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Published in: Conflict and Health 1/2016

Open Access 01-12-2016 | Methodology

Implementation of Audio-Computer Assisted Self-Interview (ACASI) among adolescent girls in humanitarian settings: feasibility, acceptability, and lessons learned

Authors: Kathryn Falb, Sophie Tanner, Khudejha Asghar, Samir Souidi, Stan Mierzwa, Asham Assazenew, Theresita Bakomere, Pamela Mallinga, Katie Robinette, Woinishet Tibebu, Lindsay Stark

Published in: Conflict and Health | Issue 1/2016

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Abstract

Background

Audio-Computer Assisted Self- Interview (ACASI) is a method of data collection in which participants listen to pre-recorded questions through headphones and respond to questions by selecting their answers on a touch screen or keypad, and is seen as advantageous for gathering data on sensitive topics such as experiences of violence. This paper seeks to explore the feasibility and acceptability of using ACASI with adolescent girls and to document the implementation of such an approach in two humanitarian settings: conflict-affected communities in eastern Democratic Republic of Congo (DRC) and refugee camps along the Sudan-Ethiopia border.

Methods

This paper evaluates the feasibility and acceptability of implementing ACASI, based on the experiences of using this tool in baseline data collections for COMPASS (Creating Opportunities through Mentorship, Parental involvement, and Safe Spaces) impact evaluations in DRC (N = 868) and Ethiopia (N = 919) among adolescent girls. Descriptive statistics and logistic regression models were generated to examine associations between understanding of the survey and selected demographics in both countries.

Results

Overall, nearly 90% of girls in the DRC felt that the questions were easy to understand as compared to approximately 75% in Ethiopia. Level of education, but not age, was associated with understanding of the survey in both countries.

Conclusions

Financial and time investment to ready ACASI was substantial in order to properly contextualize the approach to these specific humanitarian settings, including piloting of images, language assessments, and checking both written translations and corresponding verbal recordings. Despite challenges, we conclude that ACASI proved feasible and acceptable to participants and to data collection teams in two diverse humanitarian settings.
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Literature
2.
go back to reference Langhaug LF, Sherr L, Cowan FM. How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries. Trop Med Int Health. 2010;15(3):362–81.CrossRefPubMedPubMedCentral Langhaug LF, Sherr L, Cowan FM. How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries. Trop Med Int Health. 2010;15(3):362–81.CrossRefPubMedPubMedCentral
3.
go back to reference Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein FL. Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science. 1998;280:867–73.CrossRefPubMed Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein FL. Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science. 1998;280:867–73.CrossRefPubMed
4.
go back to reference Hewett PC, Mensch BS, Erulkar AS. Consistency in the reporting of sexual behaviour by adolescent girls in Kenya: a comparison of interviewing methods. Sex Transm Infect. 2004;80(S2):ii43–8.PubMedPubMedCentral Hewett PC, Mensch BS, Erulkar AS. Consistency in the reporting of sexual behaviour by adolescent girls in Kenya: a comparison of interviewing methods. Sex Transm Infect. 2004;80(S2):ii43–8.PubMedPubMedCentral
5.
go back to reference Azevedo Simoes A, Inacio Bastos F, Ismerio Moreira R, Lynch KG, Metzger DS. Acceptability of audio computer-assisted self-interview (ACASI) among substance abusers seeking treatment in Rio de Janeiro, Brazil. Drug Alcohol Depend. 2006;82(S1):S103–7.CrossRef Azevedo Simoes A, Inacio Bastos F, Ismerio Moreira R, Lynch KG, Metzger DS. Acceptability of audio computer-assisted self-interview (ACASI) among substance abusers seeking treatment in Rio de Janeiro, Brazil. Drug Alcohol Depend. 2006;82(S1):S103–7.CrossRef
6.
go back to reference Hewett PC, Mensch BS, de A Ribeiro MCS, Jones HE, Lippman SA, Montgomery MR, van de Wijgert JHHM. Using sexually transmitted infection biomarkers to validate reporting of sexual behavior within a randomized, experimental evaluation of interviewing methods. Am J Epidemiol. 2008;168(2):202–11.CrossRefPubMedPubMedCentral Hewett PC, Mensch BS, de A Ribeiro MCS, Jones HE, Lippman SA, Montgomery MR, van de Wijgert JHHM. Using sexually transmitted infection biomarkers to validate reporting of sexual behavior within a randomized, experimental evaluation of interviewing methods. Am J Epidemiol. 2008;168(2):202–11.CrossRefPubMedPubMedCentral
7.
go back to reference Langhaug LF, Cheung YB, Pascoe SJS, Chirawu P, Woelk G, Hayes RJ, Cowan FM. How you ask really matters: randomised comparison of four sexual behaviour questionnaire delivery modes in Zimbabwean youth. Sex Transm Infect. 2010;87:165–73.CrossRefPubMed Langhaug LF, Cheung YB, Pascoe SJS, Chirawu P, Woelk G, Hayes RJ, Cowan FM. How you ask really matters: randomised comparison of four sexual behaviour questionnaire delivery modes in Zimbabwean youth. Sex Transm Infect. 2010;87:165–73.CrossRefPubMed
8.
go back to reference Metzger DS, Koblin B, Turner C, Navaline H, Valenti F, Holte S, Gross M, Sheon A, Miller H, Cooley P, et al. Randomized controlled trial of audio computer-assisted self-interviewing: utility and acceptability in longitudinal studies. Am J Epidemiol. 2000;152(2):99–106.CrossRefPubMed Metzger DS, Koblin B, Turner C, Navaline H, Valenti F, Holte S, Gross M, Sheon A, Miller H, Cooley P, et al. Randomized controlled trial of audio computer-assisted self-interviewing: utility and acceptability in longitudinal studies. Am J Epidemiol. 2000;152(2):99–106.CrossRefPubMed
10.
go back to reference Jaya, Hindin MJ, Ahmed S. Differences in young people’s reports of sexual behaviors according to interview methodology: a randomized trial in India. Am J Public Health. 2008;98(1):169–74.CrossRefPubMedPubMedCentral Jaya, Hindin MJ, Ahmed S. Differences in young people’s reports of sexual behaviors according to interview methodology: a randomized trial in India. Am J Public Health. 2008;98(1):169–74.CrossRefPubMedPubMedCentral
11.
go back to reference Estes LJ, Lloyd LE, Teti M, Raja S, Bowleg L, Allgood KL, Glick N. Perceptions of audio computer-assisted self-interviewing (ACASI) among women in an HIV-positive prevention program. PLoS One. 2010;5(2):e9149.CrossRefPubMedPubMedCentral Estes LJ, Lloyd LE, Teti M, Raja S, Bowleg L, Allgood KL, Glick N. Perceptions of audio computer-assisted self-interviewing (ACASI) among women in an HIV-positive prevention program. PLoS One. 2010;5(2):e9149.CrossRefPubMedPubMedCentral
12.
go back to reference Jennings TE, Lucenko BA, Malow RM, Devieux JG. Audio-CASI vs interview method of administration of an HIV/STD risk of exposure screening instrument for teenagers. Int J STD AIDS. 2008;13(11):781–4.CrossRef Jennings TE, Lucenko BA, Malow RM, Devieux JG. Audio-CASI vs interview method of administration of an HIV/STD risk of exposure screening instrument for teenagers. Int J STD AIDS. 2008;13(11):781–4.CrossRef
13.
go back to reference World Health Organization. The sexual and reproductive health of young adolescents in developing countries: reviewing the evidence, identifying research gaps, and moving the agenda. In: Geneva: WHO; 2011. World Health Organization. The sexual and reproductive health of young adolescents in developing countries: reviewing the evidence, identifying research gaps, and moving the agenda. In: Geneva: WHO; 2011.
14.
go back to reference Group NMHSPTfAAC. Designing an audio-computer assisted self-interview system in a multisite trial: a brief report. J Acquir Immune Defic Syndr. 2008;49(S1):S52–8. Group NMHSPTfAAC. Designing an audio-computer assisted self-interview system in a multisite trial: a brief report. J Acquir Immune Defic Syndr. 2008;49(S1):S52–8.
15.
go back to reference Falb KL, Tanner S, Ward L, Erksine D, Noble E, Assazenew A, Bakomere T, Lowry C, Graybill E, Mallinga P, et al. Creating Opportunities thorugh Mentorship, Parental involvement, and Safe Spaces (COMPASS) program: Multi-country study protocol to protect girls from violence in humanitarian settings. BMC Public Health. 2016;16(231):1–10. doi:10.1186/s12889-016-2894-3. Falb KL, Tanner S, Ward L, Erksine D, Noble E, Assazenew A, Bakomere T, Lowry C, Graybill E, Mallinga P, et al. Creating Opportunities thorugh Mentorship, Parental involvement, and Safe Spaces (COMPASS) program: Multi-country study protocol to protect girls from violence in humanitarian settings. BMC Public Health. 2016;16(231):1–10. doi:10.​1186/​s12889-016-2894-3.
Metadata
Title
Implementation of Audio-Computer Assisted Self-Interview (ACASI) among adolescent girls in humanitarian settings: feasibility, acceptability, and lessons learned
Authors
Kathryn Falb
Sophie Tanner
Khudejha Asghar
Samir Souidi
Stan Mierzwa
Asham Assazenew
Theresita Bakomere
Pamela Mallinga
Katie Robinette
Woinishet Tibebu
Lindsay Stark
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Conflict and Health / Issue 1/2016
Electronic ISSN: 1752-1505
DOI
https://doi.org/10.1186/s13031-016-0098-1

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