Computer-assisted Telephone Interview Survey Research Articles

Are mobile phones predominant in dual-frame computer assisted telephone interviewing surveys?

The effectiveness of Computer Assisted Telephone Interviewing (CATI) surveys relying on fixed telephone numbers has been eroded by the rise in mobile phone usage and the growing population reachable exclusively through mobile phones. As a result, telephone survey methodologists have had to come up with research designs capable of dealing with the coverage bias in CATI surveys caused by incomplete fixed phone directories. The methodological and operational issues of dual-frame surveys, namely those combining fixed phones and mobile phones, have been extensively investigated, but a comprehensive overview of the magnitude of mobile phone use in CATI surveys is lacking. The present study explores this research gap by analysing data from 675 CATI surveys conducted in European countries. Although a generalised scenario of single frame mobile phone designs is not yet visible, the predominance of mobile phone units over fixed phone units in dual-frame CATI surveys is evident. The sampling method and the target population are the survey-related features most strongly associated to the percentage of mobile phone units in the sample. Survey organisations in countries which continue to have a high number of fixed phone subscriptions tend to give less weight to mobile phone frames in their dual-frame designs.

Line manager training and organizational approaches to supporting well-being.

Employee mental health and well-being (MH&WB) is critical to the productivity and success of organizations. Training line managers (LMs) in mental health plays an important role in protecting and enhancing employee well-being, but its relationship with other MH&WB practices is under-researched. To determine whether organizations offering LM training in mental health differ in the adoption of workplace- (i.e. primary/prevention-focused) and worker-directed (including both secondary/resiliency-focused and tertiary/remedial-focused) interventions to those organizations not offering LM training and to explore changes in the proportions of activities offered over time. Secondary analysis of enterprise data from computer-assisted telephone interview surveys. The analysis included data from organizations in England across 4 years (2020: n = 1900; 2021: n = 1551; 2022: n = 1904; 2023: n = 1902). Offering LM training in mental health was associated with organizations' uptake of primary-, secondary-, and tertiary-level MH&WB activities across all 4 years. The proportion of organizations offering primary-, secondary- and tertiary-level interventions increased over time. On average, tertiary-level activities were most adopted (2020: 80%; 2021: 81%; 2022: 84%; 2023: 84%), followed by primary-level activities (2020: 66%; 2021: 72%; 2022: 72%; 2023: 73%) and secondary-level activities (2020: 62%; 2021: 60%; 2022: 61%; 2023: 67%). Offering LM training in mental health is associated with the adoption of other MH&WB practices by organizations. Suggesting that organizations that are committed to the mental health agenda are more likely to take a holistic approach (including both worker and workplace strategies) to promoting workforce mental health, rather than providing LM training in isolation.

Typology of employers offering line manager training for mental health.

Mental ill health has a high economic impact on society and employers. National and international policy advocates line manager (LM) training in mental health as a key intervention, but little is known about employer training provisions. To explore the prevalence and characteristics of organizations that offer LM training in mental health. Secondary analysis of existing longitudinal anonymised organizational-level survey data derived from computer-assisted telephone interview surveys collected in four waves (2020:1900 firms, 2021:1551, 2022:1904, 2023:1902) in England, before, during and after a global pandemic. The proportion of organizations offering LM training in mental health increased pre- to post-pandemic (2020:50%, 2023:59%) but 41% do not currently provide it. Logistic regression confirmed that LM training is more likely to be offered by large-sized enterprises, organizations with a larger proportion of employees who are younger (aged 25-49), female, disabled and from ethnic minority communities. Sector patterns were inconsistent, but in 2023, organizations from the 'Hospitality' and 'Business Services' sectors were more likely to provide LM training than other sectors. Continued efforts are needed to increase the proportion of employers offering LM training in mental health, particularly small- to medium-sized enterprises, and organizations with predominantly male, White and/or older workforces.

Sociodemographic and behavioural differences between frequent and non-frequent users of convenience food in Germany.

Convenience foods are a double-edged sword in that they provide quick and easy nutrition but may promote non-communicable diseases related to excess intakes of sugar, fat, and salt. To inform the German national reduction and innovation strategy for less sugar, fat, and salt in processed foods, the present study sought to analyse the consumption frequency of selected convenience foods and to determine sociodemographic and behavioural factors that characterise frequent users. In a representative computer-assisted telephone interview survey in the adult German population (N = 3,997) conducted in 2018, consumption frequency of 21 convenience foods was assessed. To characterise frequent in contrast to non-frequent users, data on sociodemographics and behavioural aspects were compared. Statistical analyses comprised chi-square tests with Bonferroni correction as well as Spearman's rank correlation. Cramer's V was used to determine the strength of an association. Overall and among frequent users (7.7% of the sample) sweet convenience foods and savoury cooking aids were consumed most frequently. Around 75% of the participants indicated little-to-no consumption of 19 of the 21 convenience foods. Male gender (p < 0.001), younger age (p < 0.001), and not having a high level of education (p = 0.017) were identified as key characteristics of frequent users. Furthermore, frequent users were more likely than non-frequent users to live in a family household (p = 0.003) or without a partner (p < 0.001), and to work in shifts (p = 0.002). Additionally, they showed significantly lower cooking skills (p < 0.001). Public health interventions to limit excess intakes of sugar, fat, and salt from convenience food in Germany should target people of male gender, younger age, and having a lower level of education. On the behavioural side, developing the skills to cook from scratch emerged as major point of focus. Simultaneously, reformulation of the food offer should continue in order to help transition to a more health-promoting food environment.

Towards leaving no one behind in North Macedonia: a mixed methods assessment of barriers to effective coverage with health services

BackgroundThe Government of North Macedonia’s Primary Health Care reform is committed to leaving no one behind on the path to Universal health Coverage (UHC). During mid-2022 to March 2023, the World Health Organization (WHO) collaborated with the Government and other national stakeholders for an assessment of barriers to effective coverage with health services experienced by adult citizens, with a specific focus on rural areas and subpopulations in situations of vulnerability.MethodsThis study constituted the piloting of a draft forthcoming WHO handbook on assessing barriers for health services, grounded in the Tanahashi framework for effective coverage with health services. In North Macedonia, the convergent parallel mixed methods study involved four sources. These were: a nationally representative Computer Assisted Telephone Interview Survey (1,139 respondents); 24 key informant interviews with representatives from government, professional associations, non-governmental and civil society organizations, and development partners; 12 focus groups in four regions with adults from vulnerable/high risk groups in rural areas and small urban settlements and an additional focus group with persons with disabilities; and a literature review. Instrument design was underpinned by the Tanahashi framework, which also orientated data triangulation and deductive analysis. The research team synergistically incorporated emerging themes in an inductive way. A key component of the assessment was participatory design of the study protocol with inputs from national stakeholders as well as participatory deliberation of the results and the ways forward.ResultsDespite considerable progress towards UHC in North Macedonia, the assessment elucidated remaining challenges. These included: insufficient numbers of health workers, in general and particularly in the more disadvantaged regions of the country; inadequate number of outpatient medicines covered by health insurance; distance and transportation obstacles, including indirect travel costs, particularly in rural areas; adverse gender norms and relations for both women and men inhibiting timely treatment seeking; perceived discrimination by providers on multiple grounds; bottlenecks including waiting times to get appointments for specialist referrals; and lack of patient adherence, due several factors including costs of medicines and health products.ConclusionsThe outputs from this study of barriers to effective coverage with health services for adult citizens of North Macedonia are feeding into the ongoing Primary Health Care reform, and provide evidence for equity-related actions in the forthcoming National Development Strategy.

Efficacy and feasibility of SMS m-Health for the detection of adverse events following immunisation (AEFIs) in resource-limited setting-The Zimbabwe stimulated telephone assisted rapid safety surveillance (Zm-STARSS) randomised control trial

IntroductionThe mHealth active participant centred (MAPC) adverse events following immunisation (AEFI) surveillance is a promising area for early AEFI detection resulting in risk minimisation. Passive (spontaneous) AEFI surveillance is the backbone for vaccine pharmacovigilance, but has inherent drawbacks of under reporting, and requires strengthening with active surveillance methods. AimThe Zimbabwe stimulated telephone assisted rapid safety surveillance (Zm-STARSS) randomised controlled trial (RCT) sought to evaluate the efficacy and feasibility of AEFI detection using a short message service (SMS) and computer assisted telephone interview (CATI) approach. MethodA multicentre Zm-STARSS RCT enrolled consented adult vaccinees or parents or guardians of children receiving vaccines, including COVID-19 vaccines, at study vaccination clinics. At enrolment study participants were randomised to either SMS-CATI group or control group. SMS prompts were sent on days 0–2 and 14 post-vaccination to SMS-CATI group to ascertain if a medically attendance or attention due to an Adverse event following immunisation (AEFI) had occurred. However, no SMSs were sent to the control group. SMS-CATI group who responded “Yes” to SMS prompts were interviewed by research healthcare workers (RHCWs) who completed a CATI to determine if an AEFI had occurred whilst an AEFI in control group was determined from passive AEFI reporting channels. The primary study outcome was the AEFI detection rate in the SMS-CATI group compared to the control group. ResultsA total of 4560 participants were enrolled after signed informed consent, all were encouraged to report AEFIs and randomised automatically on 1:1 basis into two arms SMS CATI intervention group (n = 2280) and a control passive AEFI surveillance group (n = 2280) on day 0. A total of 704 (31 %) participants responded to the SMS prompts, with 75 % (528/704) indicating “No” and 25 % (176/704) reporting “Yes” to seeking medical attention or attendance post-immunisation. 69 % (121/176) completed a CATI survey but in only 36 % (44/121) was the AEFI confirmed. There were no AEFIs reported in control group participants. The detection rate of a AEFI associated with medically attendance or attention using the SMS-CATI methodology was 2 % (44/2280) on an intention to treat cohort. ConclusionDespite the low SMS response and CATI completion rate, we demonstrated that Zm-STARSS SMS system improves AEFI detection compared to passive AEFI surveillance. We recommend that this and similar approaches are explored further using cost-effective multi-channel digital approaches for holistic pharmacovigilance to improve AEFI detection in Low Middle-Income Countries (LMICs) for all vaccines.

Prevalence of past-year major depressive episode among young adults between 2005 and 2021: Results from four national representative surveys in France

BackgroundThe objectives are to examine time trends in the prevalence of past year major depressive episode (MDE) among young adults, and to identify differences by occupational status comparing students, those employed, and those who are not in employment, education or training (NEET). MethodsData were drawn from the Health Barometer survey, a cross-sectional computer-assisted telephone interview survey on a national representative sample of residents of metropolitan France and conducted approximately every 5 years. The surveys relied on the Composite International Diagnostic Interview-Short Form to determine the presence of DSM-IV past-year major depressive episode. Data from the 2005, 2010, 2017, and 2021 surveys were pooled and respondents aged 18 to 25 were selected (n = 7556) and categorized based on their occupational status: students, those employed, and NEET. ResultsOverall, significant differences in the prevalence of MDE was observed by occupational status: NEET had the highest rate (18.5 %) followed by students (14.3 %) and those employed (11.0 %). The prevalence of MDE among young adults was 10.1 % in 2005, 9.7 % in 2010 and 11.3 % in 2017, reflecting a stable prevalence between 2005 and 2017. The prevalence then nearly doubled in 2021, with 20.9 % of MDE, with a significant increase of 9.6 points between 2017 and 2021. LimitationsNo assessment of lifetime psychopathology. ConclusionsThe prevalence of major depression among young adults significantly increased between 2005 and 2021, those at greatest risk are females and those not in employment, education or training. The contribution of pandemic-related factors may be elucidated in future national health surveys.

Planning Recreation around Water Bodies in Two Hard Coal Post-Mining Areas in Southern Poland

Green and blue infrastructure is a unique aspect of sustainable development in post-industrial and post-mining cities. The article examines the issue of the characteristic post-mining lake district in one of Europe’s largest urban and hard coal mining regions—the Katowice Conurbation in Southern Poland. This article aims to clarify the conditions and problems of developing post-mining water bodies as an element of blue and green infrastructure, with a particular focus on the issue of developing recreational functions. The latter aspect was analyzed using extensive CAVI (Computer-Assisted Web Interview)/CATI (Computer-Assisted Telephone Interviewing) surveys conducted among residents, in-depth stakeholder interviews, and strategic and planning document analysis. This research confirmed that residents and local authorities treat post-mining reservoirs as necessary for creating green and blue infrastructure. Recreational functions were perceived as one of the elements of urban policy, in which the preservation of valuable ecosystems created around reservoirs has the same place. An essential element of the research findings is also the typology of post-mining reservoirs presented here, which allows for a better understanding of the development dilemmas of these areas in a highly urbanized and post-mining area.

Effect of the Data Collection Method on Mobile Phone Survey Participation in Bangladesh and Tanzania: Secondary Analyses of a Randomized Crossover Trial.

Mobile phone surveys provide a novel opportunity to collect population-based estimates of public health risk factors; however, nonresponse and low participation challenge the goal of collecting unbiased survey estimates. This study compares the performance of computer-assisted telephone interview (CATI) and interactive voice response (IVR) survey modalities for noncommunicable disease risk factors in Bangladesh and Tanzania. This study used secondary data from a randomized crossover trial. Between June 2017 and August 2017, study participants were identified using the random digit dialing method. Mobile phone numbers were randomly allocated to either a CATI or IVR survey. The analysis examined survey completion, contact, response, refusal, and cooperation rates of those who received the CATI and IVR surveys. Differences in survey outcomes between modes were assessed using multilevel, multivariable logistic regression models to adjust for confounding covariates. These analyses were adjusted for clustering effects by mobile network providers. For the CATI surveys, 7044 and 4399 phone numbers were contacted in Bangladesh and Tanzania, respectively, and 60,863 and 51,685 phone numbers, respectively, were contacted for the IVR survey. The total numbers of completed interviews in Bangladesh were 949 for CATI and 1026 for IVR and in Tanzania were 447 for CATI and 801 for IVR. Response rates for CATI were 5.4% (377/7044) in Bangladesh and 8.6% (376/4391) in Tanzania; response rates for IVR were 0.8% (498/60,377) in Bangladesh and 1.1% (586/51,483) in Tanzania. The distribution of the survey population was significantly different from the census distribution. In both countries, IVR respondents were younger, were predominantly male, and had higher education levels than CATI respondents. IVR respondents had a lower response rate than CATI respondents in Bangladesh (adjusted odds ratio [AOR]=0.73, 95% CI 0.54-0.99) and Tanzania (AOR=0.32, 95% CI 0.16-0.60). The cooperation rate was also lower with IVR than with CATI in Bangladesh (AOR=0.12, 95% CI 0.07-0.20) and Tanzania (AOR=0.28, 95% CI 0.14-0.56). Both in Bangladesh (AOR=0.33, 95% CI 0.25-0.43) and Tanzania (AOR=0.09, 95% CI 0.06-0.14), there were fewer completed interviews with IVR than with CATI; however, there were more partial interviews with IVR than with CATI in both countries. There were lower completion, response, and cooperation rates with IVR than with CATI in both countries. This finding suggests that, to increase representativeness in certain settings, a selective approach may be needed to design and deploy mobile phone surveys to increase population representativeness. Overall, CATI surveys may offer a promising approach for surveying potentially under-represented groups like women, rural residents, and participants with lower levels of education in some countries.

Understanding Fertility Attitudes and Outcomes Among Survivors of Adolescent and Young Adult Cancers in a Low-Resource Setting: A Registry-Based Computer-Assisted Telephone Interview Survey.

Purpose: To establish the extent of self-reported reproductive failure associated with cancer treatment, and attitudes toward fertility among adolescent and young adult (AYA) cancer survivors in Uganda. Methods: A registry-based computer-assisted telephone interview survey was conducted in Uganda. The survey population were survivors of childhood, adolescent and early adulthood cancers diagnosed between 2007 and 2018. The survey explored fertility outcomes, experiences of oncofertility and fertility attitudes of AYA cancer survivors. Results: Thirty-four (female = 14 and male = 20) interviews were completed. Survivors were 18-35 years of age. The median age at cancer diagnosis was 23.5 for females and 17.5 for males. Kaposi's sarcoma contributed to 44% of primary cancer diagnoses. All the survivors had received chemotherapy alone or in combination with other modalities and 79% of survivors had not received satisfactory information about future fertility before cancer treatment. Twenty one percent of males and 46% females met the criteria for infertility and 60% of these had met this criterion after their cancer diagnosis. Eighty two percent wanted to raise a biologically related child. Forty seven percent would be dissatisfied with their lives if they were unable to have a child or additional children. Conclusion: AYA cancer survivors in this low-resource setting reported reproductive failure, despite a strong fertility desire. Information and counseling provided on therapy-related problems before cancer treatment was insufficient and reinforces the need to build capacity for oncofertility resources within the region.

Continued disruptions in health care services and mental health among health care providers during the COVID-19 pandemic in five sub-Saharan African countries.

Continuous monitoring of the pandemic's impact on health service provision and mental health, COVID-19 perceptions, and compliance with prevention measures among health care providers (HCPs) can help with mitigating the pandemic's negative effects. A computer-assisted telephone interviewing (CATI) survey was conducted among 1499 HCPs in Burkina Faso (Ouagadougou), Ethiopia (Addis Ababa), Nigeria (Lagos and Ibadan), Tanzania (Dar es Salaam), and Ghana (Kintampo). Self-reported mental health, perceptions of the COVID-19 pandemic, and prevention measures available in the workplace were assessed. HCPs' responses to questions regarding the impact of COVID-19 on nine essential health services were summed into a score; high service disruption was defined as a score higher than the total average score across all sites. Modified Poisson regression was used to identify potential factors related to high service disruption. Overall, 26.9% of HCPs reported high service disruption, with considerable differences across sites (from 1.6% in Dar es Salaam to 45.0% in Addis Ababa). A considerable proportion of HCPs reported experiencing mild psychological distress (9.4%), anxiety (8.0%), and social avoidance or rejection (13.9%) due to their profession. Participants in Addis Ababa (absolute risk ratio (ARR) = 2.10; 95% confidence interval (CI) = 1.59-2.74), Lagos (ARR = 1.65; 95% CI = 1.24-2.17), and Kintampo (ARR = 2.61; 95% CI = 1.94-3.52) had a higher likelihood of reporting high service disruption compared to those in Ouagadougou. Reporting ever-testing for COVID-19 (ARR = 0.82; 95% CI = 0.69-0.97) and the presence of COVID-19 guidelines in the workplace (ARR = 0.63; 95% CI = 0.53-0.77) were both associated with lower reported health service disruption among HCPs. The COVID-19 pandemic continues to disrupt essential health services and present a challenge to HCPs' mental health, with important differences across countries and settings; interventions are needed to mitigate these negative effects of the pandemic.

Respondent Fatigue Reduces Dietary Diversity Scores Reported from Mobile Phone Surveys in Ethiopia during the COVID-19 Pandemic

ABSTRACTBackgroundThe computer-assisted telephone interview (CATI) has been used extensively during the COVID-19 pandemic, but the effects of respondent fatigue during these interviews on responses to questions about diet are unknown.ObjectivesWe designed an experiment that randomized the placement of a survey module on the dietary diversity of rural Ethiopian women and assessed whether responses were altered by placing this module earlier or later in a phone survey.MethodsTwo CATIs were implemented; in the second, women were randomly assigned to answer questions on diet diversity either earlier or later in the interview. Women's Dietary Diversity Scores were the primary outcome. Secondary outcomes were dichotomous measures of consumption from four or more and five or more food groups and consumption of food groups consumed frequently, often, and rarely. Impacts were assessed using a respondent fixed effects model.ResultsDelaying the food consumption module by 15 min in the interview led to an 8%–17% (P < 0.01) decrease in reported Dietary Diversity Scores, a 28% (P < 0.01) decrease in the number of women who consumed a minimum of four dietary groups, and a 40% (P < 0.01) and 11% (P < 0.01) decrease in the reporting of consumption of animal source foods and fruits and vegetables, respectively. Moving the food consumption module closer to the beginning of the interview increased the number of reported food groups consumed by older women, women with a below-median education level, and women in larger households.ConclusionsOur findings suggest that comparisons of descriptive statistics across studies and countries on metrics such as food security and dietary quality may be confounded by where these modules are placed in the interview, thus highlighting trade-offs between volume of information collected and data quality when designing CATI surveys.

Methodological Lessons Learned From Conducting a Population-Based Phone Survey on Nutrition Practices in the Kyrgyz Republic

ObjectivesTo share lessons from a survey on nutrition practices, where the methodology shifted from in-person to phone interviews due to the COVID-19 pandemic. MethodsThe USAID Advancing Nutrition Project is conducting an impact evaluation in Kyrgyz Republic to determine the effect of project interventions on nutrition behaviors. Municipalities in Batken and Jalalabad regions were randomly assigned to intervention or comparison areas.The stepped wedge design includes baseline, midpoint, and endline surveys, carried out at 12-month intervals. The baseline survey was completed in late 2020. Difference in differences analysis and analysis of project exposure variables will be used to determine impact. Due to COVID-19, all interviews were carried out using computer assisted telephone interviewing (CATI). ResultsWe interviewed 2,091 women with children under two years of age, with phone numbers obtained from health facilities in survey areas. The response rate (11.6% completed interviews) was similar or higher than typical phone surveys. Interviews included complex questions related to 11 nutrition practices, including women’s and children’s dietary recall. Average interview length was 31 minutes. 4% of respondents dropped before completing the call. Advantages of phone interviews included reduced travel costs, improved quality control, and real-time data review. Disadvantages included high non-response, inability to observe items such as handwashing stations, and potential biases related to phone ownership. ConclusionsOur experience suggests that it is possible to carry out a complex, population-based nutrition survey using CATI. Response rates may be improved by building rapport at the start of the call. Interview length can be reduced using block randomization. Baseline levels of most indicators were similar to previous in-person surveys in Kyrgyzstan, suggesting CATI survey results can potentially provide accurate estimates of nutrition behaviors. Funding SourcesUnited States Agency for International Development.

Feasibility and Quality of a National RDD Smartphone Web Survey: Comparison With a Cell Phone CATI Survey

Internet-enabled smartphones and wireless communication technologies are opening new ways to conduct web-based self-administered data collection for academic or nonacademic research. Considering the relative advantages of self-administration such as the low cost, overall convenience, and collection of better data about sensitive topics, survey researchers are eager to explore conducting national web surveys of the general population via smartphones, especially if they can use probability-based random-digit-dialing (RDD) sampling methods. But questions about the feasibility of such surveys remain. We conducted an experiment using national samples drawn from an RDD wireless sampling frame to compare two administration methods: a smartphone web survey using SMS (text messages) invitations and a cell phone (smartphone or feature phone) survey through computer-assisted telephone interviewing (CATI). This study was conducted using the National Survey of Smoking and Health in South Korea, a country with a very high rate of smartphone ownership. The geographic and demographic representativeness of respondents in the smartphone web mode (self-administered mode) was similar to that of the cell phone CATI survey (interviewer-administered mode), although the completion rate in the former was nearly half that of the latter. A majority of demographic variables and measures of experiences, attitudes, and perceptions of cigarettes or smoking showed significant mode differences for both unweighted and weighted estimates. The total cost of the web survey was about one fifth that of the telephone survey. The results demonstrate the potential of a smartphone web survey as a stand-alone or primary mode of data collection, if carefully designed and implemented.

Automated and Interviewer-Administered Mobile Phone Surveys in Burkina Faso: Sociodemographic Differences Among Female Mobile Phone Survey Respondents and Nonrespondents.

BackgroundThe remarkable growth of cell phone ownership in low- and middle-income countries has generated significant interest in using cell phones for conducting surveys through computer-assisted telephone interviews, live interviewer-administered surveys, or automated surveys (ie, interactive voice response).ObjectiveThis study aimed to compare, by mode, the sociodemographic characteristics of cell phone owners who completed a follow-up phone survey with those who did not complete the survey.MethodsThe study was based on a nationally representative sample of women aged 15 to 49 years who reported cell phone ownership during a household survey in Burkina Faso in 2016. Female cell phone owners were randomized to participate in a computer-assisted telephone interview or hybrid interactive voice response follow-up phone survey 11 months after baseline interviews. Completion of the phone survey was defined as participants responding to more than 50% of questions in the phone survey. We investigated sociodemographic characteristics associated with cell phone survey completion using multivariable logistic regression models, stratifying the analysis by survey mode and by directly comparing computer-assisted telephone interview and hybrid interactive voice response respondents.ResultsA total of 1766 women were called for the phone survey between November 5 and 17, 2017. In both the computer-assisted telephone interview and hybrid interactive voice response samples, women in urban communities and women with secondary education or higher were more likely to complete the survey than their rural and less-educated counterparts. Compared directly, women who completed the hybrid interactive voice response survey had higher odds of having a secondary education than those who completed computer-assisted telephone interviews (odds ratio 1.7, 95% CI 1.1-2.6).ConclusionsIn Burkina Faso, computer-assisted telephone interviews are the preferred method of conducting cell phone surveys owing to less sample distortion and a higher response rate compared with a hybrid interactive voice response survey.

Tsunami risk perception in southern Italy: first evidence from a sample survey

Abstract. The Italian Tsunami Alert Centre of the Istituto Nazionale di Geofisica e Vulcanologia (Centro di Allerta Tsunami, hereinafter CAT-INGV) supported a computer-assisted telephone interview (CATI) survey to investigate tsunami risk perception in two pilot regions of southern Italy. The survey was carried out on a stratified sample of 1021 interviewees representing about 3.2 million people living in 183 coastal municipalities of the two regions, namely Calabria and Apulia. The main goal of this research is to verify whether and how people's perception of tsunami hazard compares to the results of (PTHA) – probabilistic tsunami hazard assessment (TSUMAPS-NEAM project; Basili et al., 2018). As shown by the results of this project, both investigated regions are characterised by high tsunami hazard. Nonetheless, the long return time of such events could lead people to consider the occurrence of a tsunami in the Mediterranean Sea to be very unlikely. The survey results reveal that people's risk perception is low: for almost half of the whole sample the occurrence of a tsunami in the Mediterranean Sea is considered quite unlikely, with a clear difference between Apulia and Calabria. In the latter region the risk perception is much higher than in the former, probably due to the shorter time elapsed since the last event. Also, belonging to different coastal areas1 appears to have a significant influence on the way tsunami hazard is conceived, having a stronger effect on risk characterisation: the interviewees of Tyrrhenian Calabria are indeed more likely to associate tsunami risk with volcanoes than the Ionian citizens. This is coherent considering the presence of active volcanoes and related tsunami precedents in the Tyrrhenian. Television emerged as the most relevant source of knowledge for almost 90 % of the sample, and the influence of media also results in the way tsunami risk is characterised. In particular, the survey showed that people's perception and understanding of tsunamis are affected by media accounts of large events, such as the 2004 Sumatra and the 2011 Japan tsunamis. At the same time, it is evident that the risk posed by smaller events is underrated. Furthermore, the survey's results show that the word “tsunami” occupies a different semantic space in comparison to the Italian traditional headword maremoto, with differences among sample strata. In other words, the same physical phenomenon would be understood in two different ways by younger, educated people and elders with a low education level. The results of this study, although limited to two regions, provide a first assessment of tsunami risk perception in Italy, also entailing important consequences for both risk communication practice and mitigation policies.

In search of the optimal mode for mobile phone surveys in developing countries: A comparison of IVR, SMS, and CATI in Nigeria

Mobile phone surveys are increasingly prevalent in low- and middle-income countries. The main modes include computer-assisted telephone interviewing (CATI), interactive voice response (IVR), and short message service (SMS, or text messaging). But there is surprisingly little research to guide researchers in selecting the optimal mode for a particular survey. To address this gap, this study compares cross-sectional CATI, IVR, SMS, and face-to-face (FTF) surveys of the general population in Nigeria. We ask four research questions: (1) What are production and response rates to CATI, IVR, SMS, and FTF surveys? (2) How representative (age, gender, education, marital status, literacy, household assets, urbanicity) are CATI, IVR, and SMS respondents relative to FTF respondents? (3) Can IVR and SMS provide an unbiased estimate of voting behavior? If there is bias, to what extent can weights reduce bias? (4) How does the cost and time differ across mobile phone survey modes? We find that FTF had the highest response rate (99%), followed by CATI (15%), IVR (3%) and SMS (0.2%). All mobile phone modes had substantial deficiencies with representativeness: mobile phones underrepresented women, older people, the less educated, and people in rural areas. There were differences in representativeness among mobile phone modes, but differences were relatively small and inconsistent. Both SMS and IVR produced biased estimates of voting relative to official statistics – but SMS was less biased than IVR. Weighting SMS and IVR data for demographic characteristics did not reduce bias. With regard to cost, we find that CATI is the most expensive mobile phone survey mode. For a survey of 3,000 completes, IVR is 43% the cost of CATI, and SMS is 24% the cost of CATI. SMS is significantly less expensive than IVR. We discuss the implications of these results for research and practice.

Importance of Social- and Health-Related Problems: Do Spaniards Give Them the Significance They Actually Deserve?

Social and health problems imply an impact on society. The main objective of this study is to provide an overview of how Spanish people perceive cancer, terrorism, cardiovascular diseases, crime, AIDS, drugs, and traffic accidents, finding out whether they assess the importance of these issues in correspondence with their actual severity. The study used a full sample of 1206 Spaniards (51.6% females and 48.4% males) who responded to a computer-assisted telephone interviewing (CATI) survey on the significance of these social and health-related problems, assessed through a zero to ten Likert scale. The perceived severity of the problems was considered taking into account the official data of deaths reported by governmental institutions. For the comparison of mean values, the One-way Analysis of Variance (ANOVA) test was used. Results show high average values for all the problems. The most concerning elements are cancer (M = 9.28 ± 1.24) and terrorism (M = 9.22 ± 1.47). Cardiovascular diseases have the lowest scores (M = 8.29 ± 1.64). There is a good adjustment between real and subjective perception, but some issues are either underestimated or overestimated. Women assessed all of them as more important than men, and people over 65 gave all the issues more value than younger people. It is important that Spaniards understand the objective severity of these issues, thus allowing for more interventions by governments, education, and mass media.

Exposure to suicide in Australia: A representative random digit dial study

BackgroundExposure to the suicide death of another may lead to distress and increase the risk of suicide in those connected to the deceased. Yet, the extent of this exposure across the population is ill-defined. This paper utilises representative data to quantify the extent of exposure to suicide in the Australian community and the reported effect of this exposure. MethodsA random digit dial, computer-assisted telephone interview survey was undertaken to understand how Australian's may assist someone in severe distress or at risk of suicide. Embedded within this survey were questions on exposure to suicide and the impact of this exposure. ResultsAmong a representative sample of 3002 Australians, 58% reported exposure to the suicide of someone known to them in their lifetime and 18.5% of exposed individuals reported their own suicidal thoughts in the past-year. Higher perceived impact of the suicide and concern for another person were associated with increased likelihood of current suicidal thinking. LimitationsSurvey design limitations resulted in unknown psychological harms beyond past-year suicidal thinking in respondents. ConclusionsOur findings demonstrate a high level of exposure to suicide death among Australians, with multiple exposures common. How and why suicide manifests in some exposed to suicide and not others remains unknown and requires further research. However, these findings suggest suicide prevention efforts need to expand to include a focus on suicide exposure, and mental health clinicians should consider exposure to suicide in risk assessment to better understand an individual's vulnerability to suicide following exposure.

Characteristics Associated with First Aid and Cardiopulmonary Resuscitation Training and Use in Queensland, Australia.

First aid, particularly bystander cardiopulmonary resuscitation (CPR), is an important element in the chain of survival. However, little is known about what influences populations to undertake first aid/CPR training, update their training, and use of the training. The aim of this study was to explore the characteristics of people who have first aid/CPR training, those who have updated their training, and use of these skills. As part of the 2011 state-wide, computer-assisted telephone interviewing (CATI) survey of people over 18 years of age living in Queensland, Australia, stratified by gender and age group, three questions about first aid training, re-training, and skill uses were explored. Of the 1,277 respondents, 73.2% reported having undertaken some first aid/CPR training and 39.5% of those respondents had used their first aid/CPR skills. The majority of respondents (56.7%) had not updated their first aid/CPR skills in the past three years, and an additional 2.5% had never updated their skills. People who did not progress beyond year 10 in school and those in lower income groups were less likely to have undertaken first aid/CPR training. Males and people in lower income groups were less likely to have recently updated their first aid/CPR training. People with chronic health problems were in a unique demographic sub-group; they were less likely to have undertaken first aid/CPR training but more likely to have administered first aid/CPR. Training initiatives that target people on the basis of education level, income group, and the existence of chronic health problems might be one strategy for improving bystander CPR rates when cardiac arrest occurs in the home.Franklin RC, Watt K, Aitken P, Brown LH, Leggat PA. Characteristics associated with first aid and cardiopulmonary resuscitation training and use in Queensland, Australia. Prehosp Disaster Med. 2019;34(2):155-160.