Process and implementation of Audio Computer Assisted Self-Interviewing (ACASI) assessments in low resource settings: a case example from Zambia
Identifieur interne : 000E51 ( Main/Merge ); précédent : 000E50; suivant : 000E52Process and implementation of Audio Computer Assisted Self-Interviewing (ACASI) assessments in low resource settings: a case example from Zambia
Auteurs : J. C. Kane [États-Unis] ; L. K. Murray [États-Unis] ; S. Sughrue [États-Unis] ; J. Demulder [États-Unis] ; S. Skavenski Van Wyk [États-Unis] ; J. Queenan [États-Unis] ; A. Tang [États-Unis] ; P. Bolton [États-Unis]Source :
- Global Mental Health [ 2054-4251 ] ; 2016.
Abstract
Studies from low- and middle-income countries (LMIC) indicate that the use of audio computer-assisted self-interviewing (ACASI) is associated with more accurate reporting of sensitive behaviors (e.g. substance use and sexual risk behaviors) compared with interviewer-administered questionnaires. There is a lack of published information on the process of designing, developing, and implementing ACASI in LMIC. In this paper we describe our experience implementing an ACASI system for use with a population of orphans and vulnerable children in Zambia.
A questionnaire of mental health, substance use, and HIV risk behaviors was converted into an ACASI system, tested in pilot and validity studies, and implemented for use in a randomized controlled trial. Successes, barriers, and challenges associated with each stage in the development and implementation of ACASI are described.
We were able to convert a lengthy and complex survey into an ACASI system that was feasible for use in Zambia. Lessons learned include the importance of: (1) piloting the written and electronic versions; (2) proper and extensive training for study assessors to use ACASI and for those doing voice recordings; and (3) attention to logistics such as appropriate space, internet, and power.
We found that ACASI was feasible and acceptable in Zambia with proper planning, training, and supervision. Given mounting evidence indicating that ACASI provides more accurate self-report data and immediate data download compared with interview-administered measures, it may be an effective and economical alternative for behavioral health research studies in LMIC.
Url:
DOI: 10.1017/gmh.2016.19
PubMed: 28596892
PubMed Central: 5454788
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Tang</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of Public Health and Community Medicine</addr-line>,<institution>Tufts University School of Medicine</institution>,<addr-line>136 Harrison Avenue</addr-line>,<addr-line>Boston</addr-line>,<addr-line>MA 02111</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bolton, P" sort="Bolton, P" uniqKey="Bolton P" first="P." last="Bolton">P. Bolton</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Mental Health</addr-line>,<institution>Johns Hopkins Bloomberg School of Public Health</institution>,<addr-line>624 North Broadway</addr-line>,<addr-line>Baltimore</addr-line>,<addr-line>MD</addr-line>,<addr-line>21205</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Department of International Health</addr-line>,<institution>Johns Hopkins Bloomberg School of Public Health</institution>,<addr-line>615 North Wolfe Street</addr-line>,<addr-line>Baltimore</addr-line>,<addr-line>MD</addr-line>,<addr-line>21205</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28596892</idno><idno type="pmc">5454788</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5454788</idno><idno type="RBID">PMC:5454788</idno><idno type="doi">10.1017/gmh.2016.19</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002431</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002431</idno><idno type="wicri:Area/Pmc/Curation">002430</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002430</idno><idno type="wicri:Area/Pmc/Checkpoint">000530</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000530</idno><idno type="wicri:Area/Ncbi/Merge">004263</idno><idno type="wicri:Area/Ncbi/Curation">004263</idno><idno type="wicri:Area/Ncbi/Checkpoint">004263</idno><idno type="wicri:Area/Main/Merge">000E51</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Process and implementation of Audio Computer Assisted Self-Interviewing (ACASI) assessments in low resource settings: a case example from Zambia</title><author><name sortKey="Kane, J C" sort="Kane, J C" uniqKey="Kane J" first="J. C." last="Kane">J. C. Kane</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Mental Health</addr-line>,<institution>Johns Hopkins Bloomberg School of Public Health</institution>,<addr-line>624 North Broadway</addr-line>,<addr-line>Baltimore</addr-line>,<addr-line>MD</addr-line>,<addr-line>21205</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Murray, L K" sort="Murray, L K" uniqKey="Murray L" first="L. K." last="Murray">L. K. Murray</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Mental Health</addr-line>,<institution>Johns Hopkins Bloomberg School of Public Health</institution>,<addr-line>624 North Broadway</addr-line>,<addr-line>Baltimore</addr-line>,<addr-line>MD</addr-line>,<addr-line>21205</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Sughrue, S" sort="Sughrue, S" uniqKey="Sughrue S" first="S." last="Sughrue">S. Sughrue</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of Public Health and Community Medicine</addr-line>,<institution>Tufts University School of Medicine</institution>,<addr-line>136 Harrison Avenue</addr-line>,<addr-line>Boston</addr-line>,<addr-line>MA 02111</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Demulder, J" sort="Demulder, J" uniqKey="Demulder J" first="J." last="Demulder">J. Demulder</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Mental Health</addr-line>,<institution>Johns Hopkins Bloomberg School of Public Health</institution>,<addr-line>624 North Broadway</addr-line>,<addr-line>Baltimore</addr-line>,<addr-line>MD</addr-line>,<addr-line>21205</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Skavenski Van Wyk, S" sort="Skavenski Van Wyk, S" uniqKey="Skavenski Van Wyk S" first="S." last="Skavenski Van Wyk">S. Skavenski Van Wyk</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Mental Health</addr-line>,<institution>Johns Hopkins Bloomberg School of Public Health</institution>,<addr-line>624 North Broadway</addr-line>,<addr-line>Baltimore</addr-line>,<addr-line>MD</addr-line>,<addr-line>21205</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Queenan, J" sort="Queenan, J" uniqKey="Queenan J" first="J." last="Queenan">J. Queenan</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of Public Health and Community Medicine</addr-line>,<institution>Tufts University School of Medicine</institution>,<addr-line>136 Harrison Avenue</addr-line>,<addr-line>Boston</addr-line>,<addr-line>MA 02111</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Tang, A" sort="Tang, A" uniqKey="Tang A" first="A." last="Tang">A. Tang</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of Public Health and Community Medicine</addr-line>,<institution>Tufts University School of Medicine</institution>,<addr-line>136 Harrison Avenue</addr-line>,<addr-line>Boston</addr-line>,<addr-line>MA 02111</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bolton, P" sort="Bolton, P" uniqKey="Bolton P" first="P." last="Bolton">P. Bolton</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Mental Health</addr-line>,<institution>Johns Hopkins Bloomberg School of Public Health</institution>,<addr-line>624 North Broadway</addr-line>,<addr-line>Baltimore</addr-line>,<addr-line>MD</addr-line>,<addr-line>21205</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Department of International Health</addr-line>,<institution>Johns Hopkins Bloomberg School of Public Health</institution>,<addr-line>615 North Wolfe Street</addr-line>,<addr-line>Baltimore</addr-line>,<addr-line>MD</addr-line>,<addr-line>21205</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Global Mental Health</title><idno type="eISSN">2054-4251</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec_a1"><title>Background.</title><p>Studies from low- and middle-income countries (LMIC) indicate that the use of audio computer-assisted self-interviewing (ACASI) is associated with more accurate reporting of sensitive behaviors (e.g. substance use and sexual risk behaviors) compared with interviewer-administered questionnaires. There is a lack of published information on the process of designing, developing, and implementing ACASI in LMIC. In this paper we describe our experience implementing an ACASI system for use with a population of orphans and vulnerable children in Zambia.</p></sec><sec id="sec_a2" sec-type="methods"><title>Methods.</title><p>A questionnaire of mental health, substance use, and HIV risk behaviors was converted into an ACASI system, tested in pilot and validity studies, and implemented for use in a randomized controlled trial. Successes, barriers, and challenges associated with each stage in the development and implementation of ACASI are described.</p></sec><sec id="sec_a3" sec-type="results"><title>Results.</title><p>We were able to convert a lengthy and complex survey into an ACASI system that was feasible for use in Zambia. Lessons learned include the importance of: (1) piloting the written and electronic versions; (2) proper and extensive training for study assessors to use ACASI and for those doing voice recordings; and (3) attention to logistics such as appropriate space, internet, and power.</p></sec><sec id="sec_a4" sec-type="conclusion"><title>Conclusions.</title><p>We found that ACASI was feasible and acceptable in Zambia with proper planning, training, and supervision. Given mounting evidence indicating that ACASI provides more accurate self-report data and immediate data download compared with interview-administered measures, it may be an effective and economical alternative for behavioral health research studies in LMIC.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Adebajo, S" uniqKey="Adebajo S">S Adebajo</name></author><author><name sortKey="Obianwu, O" uniqKey="Obianwu O">O Obianwu</name></author><author><name sortKey="Eluwa, G" uniqKey="Eluwa G">G Eluwa</name></author><author><name sortKey="Vu, L" uniqKey="Vu L">L Vu</name></author><author><name sortKey="Oginni, A" uniqKey="Oginni A">A Oginni</name></author><author><name sortKey="Tun, W" uniqKey="Tun W">W Tun</name></author><author><name sortKey="Sheehy, M" uniqKey="Sheehy M">M Sheehy</name></author><author><name sortKey="Ahonsi, B" uniqKey="Ahonsi B">B Ahonsi</name></author><author><name sortKey="Bashorun, A" uniqKey="Bashorun 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Sonenstein</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Van De Wijgert, J" uniqKey="Van De Wijgert J">J van de Wijgert</name></author><author><name sortKey="Padian, N" uniqKey="Padian N">N Padian</name></author><author><name sortKey="Shiboski, S" uniqKey="Shiboski S">S Shiboski</name></author><author><name sortKey="Turner, C" uniqKey="Turner C">C Turner</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Merge
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