Evaluating completion rates between kiosk and smartphone computer-assisted self-interviewing at a sexual health clinic in Melbourne: a before-and-after implementation study

作者：Danushi Wijekoon, Phyu Mon Latt, Christopher K. Fairley, Jason J. Ong, Marcus Y. Chen, Rashidur Rahman, Ria Fortune, Eric P. F. Chow · 发表于：Sexual Health · 年份：2025 · DOI：10.1071/sh25119 · 被引用次数：1 · 研究领域：Mobile Health and mHealth Applications、HIV/AIDS Research and Interventions、Survey Methodology and Nonresponse

BACKGROUND: Digital self-reporting tools are increasingly used in sexual health clinics for individuals to disclose sensitive information. In December 2023, the Melbourne Sexual Health Centre replaced its touchscreen kiosk system with a smartphone-enabled Digital Front Door platform for administering computer-assisted self-interviewing (CASI) to collect sexual history data before clinical consultation. This study aimed to evaluate how this change impacted response completeness. METHODS: We conducted a before-and-after study using routine data collected from clients aged ≥16 years who attended Melbourne Sexual Health Centre from January to June 2023 (kiosks period) and from January to June 2024 (smartphone period). We compared the CASI completeness (i.e. the proportion of questions for which each client provided a response, based on the total number they were expected to complete) between the two periods. Linear regression with generalised estimating equations was used to examine associations between completeness and individuals' characteristics. RESULTS: Among 56,095 eligible consultations (28,093 kiosks; 28,002 smartphones), the mean questionnaire completeness was significantly lower in the smartphone group (36.2%) compared with the kiosk group (54.0%; P < 0.0001). The proportion of clients who did not respond to any single question (i.e. 0% completeness) increased from 45.1% (12,676/28,093) during the kiosk period to 57.4% (16,065/28,002) during the smartphone period. Smart...