The effect of postal questionnaire burden on response rate and answer patterns following admission to intensive care: a randomised controlled trial

Abstract Background The effects of postal questionnaire burden on return rates and answers given are unclear following treatment on an intensive care unit (ICU). We aimed to establish the effects of different postal questionnaire burdens on return rates and answers given. Methods Design: A parallel...

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Main Authors: Robert Hatch, Duncan Young, Vicki Barber, David A Harrison, Peter Watkinson
Format: Article
Language:English
Published: BMC 2017-03-01
Series:BMC Medical Research Methodology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12874-017-0319-3
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author Robert Hatch
Duncan Young
Vicki Barber
David A Harrison
Peter Watkinson
author_facet Robert Hatch
Duncan Young
Vicki Barber
David A Harrison
Peter Watkinson
author_sort Robert Hatch
collection DOAJ
description Abstract Background The effects of postal questionnaire burden on return rates and answers given are unclear following treatment on an intensive care unit (ICU). We aimed to establish the effects of different postal questionnaire burdens on return rates and answers given. Methods Design: A parallel group randomised controlled trial. We assigned patients by computer-based randomisation to one of two questionnaire packs (Group A and Group B). Setting: Patients from 26 ICUs in the United Kingdom. Inclusion criteria: Patients who had received at least 24 h of level 3 care and were 16 years of age or older. Patients did not know that there were different questionnaire burdens. The study included 18,490 patients. 12,170 were eligible to be sent a questionnaire pack at 3 months. We sent 12,105 questionnaires (6112 to group A and 5993 to group B). Interventions: The Group A pack contained demographic and EuroQol group 5 Dimensions 3 level (EQ-5D-3 L) questionnaires, making four questionnaire pages. The Group B pack also contained the Hospital Anxiety and Depression Score (HADS) and the Post-Traumatic Stress Disorder Check List-Civilian (PCL-C) questionnaires, making eight questionnaire pages in total. Main outcome measure: Questionnaire return rate 3 months after ICU discharge by group. Results In group A, 2466/6112 (40.3%) participants responded at 3 months. In group B 2315/ 5993 (38.6%) participants responded (difference 1.7% CI for difference 0–3.5% p = 0.053). Group A reported better functionality than group B in the EQ-5D-3 L mobility (41% versus 37% reporting no problems p = 0.003) and anxiety/depression (59% versus 55% reporting no problems p = 0.017) domains. Conclusions In survivors of intensive care, questionnaire burden had no effect on return rates. However, questionnaire burden affected answers to the same questionnaire (EQ-5D-3 L). Trial registration ISRCTN69112866 (assigned 02/05/2006).
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spelling doaj.art-43c5c1eb0a504fcd9ed96805e2c061eb2022-12-21T22:42:07ZengBMCBMC Medical Research Methodology1471-22882017-03-011711910.1186/s12874-017-0319-3The effect of postal questionnaire burden on response rate and answer patterns following admission to intensive care: a randomised controlled trialRobert Hatch0Duncan Young1Vicki Barber2David A Harrison3Peter Watkinson4Kadoorie Centre for Critical Care Research and Education, University of Oxford, John Radcliffe HospitalKadoorie Centre for Critical Care Research and Education, University of Oxford, John Radcliffe HospitalKadoorie Centre for Critical Care Research and Education, University of Oxford, John Radcliffe HospitalKadoorie Centre for Critical Care Research and Education, University of Oxford, John Radcliffe HospitalKadoorie Centre for Critical Care Research and Education, University of Oxford, John Radcliffe HospitalAbstract Background The effects of postal questionnaire burden on return rates and answers given are unclear following treatment on an intensive care unit (ICU). We aimed to establish the effects of different postal questionnaire burdens on return rates and answers given. Methods Design: A parallel group randomised controlled trial. We assigned patients by computer-based randomisation to one of two questionnaire packs (Group A and Group B). Setting: Patients from 26 ICUs in the United Kingdom. Inclusion criteria: Patients who had received at least 24 h of level 3 care and were 16 years of age or older. Patients did not know that there were different questionnaire burdens. The study included 18,490 patients. 12,170 were eligible to be sent a questionnaire pack at 3 months. We sent 12,105 questionnaires (6112 to group A and 5993 to group B). Interventions: The Group A pack contained demographic and EuroQol group 5 Dimensions 3 level (EQ-5D-3 L) questionnaires, making four questionnaire pages. The Group B pack also contained the Hospital Anxiety and Depression Score (HADS) and the Post-Traumatic Stress Disorder Check List-Civilian (PCL-C) questionnaires, making eight questionnaire pages in total. Main outcome measure: Questionnaire return rate 3 months after ICU discharge by group. Results In group A, 2466/6112 (40.3%) participants responded at 3 months. In group B 2315/ 5993 (38.6%) participants responded (difference 1.7% CI for difference 0–3.5% p = 0.053). Group A reported better functionality than group B in the EQ-5D-3 L mobility (41% versus 37% reporting no problems p = 0.003) and anxiety/depression (59% versus 55% reporting no problems p = 0.017) domains. Conclusions In survivors of intensive care, questionnaire burden had no effect on return rates. However, questionnaire burden affected answers to the same questionnaire (EQ-5D-3 L). Trial registration ISRCTN69112866 (assigned 02/05/2006).http://link.springer.com/article/10.1186/s12874-017-0319-3Health related quality of lifeEQ5DQuestionnaireResponse rateRandomised control trialIntensive care
spellingShingle Robert Hatch
Duncan Young
Vicki Barber
David A Harrison
Peter Watkinson
The effect of postal questionnaire burden on response rate and answer patterns following admission to intensive care: a randomised controlled trial
BMC Medical Research Methodology
Health related quality of life
EQ5D
Questionnaire
Response rate
Randomised control trial
Intensive care
title The effect of postal questionnaire burden on response rate and answer patterns following admission to intensive care: a randomised controlled trial
title_full The effect of postal questionnaire burden on response rate and answer patterns following admission to intensive care: a randomised controlled trial
title_fullStr The effect of postal questionnaire burden on response rate and answer patterns following admission to intensive care: a randomised controlled trial
title_full_unstemmed The effect of postal questionnaire burden on response rate and answer patterns following admission to intensive care: a randomised controlled trial
title_short The effect of postal questionnaire burden on response rate and answer patterns following admission to intensive care: a randomised controlled trial
title_sort effect of postal questionnaire burden on response rate and answer patterns following admission to intensive care a randomised controlled trial
topic Health related quality of life
EQ5D
Questionnaire
Response rate
Randomised control trial
Intensive care
url http://link.springer.com/article/10.1186/s12874-017-0319-3
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