specificity of the questionPatient Education and Counseling, 2008
- Reducing bias in telephone survey estimates of the prevalence of drug use: a randomized trial of telephone audio‐CASIAddiction, 2005
- Validation of a Five-Point Self-Rated Stress ScoreAmerican Journal of Health Promotion, 2005
- Mail surveys resulted in more reports of substance use than telephone surveysJournal of Clinical Epidemiology, 2005
- The Differential Effects of Face-to-Face and Computer Interview ModesAmerican Journal of Public Health, 2002
- Are patients truthful about their smoking habits? A validation of self‐report about smoking cessation with biochemical markers of smoking activity amongst patients with ischaemic heart diseaseJournal of Internal Medicine, 2001
- Randomized Controlled Trial of Audio Computer-assisted Self-Interviewing: Utility and Acceptability in Longitudinal StudiesAmerican Journal of Epidemiology, 2000
- The effect of mode of data collection and of non-response on reported alcohol consumption: a split-sample study in SwitzerlandAddiction, 2000