Online versus paper-based screening for depression and anxiety in adults with cystic fibrosis in Ireland: a cross-sectional exploratory study

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dc.contributor.authorCronly, Jennifer
dc.contributor.authorDuff, Alistair J.
dc.contributor.authorRiekert, Kristin A.
dc.contributor.authorPerry, Ivan J.
dc.contributor.authorFitzgerald, Anthony P.
dc.contributor.authorHorgan, Aine M.
dc.contributor.authorLehane, Elaine
dc.contributor.authorHowe, Barbara
dc.contributor.authorNí Chroinin, Muireann
dc.contributor.authorSavage, Eileen
dc.contributor.funderCystic Fibrosis Ireland
dc.contributor.funderHealth Research Board
dc.date.accessioned2018-02-20T13:24:14Z
dc.date.available2018-02-20T13:24:14Z
dc.date.issued2018
dc.description.abstractObjective: To compare online and paper-based screening for depression and anxiety in adults with cystic fibrosis (CF). Design and setting: Cross-sectional study in CF clinics in Ireland and through the Cystic Fibrosis Ireland online community. Participants: 160 adult patients aged 18 or above were recruited. Of these, 147 were included in the analysis; 83 online and 64 paper-based. The remaining 13 were excluded because of incomplete data. Measures: Depression and anxiety were measured using the Hospital Anxiety and Depression Scale (HADS). Data on pulmonary function (forced expiratory volume in 1 s %) and body mass index were self-reported based on clinical assessments. Sociodemographic data were collected. Results: Compared with the paper-based participants, the online participants were more likely to be female (61.7% vs 48.4%), older (mean 32.2 vs 28.2 years) and were more likely to be married (32.5% vs 15.6%), living with their spouse or partner (42.5% vs 22.6%) and working either full time (33.7% vs 15.9%) or part time (30.1%vs 17.5%). The prevalence rates of elevated anxiety and depression were not significantly different (P=0.71 and P=0.56). HADS anxiety and depression scores were not statistically different between online (P=0.83) and paper-based (P=0.92) participants based on Mann-Whitney U test. A significant negative correlation was found between depression and pulmonary function (r=−0.39, P=0.01) and anxiety and pulmonary function (r=−0.36, P=0.02). Based on Cronbach’s alpha, there were no statistically significant differences between the online and paper-based participants on the internal consistency of the HADS anxiety (P=0.073) and depression (P=0.378) scales. Conclusions: Our findings suggest that online and paper-based screening for depression and anxiety in adult patients with CF yield comparable findings on prevalence rates and scores, associations with health and internal consistency of subscales. This study highlights that online screening offers an alternative method to paper-based screening. Further research with a larger sample and assessment of measurement equivalence between online and paper based screening is needed to confirm our results.en
dc.description.sponsorshipCystic Fibrosis Ireland (MRCG/2011/9).en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide019305
dc.identifier.citationCronly, J., Duff, A. J., Riekert, K. A., Perry, I. J., Fitzgerald, A. P., Horgan, A., Lehane, E., Howe, B., Ni Chroinin, M. and Savage, E. (2018) 'Online versus paper-based screening for depression and anxiety in adults with cystic fibrosis in Ireland: a cross-sectional exploratory study', BMJ Open, 8(1), e019305 (9pp). doi: 10.1136/bmjopen-2017-019305en
dc.identifier.doi10.1136/bmjopen-2017-019305
dc.identifier.endpage9
dc.identifier.issn2044-6055
dc.identifier.issued1
dc.identifier.journaltitleBMJ Openen
dc.identifier.startpage1
dc.identifier.urihttps://hdl.handle.net/10468/5514
dc.identifier.volume8
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.relation.urihttp://bmjopen.bmj.com/content/8/1/e019305
dc.rights© 2018, Article author(s) (or their employer(s) unless otherwise stated in the text of the article). All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectHADSen
dc.subjectCystic fibrosisen
dc.subjectAnxietyen
dc.subjectDepressionen
dc.titleOnline versus paper-based screening for depression and anxiety in adults with cystic fibrosis in Ireland: a cross-sectional exploratory studyen
dc.typeArticle (peer-reviewed)en
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