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August 31, 2022Research Article

Online vs Face-to-Face Administration of Impulse Control Disorder Questionnaires in Parkinson Disease: Does Method Matter?

Bonnie M. Scott, Robert S. Eisinger, Revath Sankar, Jared F. Benge, Robin C. Hilsabeck, Michael S. Okun, Aysegul Gunduz, Dawn Bowers
First published August 31, 2022, DOI: https://doi.org/10.1212/CPJ.0000000000200074
Bonnie M. Scott
1Department of Clinical and Health Psychology, University of Florida, Gainesville, FL
2Department of Neurology, Dell Medical School, University of Texas at Austin, Austin, TX
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Robert S. Eisinger
3Department of Neuroscience, Norman Fixel Institute of Neurological Diseases, University of Florida, Gainesville, FL
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Revath Sankar
2Department of Neurology, Dell Medical School, University of Texas at Austin, Austin, TX
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Jared F. Benge
2Department of Neurology, Dell Medical School, University of Texas at Austin, Austin, TX
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Robin C. Hilsabeck
2Department of Neurology, Dell Medical School, University of Texas at Austin, Austin, TX
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Michael S. Okun
4Department of Neurology, Norman Fixel Institute of Neurological Diseases, University of Florida, Gainesville, FL
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Aysegul Gunduz
3Department of Neuroscience, Norman Fixel Institute of Neurological Diseases, University of Florida, Gainesville, FL
5J. Crayton Pruitt Department of Biomedical Engineering, University of Florida, Gainesville, FL
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Dawn Bowers
1Department of Clinical and Health Psychology, University of Florida, Gainesville, FL
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Citation
Online vs Face-to-Face Administration of Impulse Control Disorder Questionnaires in Parkinson Disease: Does Method Matter?
Bonnie M. Scott, Robert S. Eisinger, Revath Sankar, Jared F. Benge, Robin C. Hilsabeck, Michael S. Okun, Aysegul Gunduz, Dawn Bowers
Neurol Clin Pract Aug 2022, 10.1212/CPJ.0000000000200074; DOI: 10.1212/CPJ.0000000000200074

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ABSTRACT

Background: Social desirability bias, the tendency to underreport undesirable behaviors, may be one reason patients with Parkinson disease (PD) underreport symptoms of impulse control disorders (ICDs).

Methods: We compared rates of ICD endorsement on questionnaires administered face-to-face and online in 60 patients with mild to moderate idiopathic PD. Participants also completed a self-report measure of social desirability.

Results: We found significantly higher prevalence of any ICD based on online (56.7%) versus in-person (33.3%) administration. Significantly higher endorsement of items related to hypersexuality in men, and compulsive eating and buying in women were found with online administration. Social desirability bias was positively correlated with ICD symptom endorsement across all items and subscales.

Conclusion: Results highlight the importance of social context/setting and the need for sensitivity and discretion when screening for ICD symptoms. While a higher level of symptom endorsement does not necessarily imply a greater level of accuracy, more work is needed to determine which method of administration is most accurate for clinical and research practice.

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