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Diagnostic Reliability of Telepsychiatry in American Indian Veterans

OBJECTIVE: This study examined the reliability of the Structured Clinical Interview for DSM-III-R (SCID) in the administration of psychiatric assessments by real-time videoconferencing compared to face-to-face assessment within a rural American Indian community. METHOD: The SCID was administered to 53 male American Indian veterans who were randomly assigned over two separate occasions by different interviewers to face-to-face and real-time interactive videoconferencing within 2 weeks. Comparisons were made with prevalences, the McNemar test, and the kappa statistic. RESULTS: With the exception of past-year substance dependence and abuse/dependence combined, there were no significant differences between face-to-face and videoconference administration. The majority of kappas calculated (76%) indicated a good or fair level of agreement. Externalizing disorders tended to elicit greater concordance than internalizing disorders. CONCLUSIONS: Overall, SCID assessment by live interactive videoconferencing did not differ significantly from face-to-face assessment in this population. Videoconferencing is a viable vehicle for clinical and research purposes.

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				J. H. Shore, E. Brooks, D. M. Savin, S. M. Manson, and A. M. Libby An Economic Evaluation of Telehealth Data Collection With Rural Populations Psychiatr Serv, June 1, 2007; 58(6): 830 - 835. [Abstract] [Full Text] [PDF]

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