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PubMed2004

Methodological problems related to alcohol research among Turks and Moroccans living in the Netherlands: findings from semi-structured interviews.

OBJECTIVES: To identify factors related to alcohol use among Turks and Moroccans living in the Netherlands. Furthermore, to reveal methodological problems related to research among Turks and Moroccans in general and to alcohol research among these groups in particular. DESIGN: Individual face-to-face interviews were carried out with Dutch researchers (n = 9), Turkish and Moroccan (health) practitioners working in the field with Turks (n = 4) or Moroccans (n = 2), and members of the target population with a Turkish (n = 3) or a Moroccan background (n = 2). Furthermore, focus-group interviews were held with Turkish women (n = 4), Turkish men (n = 3), Moroccan women (n = 4) and Moroccan men (n = 3) working as health professionals. RESULTS: Alcohol use seems prevalent particularly among second-generation Turks and Moroccans and is related to: upbringing, influence of peer groups, integration and the degree in which Islamic rules are practised. Written questionnaires seem more appropriate for second-generation Turks and Moroccans, because they have fewer language problems and are more familiar with Western bureaucratic society. However, both generations may prefer face-to-face interviews since both groups fear that 'written' answers about the sensitive subject 'alcohol use' may somehow become known among community members. Similarly, an interviewer with a Dutch background may elicit more reliable answers about alcohol use than an interviewer with a Turkish or Moroccan background. CONCLUSION: In alcohol research special attention should be paid to second-generation Turks and Moroccans. Although it is probably easier to conduct alcohol studies in this group than in first-generation Turks and Moroccans, quantitative research is needed to test the hypothesis that written questionnaires elicit more reliable answers about alcohol use than face-to-face interviews. Furthermore, the influence of ethnic matching on response and data quality should be tested further.

Alcohol Drinking↗
PubMedDate not supplied

Validity of occupational energy expenditure assessed by interview.

Measuring physical activity at work has been a field of growing interest in recent decades, and there is a need for reliable, standardized assessment instruments for application in large population studies. The present study examined the validity of a task-oriented interview for assessing energy expenditure in occupational work. The interview was developed for use in the MUSIC-Norrtälje study, a population study with the overall aim of identifying risk and preventive factors for musculoskeletal disorders. Twenty-seven persons were included in the study. Each respondent defined all tasks performed during a typical workday and estimated their durations. For each task the interviewer then assessed the level of energy expenditure in multiples of the resting metabolic rate (MET) and calculated a time-weighted average MET (TWA-MET) for a typical workday. Measurements of oxygen consumption and observations of duration of each work task were performed during 2 workdays in all the interviewed subjects. The validity was tested by comparing TWA-MET derived from the interviews with those derived from measurements; the product moment correlation coefficient was 0.70. The interview may offer sufficient validity for assessment of energy expenditure in large population studies.

Adult↗
PubMed2003

Honing an advance care planning intervention using qualitative analysis: the Living Well interview.

Advance care planning requires an explicit and comprehensive discussion of patient values and conceptualization of quality of life. The Living Well open-ended interview intervention was developed to help patients and their health care agents to engage in a meaningful discussion of values so that decisions made in the last year of life are made with the patients' values in mind. We used qualitative and quantitative analysis to streamline this 10-question interview, and to generate hypotheses for future research. Interviews with 52 terminally ill patients were coded according to methodological weaknesses and content (support, spirit/feelings, palliative care, and quality of life). Node analysis revealed that three primary and three backup/probe questions yielded information that minimized misinformation, sampled from all four content areas, led to discussions of importance for good planning and decision-making, and may have led to earlier hospice admission than the national average. Two emerging themes, Generativity (passing on values or assets to the next generation) and essence (simple pleasures in everyday life), and were then quantitatively analyzed. People who mentioned generativity tended to be older, had a longer length of hospice stay, and a longer time to death after interview, compared to those who did not mention the theme. People who mentioned essence also tended to be older, but tended to have a shorter length of hospice stay and a shorter time to death after the interview. We conclude that this interview may improve access to hospice, and that generativity and essence are worthwhile themes for future research.

Adult↗
PubMed1998

Study I: development and criterion validity of the Children's Interview for Psychiatric Syndromes (ChIPS).

OBJECTIVE: To test the psychometric properties of the Children's Interview for Psychiatric Syndromes (ChIPS), a second-generation structured diagnostic interview designed to improve on the methodology provided by first-generation structured interviews, which have increased diagnostic reliability over unstructured clinical interviews. METHOD: Forty-two children hospitalized on a children's inpatient unit were administered the ChIPS and the Diagnostic Interview for Children and Adolescents (DICA). The level of agreement regarding syndrome presence or absence of 15 diagnoses according to the two instruments was assessed using a standard kappa coefficient or a rare kappa coefficient and percentage agreement. RESULTS: Agreement between the two instruments was significant (p < 0.05) for 13 of 14 diagnoses for which either kappa coefficient could be calculated. Percentage agreement was 98% and 100% for the remaining two diagnoses. ChIPS and DICA results also were compared with a psychiatrist's diagnoses. Sensitivity was 80% for ChIPS and 61% for DICA. Specificity was 78% for ChIPS and 87% for DICA. CONCLUSION: ChIPS is proposed as a valid measure of child psychopathology that offers advantages over existing interviews.

Child↗
PubMed2006

Using instant messaging for Internet-based interviews.

One method of data collection that has rarely been applied online is the one-on-one interview. Because of its widespread use, the Internet-based service instant messaging (IM) seems to be suitable to conduct scientific online interviews. A unique benefit of IM is the existence of public address books. These can be used both as a sampling frame and as a cross-reference to validate respondents' demographic data. The feasibility of IM interviews was examined in a WWW survey as well as in actual IM interviews that were combined with an experimental manipulation of the request for participation. On the basis of self-reports, respondent behavior, and data in the address books, the studies have demonstrated that the risk of receiving false data in IM interviews is small. Not only is the quality of the obtainable data satisfying but the contact rate, response rate, and retention rate as well. Moreover, the experimental test demonstrated that the response rate is influenced by the information provided in the chat request. On the basis of the study results, recommendations are given as to when and how IM interviews should be used as a data collection method.

Adolescent↗
PubMed1997

Computer-assisted self-interviewing: a multimedia approach to dietary assessment.

Currently available dietary assessment tools have limited ability to obtain valid data within the resource constraints of large-scale studies. Many obstacles to gathering data can be overcome with computer-assisted self-interviewing (CASI). Computers can conduct personalized, in-depth interviews without interviewers; provide standardized data collection with appropriate levels of probing; automate data entry; encourage subjects to review and correct inconsistent data; and ensure that responses are complete. Interactive multimedia tools can motivate subjects and improve participation. Visual and aural cues may stimulate recall and improve data quality. CASI is appropriate for use in populations in which literacy is low and in multiple ethnic groups. A prototype CASI diet-history program was developed for use in the United States. The diet-history approach was selected to improve cognitive support and capture information on usual diet. Scripts were based on recorded interviews with dietitians and interviewers from the National Health and Nutrition Examination Survey. At the end of the interview, participants are given information on how their reported nutrient intakes compare with current recommendations for their age and sex. The prototype was tested in focus groups of mixed age, sex, ethnicity, and education, with encouraging results. The development of multimedia-based dietary assessment tools seems a logical next step in improving dietary assessment methods.

Computers↗
PubMed2005

Palmtop-assisted self-interviewing for the collection of sensitive behavioral data: randomized trial with drug use urine testing.

Palmtop-assisted self-interviewing (PASI) may provide a cheaper and more mobile alternative to audio-computer-assisted self-interviewing (ACASI) for collecting sensitive behavioral data. To evaluate PASI, in late 2002 the authors enrolled 1,283 Thai students aged 15-21 years in a randomized trial. Data collection used PASI, ACASI, self-administered questionnaire, and face-to-face interview in combination with drug-use urine testing. By use of reported levels of behaviors and agreement between self-reports of smoking and urine test results, PASI and ACASI (alpha = 0.05) were compared for noninferiority, and PASI and interview were compared for superiority (alpha = 0.05). Noninferiority of PASI was demonstrated by use of self-reports of the most sensitive areas of sexual behavior (e.g., oral sex, sexual intercourse, commercial sex, history of genital ulcers, pregnancy), as well as self-reports of less sensitive behaviors (e.g., alcohol use, dietary behaviors, symptoms of depression). Data generally showed noninferiority of PASI, ACASI, and self-administered questionnaires when compared with each other and superiority of PASI, ACASI, and self-administered questionnaires when compared with interviews. PASI agreements between self-reports of tobacco smoking and presence of nicotine metabolites in urine were noninferior to ACASI and superior to interviews. The establishment of PASI noninferiority and superiority using behavioral and biologic measures suggests that PASI is a scientifically acceptable alternative for collecting sensitive behavioral data.

Adolescent↗
PubMed2003

Cannabis and smoking research: interviewing young people in self-selected friendship pairs.

This paper will discuss the use of paired interviewing as the main method of generating data in a study exploring the social context of young people's smoking and cannabis use. The research, conducted as part of an on-going PhD, involved 59 participants of both genders, aged 13-15 from different socioeconomic backgrounds, and with a wide range of cigarette and cannabis use experience. Participants were offered the choice of an individual interview or a paired interview with a friend of their choice, most opting for the paired format. The paper will discuss many of the methodological and ethical features of this method. In particular, it will discuss the potential for paired interviewing to access accounts generated within close friendship bonds, making this method distinctive from larger focus groups. It will also explore how paired interviewing facilitates access to interactions between participants, shedding light on many aspects of young people's social relationships and allowing occasional glimpses into more private territory. It will argue that the paired interview method can make a novel and distinctive contribution to health education/promotion research, policy and practice, and to any research that aims more fully to understand aspects of young people's social worlds.

Adolescent↗
PubMed1975

Interviewer effect on responses to a questionnaire relating to mood.

A community mental health assessment questionnaire relating largely to depressed mood was administered during 1972 to 1,212 respondents in Washington County, MD, by six interviewers. Analysis of 15 psycho-social tests showed that responses obtained by one interviewer differed significantly from responses obtained the other five. Suggestions for minimizing interviewer effects include 1) selection of interviewers with similar characteristics and backgrounds; 2) adequate training and periodic field assessment of interviewer performance; 3) simplification of questions and reduction in the number of possible responses per question; and 4) allocation of various types of subjects to interviewers as uniformly as possible.

Attitude of Health Personnel↗
PubMed1988

Validation of work histories obtained from interviews.

There have been few attempts to assess the validity of occupational histories obtained from interviews. A nested case-control study of lung cancer conducted in 1985 among a cohort of 19,608 male workers at a Texas chemical production facility provided such an opportunity. Telephone interviews were attempted with 308 lung cancer patients and 588 matched controls or their next of kin in order to gather information on tobacco use, diet, places of residence, and occupations. Interview data from 734 respondents (143 subjects and 591 next of kin) were then compared with the records of work area assignments maintained by the company and with exposure profiles developed by an industrial hygienist. Respondents recalled 48.4 per cent of all documented work area assignments, but only 2.6 per cent of the chemical agents judged as likely exposures. Recall of usual work area assignment was 70.8 per cent. Among the factors found to have most influenced recall were the number and durations of assignments, a subjective assessment of the quality of the interview, and the relationship of the interview respondent to the subject. The elapsed time from job assignment to interview was also found to affect recall of the longest assignment of the subject.

Data Collection↗
PubMed1995

Reproducibility of responses to telephone interviews: demographic predictors of discordance in risk factor status.

The reproducibility of responses to the Behavioral Risk Factor Surveillance System questionnaire was examined across the demographic strata used by the Centers for Disease Control and Prevention and state health departments for reporting prevalence estimates (specifically age, sex, income, employment, and marital status), as well as race/ethnicity, which has been previously examined. The authors administered the questionnaire twice, 21-94 days apart, to randomly selected residents of Massachusetts (response rates: first administration, 68% of eligible households; second administration, 68% of persons who completed the first interview). Initial interviews were conducted in March and October 1992. Among 448 respondents to both interviews, group mean distributions of seven demographic characteristics and 19 risk factors were highly consistent across the two interviews. Discordance in individual risk factor status ranged from 1.2% to 21.8% (median, 7.8%) and was symmetric in direction, i.e., as many respondents were considered at increased risk on the basis of the first interview and at low risk on the basis of the second interview as the reverse. Kappas ranged from 0.30 to 0.90 (median, 0.75). Education, household income, and interval between administrations were not associated with prevalence of discordance for any risk factor. Sex, age, race/ethnicity, marital status, and employment status were each predictive of variation in discordance for one or more risk factors, but no consistent effect of any individual demographic characteristic across risk factors was observed. The questionnaire has relatively uniform and generally good reproducibility across all demographic strata used for monitoring the Health Objectives for Year 2000 and other chronic disease surveillance activities.

Adolescent↗
PubMedDate not supplied

Reliability of ratings on the Glasgow Outcome Scales from in-person and telephone structured interviews.

OBJECTIVE: To determine test-retest reliability and interrater reliability for structured interviews for the Glasgow Outcome Scale (GOS) using in-person and telephone contact. METHODS: Study 1: Thirty head-injured patients were interviewed face-to-face and then reinterviewed by telephone a few days later by the same rater. Study 2: Fifty-six head-injured patients were interviewed by telephone and then face-to-face interviews were carried out by a different person up to 1 month later. Agreement between ratings on the GOS and the extended GOS (GOSE) in each of the studies was assessed using the kappa statistic weighted with quadratic weights. RESULTS: Values of kappa(w) for the test-retest reliability study were.92 for both GOS and GOSE, and for interrater reliability study were.85 for the GOS and.84 for the GOSE. CONCLUSIONS: The findings indicate good test-retest and interrater reliability for the structured interviews. In most circumstances a structured interview over the telephone can provide a reliable assessment of the GOS, and can safely be substituted for in person contact.

Adult↗
PubMed1981

Medical student acquisition and retention of communication and interviewing skills.

Medical students' interpersonal and communication skills were assessed over the course of their first two years of medical training. During the first year, students participated in a nine-week course designed to develop effective interviewing skills. On the average, students improved significantly on two standardized measures of communication and discrimination skills as a result of this training. Upon completion of this course, the students conducted a videotaped interview with "screened patients," persons trained in interviewing skills. Evaluation of these videotapes indicated a level of performance commensurate with performance on the written measures. A similar interview was conducted about one year after the first " screened patient" interview to assess retention of these skills. Results of the first and second video analyses indicated a significant decline in student process-oriented skills. These findings indicate that effective interviewing and communication skills can be not only learned but also forgotten.

Communication↗
PubMed1996

Comparison of standardized patients and faculty in teaching medical interviewing.

PURPOSE: This randomized controlled study compared the interviewing skills of first-year medical students receiving feedback primarily from standardized patients (SPs) with those of students receiving feedback primarily from faculty. METHOD: All 154 first-year students at the University of Oklahoma College of Medicine in 1993-94 were video-taped to assess baseline and post-instruction interviewing skills. All the students, randomized to one of three study groups, attended two four-hour workshops on interviewing skills. Instruction in the groups was as similar as possible except in the matter of who provided feedback. Two rating systems were used to rate the videotaped interviews for performances of targeted skills. RESULTS: Complete, usable data were available for 120 (78%) of the students. Skill ratings using the Arizona Clinical Interview Rating Scale were significantly higher for the "types of questions used" and "use of empathy" items in the SP-led feedback group. No significant difference in ratings was detected among the groups as measured by the Rotor Interactional Analysis System. CONCLUSION: The SPs were at least as effective as the faculty in effecting behavioral changes in the first-year medical students' interviewing skills.

Education, Medical, Undergraduate↗
PubMed1999

Teaching self-awareness enhances learning about patient-centered interviewing.

PURPOSE: To evaluate the effect of intensive attitudinal training on residents' learning the patient-centered interviewing skills required to establish a healthy provider-patient relationship and to communicate effectively. METHOD: While teaching 53 residents patient-centered interviewing skills, the authors also trained them to recognize previously unrecognized, negative attitudes that interfered with learning the skills. The authors, using an iterative, consensus-building process based on the residents' performances and personality data, identified a spectrum of responses to the educational intervention. Barriers to and facilitators of mastery of skills were analyzed and this information was used to help residents overcome skill deficits. RESULTS: To varying degrees, 44 residents became aware of previously unrecognized attitudes to the extent that they improved their patient-centered interviewing skills. Six residents failed to develop awareness of negative attitudes and showed little learning and clinical use of the interviewing skills being taught. Three residents who rapidly developed superb interviewing skills showed no negative attitude towards using them. CONCLUSIONS: Pending a confirmatory hypothesis-testing study, the authors believe that, as residents learn how to conduct patient-centered interviews, training in awareness of interfering attitudes should accompany training in skills.

Attitude of Health Personnel↗
PubMed2000

NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses.

OBJECTIVE: To describe the National Institute of Mental Health Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV) and how it differs from earlier versions of the interview. The NIMH DISC-IV is a highly structured diagnostic interview, designed to assess more than 30 psychiatric disorders occurring in children and adolescents, and can be administered by "lay" interviewers after a minimal training period. The interview is available in both English and Spanish versions. METHOD: An editorial board was established in 1992 to guide DISC development and ensure that a standard version of the instrument is maintained. Preliminary reliability and acceptability results of the NIMH DISC-IV in a clinical sample of 84 parents and 82 children (aged 9-17 years) drawn from outpatient child and adolescent psychiatric clinics at 3 sites are presented. Results of the previous version in a community sample are reviewed. RESULTS: Despite its greater length and complexity, the NIMH DISC-IV compares favorably with earlier versions. Alternative versions of the interview are in development (the Present State DISC, the Teacher DISC, the Quick DISC, the Voice DISC). CONCLUSIONS: The NIMH DISC is an acceptable, inexpensive, and convenient instrument for ascertaining a comprehensive range of child and adolescent diagnoses.

Child↗
PubMed2001

Scaling structured interview data: a comparison of two methods.

OBJECTIVE: Although structured interviews are currently considered essential assessment strategies for conducting research, the data they generate are typically not used for purposes beyond making categorical determinations about diagnoses. Because of the need for dimensional scales to be used in conjunction with categorical data, two dimensional scales constructed from structured interviews are presented and examined. One scale, Behavior, Anxiety, Mood, and Other (BAMO), provides an overall score by summing the percentage of symptoms endorsed for each of 20 behavior, anxiety, mood, and other disorders found in the Diagnostic Interview for Children and Adolescents-Revised (DICA-R, DSM-III-R version). Another scale, DICA-SUM, is constructed by summing all endorsed symptoms on the interview. In this study the psychometric and pragmatic characteristics of BAMO and DICA-SUM are compared. METHOD: Data were obtained from 570 children (331 bereaved, 110 depressed, 129 community) aged 5 to 18 years (mean +/- SD = 11.3 +/- 3.2) who were interviewed as part of an ongoing longitudinal childhood bereavement study from 1987 to 1996. RESULTS: Discriminant and convergent validity with other child psychopathology measures are comparable for BAMO and DICA-SUM. However, BAMO more clearly conveys information regarding the approximate number of diagnoses endorsed. CONCLUSION: This study identified two methods of creating dimensional scales from structured interviews. Use of such dimensional scales might allow for improved comparison of results across studies.

Adolescent↗
PubMed1981

Validation of the type A interview assessment of adolescents: a multidimensional approach.

The Adolescent Structured Interview (ASI), adapted from the interview that assesses Type A behavior of adults, was administered to 204 adolescents. These adolescents also completed a battery of self-report questionnaires that measured the three major components of Pattern A: competitive achievement-striving, speed and impatience, and aggressiveness-hostility. In addition, items was constructed to measure efforts to control which have been hypothesized to underlie the major manifestations of Type A behaviors. The ASI content and speech ratings were subjected to factor analytic procedures, and the relationships between the major factors, interview behaviors, impatience, and harddriving, and the appropriate test scores were examined. Dichotomization of the three factor score distributions and subsequent t-tests indicated that the factor scores have discriminative ability and are related as expected to the appropriate self-report measures of Type A behaviors. Of the three factors identified, the interview behaviors factor was most highly correlated with interview classification, while the two content factors yielded much weaker associations. Apparently, the component scores of the ASI provide unique information, in terms of relationships with relevant dependent measures, that is not provided by the interview classification alone.

Adolescent↗

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