Internet Versus Mailed Questionnaires: A Controlled Comparison
2004

Comparing Internet and Mail Surveys for Surgeons

Sample size: 442 publication Evidence: moderate

Author Information

Author(s): Pam Leece, Mohit Bhandari, Sheila Sprague, Marc F Swiontkowski, Emil H Schemitsch, Paul Tornetta III, PJ Devereaux, Gordon H Guyatt

Primary Institution: McMaster University

Hypothesis

Orthopaedic surgeons who were given the opportunity to participate in an Internet-based questionnaire would respond at a higher rate than surgeons who were mailed a paper copy of the survey.

Conclusion

The Internet-based survey to surgeons resulted in a significantly lower response rate than a traditional mailed survey.

Supporting Evidence

  • The Internet arm had a response rate of 45%, while the mail arm had a response rate of 58%.
  • The overall primary response rate was 51%.
  • The Internet-based survey was more costly to implement than the mail survey.

Takeaway

Surgeons were asked to fill out a survey online or by mail, and more of them responded to the mail version than the online one.

Methodology

Surgeons were randomly assigned to receive either a mail or Internet version of a questionnaire about femoral neck fractures, with follow-up reminders sent to non-respondents.

Potential Biases

Potential non-response bias due to lower response rates in the Internet group.

Limitations

The study did not pre-determine whether participants were regular Internet users, and the allocation method was not fully random.

Participant Demographics

Surgeons from 17 countries on 6 continents, with 80% of respondents living in the USA.

Statistical Information

P-Value

<0.01

Confidence Interval

4%-22%

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.2196/jmir.6.4.e39

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