Interactive Voice Response and web-based questionnaires for population-based infectious disease reporting

  • Christin Bexelius
  • , Hanna Merk
  • , Sven Sandin
  • , Olof Nyrén
  • , Sharon Kühlmann-Berenzon
  • , Annika Linde
  • , Jan Eric Litton

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

The authors aimed to evaluate the web and an Interactive Voice Response (IVR) phone service as vehicles in population-based infectious disease surveillance. Fourteen thousand subjects were randomly selected from the Swedish population register and asked to prospectively report all respiratory tract infections, including Influenzalike Illness (ILI-clinical symptoms indicative of influenza but no laboratory confirmation), immediately as they occurred during a 36-week period starting October 2007. Participants were classified as belonging to the web or IVR group based on their choice of technology for initial registration. In all, 1,297 individuals registered via IVR while 2,044 chose the web. The latter were more often young and well-educated than those registered via IVR. Overall, 52% of the participants reported at least one infection episode. The risk of an infectious disease report was 14% (95% CI: 6, 22%) higher in the web group than in the IVR group. For ILI the excess was 27% (95% CI: 11, 47%). After adjustments for socio-demographic factors, statistically non-significant excesses of 1 and 8% remained, indicating trivial differences potentially attributable to the two reporting techniques. With attention to confounding, it should be possible to combine the web and IVR for simple reporting of infectious disease symptoms.

Original languageEnglish
Pages (from-to)693-702
Number of pages10
JournalEuropean Journal of Epidemiology
Volume25
Issue number10
DOIs
StatePublished - Oct 2010
Externally publishedYes

Keywords

  • Influenza
  • Internet
  • Sentinel surveillance

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