title: Telepsychiatry: assessment of televideo psychiatric interview reliability with present- and next-generation internet infrastructures.
abstract: OBJECTIVE
  We assessed the reliability of remote video psychiatric interviews conducted via the internet using narrow and broad bandwidths.
  
  
  METHODS
  Televideo psychiatric interviews conducted with 42 in-patients with chronic schizophrenia using two bandwidths (narrow, 128 kilobits/s; broad, 2 megabits/s) were assessed in terms of agreement with face-to-face interviews in a test-retest fashion. As a control, agreement was assessed between face-to-face interviews. Psychiatric symptoms were rated using the Oxford version of the Brief Psychiatric Rating Scale (BPRS), and agreement between interviews was estimated as the intraclass correlation coefficient (ICC).
  
  
  RESULTS
  The ICC was significantly lower in the narrow bandwidth than in the broad bandwidth and the control for both positive symptoms score and total score.
  
  
  CONCLUSIONS
  While reliability of televideo psychiatric interviews is insufficient using the present narrow-band internet infrastructure, the next generation of infrastructure (broad-band) may permit reliable diagnostic interviews.
authors.affiliation: Department of Psychiatry, National Defense Medical College, Tokorozawa, Saitama, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Yoshino
authors.forename: J
authors.initials: J
authors.lastname: Shigemura
authors.forename: Y
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: S
authors.initials: S
authors.lastname: Nomura
authors.forename: K
authors.initials: K
authors.lastname: Shishikura
authors.forename: R
authors.initials: R
authors.lastname: Den
authors.forename: H
authors.initials: H
authors.lastname: Wakisaka
authors.forename: S
authors.initials: S
authors.lastname: Kamata
authors.forename: H
authors.initials: H
authors.lastname: Ashida
mesh_terms: D000704:Analysis of Variance; D005260:Female; D006801:Humans; D020407:Internet; D007406:Interview, Psychological; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis*; D008875:Middle Aged; D015588:Observer Variation; D019114:Remote Consultation; D015203:Reproducibility of Results