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Accuracy of parent mental health service reporting: results from a reverse record-check study. J Am Acad Child Adolesc Psychiatry 1999 Feb;38(2):147-55

Date

02/10/1999

Pubmed ID

9951213

DOI

10.1097/00004583-199902000-00013

Scopus ID

2-s2.0-0032917180 (requires institutional sign-in at Scopus site)   29 Citations

Abstract

OBJECTIVE: To examine the feasibility of conducting a reverse record-check study to validate parent reporting on child mental health service use and to examine the accuracy of parent reports of child mental health services.

METHOD: Information about child service use was abstracted from medical records and subsequently compared with reports provided by caregivers in telephone interviews. A sample of children using outpatient psychiatric services was compared with a sample of children using outpatient orthopaedic services. Rates and correlates of successful caregiver tracking and of service use reporting accuracy were explored.

RESULTS: Caregivers of nearly 30% of all index children were contacted and interviewed. Parent reports of lifetime mental health service use were more accurate than reports of lifetime receipt of orthopaedic services. Elapsed time between survey interview and last treatment episode was negatively associated with reporting accuracy. Number of clinic visits was positively associated with reporting accuracy. Preliminary findings suggested that questions about mental health services may be considered sensitive by parents whose children use them.

CONCLUSIONS: Reverse record-check studies based on telephone interviews are potentially problematic with a sample drawn from a large, inner-city medical center. Findings suggest that memory difficulties may be a more important correlate of reporting accuracy than response editing (social desirability). Potential discomfort with disclosure of mental health service use does not result in service use underreporting.

Author List

Fendrich M, Johnson T, Wislar JS, Nageotte C

Author

Michael Fendrich PhD Professor in the Emergency Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Bias
Caregivers
Chi-Square Distribution
Child
Child Health Services
Female
Health Care Surveys
Health Services Needs and Demand
Humans
Male
Medical Records
Mental Disorders
Mental Health Services
Mental Recall
Parents
Pilot Projects
Social Perception
Telephone
Time Factors