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PubMed2001

The relationship between within-interview contradictions and eliciting interviewer utterances.

OBJECTIVE: To determine whether interview practices associated with inaccurate reporting in laboratory analog contexts were also associated with inaccurate information in actual forensic contexts. METHOD: The forensic interview of a 5-year-old girl, an alleged victim of sexual abuse, was analyzed to explore interview practices associated with the retrieval of contradictory information. Content analyses of the child's responses focused on: (1) new informative details about the reported incidents; (2) contradictory details; (3) "central" and "peripheral" details; and (4) the types of utterances used to elicit each detail. RESULTS: The results illustrate how risky option-posing and suggestive utterances can be, as most (90%) contradicting details were elicited using option-posing and suggestive utterances and almost all (98%) of the contradicted and contradicting details were central, containing crucial information concerning the investigated allegation. No contradictory details were elicited in response to open-ended invitations. CONCLUSION: The findings demonstrate that poor interviewing practices can be associated with high levels of internal contradiction and should be avoided by forensic interviewers. To avoid contaminating children's reports and increase the likely accuracy of the information retrieved, moreover, interviewers should elicit as much information as possible using open-ended utterances, which tap free-recall memory.

Child Abuse, Sexual↗
PubMed1996

Antenatal 'booking' interviews at midwifery clinics in Sweden: a qualitative analysis of five video-recorded interviews.

OBJECTIVE: To describe antenatal 'booking' interviews as regards content and illuminate the meaning of the ways midwives and expectant parents relate to each other. DESIGN: Content analysis and phenomenological hermeneutic analysis of transcribed texts from five video-recorded antenatal booking interviews. SETTING: Midwifery clinics at five health centres in the context of Swedish primary care. PARTICIPANTS: Five midwives, five pregnant women (less than 14 weeks pregnant) and two expectant fathers. FINDINGS: A variety of content themes and ways of relating were found. Combined themes of biomedical and obstetric content occurred as frequently as the sum of social, emotional, antenatal care and life-style themes. The midwives' ways of relating formed two main themes; considering and disregarding the uniqueness of the expectant parents. The midwives directed the interview through their choice of content themes and the way they related to the expectant parents. The expectant parents mainly shadowed the midwives' content themes and ways of relating. The expectant fathers seemed like strange visitors in the women's world. Two perspectives of antenatal midwifery care, obstetric and parental, operated alternately and in competition within the interviews. KEY CONCLUSIONS: The content and the ways of relating within the interviews seem to be connected and could be understood in the light of Buber's writings on dialogue. IMPLICATIONS FOR PRACTICE: The findings provide a basis for reflection on the education of midwives and the planning, training and implementation of midwifery care at antenatal 'booking' interviews.

Adult↗
PubMed1987

Teaching the difficult interview in a required course on medical interviewing.

A module dealing with the difficult patient interview is part of a required medical interviewing course for second-year students. Using a classification of difficult doctor-patient interactions, students identify what goes wrong during interviews with simulated patients and then learn techniques to remedy these problems in order to obtain reliable medical histories. Skills taught to the students include identifying the specific problem within an interview and recognizing and using their own feelings as information about the patient. Attitudes encouraged in students include recognizing that the source of the problem may be the patient, the interviewer, or both; that the physician rather than the patient may be the so-called "poor historian"; and that the goal of managing a difficult patient interview is not counseling but rather the acquisition of accurate and precise information.

Education, Medical↗
PubMed1979

Interviewer effects in psychiatric epidemiology: a study of medical and lay interviewers and their impact on reported symptoms.

Utilizing data from a field study of psychiatric disorder, the study examined sex differences in patterns of response to interviewers in contrasting status positions. The dependent variables in the analysis were mean scores on nosological scales measuring three dimensions of symptomotology identified in a factor analysis. Independent variables were interviewer status and respondent sex. Three categories of interviewers were randomly assigned to administer a structured interview schedule. Strong interaction effects between interviewer status and respondent sex were noted. Women disclosed significantly fewer symptoms to the high status interviewers (identified physicians), whereas males reported most symptoms to this group. Theoretical explanations derived from the literature on sex roles were offered regarding the origins of women's response to high status figures.

Behavior↗
PubMed1999

Earwitness recall and identification: comparison of the cognitive interview and the structured interview.

77 undergraduates instructed to act as kidnap victims heard taped instructions given by a mock abductor. Two days later witnesses' recall of the culprit's monologue was tested using either a Cognitive Interview or a Structured Interview. Participants then rated the abductor's voice for nine speech characteristics and attempted to identify his voice from an audiotaped lineup. No significant differences were found between the two interview conditions for accuracy or error rates in free recall, for ratings of descriptive voice characteristics, or for performance in voice identification. These earwitness results are consistent with eyewitness investigations which have yielded no positive influence of the cognitive interview on identification. It is concluded that the success of the cognitive interview is best explained through its influence on social components of interviewing.

Adult↗
PubMed2005

[Factors associated with responses of telephone screening interview in a validity and reliability study of telephone interview to assess dietary intake in urban China].

OBJECTIVE: To describe the first phase of a multi-phase study exploring the possibility of conducting telephone dietary intake interviewing in Beijing, Shanghai and Hong Kong in urban China in 2002. METHODS: Three hundred healthy urban Chinese women aged 20 to 49years were sampled by random telephone screening interviews. RESULTS: Examination of the factors associated with their responses to the telephone screening showed that the completion rates differed by day of the week and time of the day. The completion rates were higher onWednesday and Thursday than other weekdays, and higher on Sunday than Saturday at the weekend. There was a trend for the completion rates to peak from 18 :00 to 21:30 during weekday evenings and between 11:00 and 12:00 AM and 19:00 and 20:00 PM during weekends. There was no significant interviewer difference in the completion rates except for one interviewer in Hong Kong, indicating that interviewer performance did not influence completion rates. Of all numbers dialed, 25% of the responding persons refused, with almost all (94.3%) occurring at or near the beginning of the screening interviews, either before or at invitation. Key reasons for refusal included "hung up without any interaction" (35.1%), "not available to participate" (28.6%) or "not interested in survey" (19.0%). Most of the refusals were firm and not possible to reverse.

Adult↗
PubMedDate not supplied

The delirium symptom interview: an interview for the detection of delirium symptoms in hospitalized patients.

To study delirium in hospitalized elderly, a delirium symptom interview (DSI) was developed by an interdisciplinary group of investigators. This interview was administered in an acute care hospital to 50 patients who were over the age of 65 years. Results from the interview were compared to assessments of major symptoms of delirium made independently by a neurologist and a psychiatrist. This interview had good validity and reliability. The sensitivity of the DSI was .90 and the specificity was .80, when compared with the clinical judgment of a psychiatrist and neurologist. Interrater reliability, using lay interviewers, was .90 for the detection of major symptoms of delirium. These results indicate that the DSI could be used by lay interviewers to assess reliably the symptoms of delirium.

Aged↗
PubMed2004

[Feasibility of telephone screening interview in a validity and reliability study of telephone interview to assess dietary intake in Beijing, Shanghai and Hong Kong].

OBJECTIVE: To understand the feasibility of telephone interviews to achieve recruitment of subjects to assess the validity and reliability of the telephone interview in eliciting dietary intake. METHODS: A multi-phase study was conducted in Beijing, Shanghai and Hong Kong in 2002. RESULTS: Three hundred eligible women aged from 20 to 49 years old were recruited in those cities. In the screening interview, 2462 random telephone numbers were dialed with 95% of dials completed within 5 times of attempts. The average number of dial for the completion was two calls, the rates of completion and refusal conversion were not improved remarkably by the increase of calls although some calling attempts reached 20 times. Regarding the processing of the sampling pools in those three cities, Beijing had a lower efficiency rate but a satisfactory completion rate, Shanghai was good in both indicators, and Hong Kong had a good efficiency rate but lower completion rate. The overall telephone screening interview completion rate was 42%, with Hong Kong having the lowest rate (32%) compared with Beijing and Shanghai (47% and 50%, respectively, P < 0.001). CONCLUSION: The telephone interview method could successfully reach the target of urban Chinese women and earn their cooperation with a satisfactory completion rate.

Adult↗
PubMed1992

Teaching medical interviewing. A basic course on interviewing and the physician-patient relationship.

Recent advances in educational theory and methodology have made it possible to teach medical interviewing with as much rigor as other clinical skills. We describe a first-semester, first-year medical student course that effectively teaches basic interviewing skills. This course provides faculty development, small group learning, detailed faculty and student coursebooks, and an interview checklist that delineates specific interviewing skills and content areas, serving as a template for teaching, practice, and feedback. Students have many opportunities for practice in role play and with patients, followed by feedback by self, peers, and faculty. Use of audiotape and videotape reviews enhances the learning experience. This article describes our course, suggests educational principles and standards for the teaching of medical interviewing, and presents educational research demonstrating significant gains in students' skills associated with improvement in standardized patient satisfaction.

Education, Medical, Undergraduate↗
PubMed1997

Characteristics of interview refusers: women who decline to participate in interviews relating to eating.

OBJECTIVES: The aim of this study was to compare the eating habits and weight ranges of 27 women who refused to participate in a semistructured interview on eating with 25 women who agreed to participate, to determine if there were any systematic differences between the two groups. METHOD: The women had previously completed a general psychiatric interview that also included a lifetime DSM-III-R diagnosis of eating disorders. About 2 years after this interview, the women were asked to participate in an interview that would specifically examine eating behaviors. RESULTS: In contrast to the results of previous studies, this study found that there was no difference between women who refused or agreed to participate in an interview about eating, in terms of their eating problems or weight ranges. CONCLUSIONS: It seems that eating or weight problems need not be overrepresented in groups who refuse to participate in surveys about eating, thereby undermining the accuracy of prevalence rates in the general population. Suggestions for achieving this representation are discussed.

Adult↗
PubMed1999

Subject and interview characteristics affecting reliability of the Diagnostic Interview Schedule for Children.

Despite the well-known difficulties in obtaining reliable and valid assessments of child psychopathology, investigators generally have not examined the influence of factors such as subject characteristics or the specific assessment procedures themselves on the validity of the information obtained. To address these issues, this special section presents four studies of the Diagnostic Interview Schedule for Children, in which investigators examined the impact of a range of variables on the reliability of its symptom and diagnostic information. Factors studied include interview structural characteristics; question length, complexity, and placement within the interview; and interview subject characteristics. Overall findings suggest that interview and subject characteristics exert important influences on the data obtained, and that novel approaches, such as allowing subjects a greater role in the ordering of questions to be answered, may improve the precision and accuracy of such measures of children's psychopathology.

Child↗
PubMed1984

Computer assisted telephone interviewing: effects on interviewers and respondents.

The effects of using a computer assisted telephone interviewing system on response distributions, interviewer behavior, and other nonsampling errors are measured through a survey experiment which randomly assigned cases either to a paper questionnaire or a CATI version. There were few differences in response distributions obtained in the two modes, some evidence of reduced interviewer variance among CATI cases, but little difference in response rates between the methods. Interviewers, who conducted interviews in both methods, tended to have no clear preference between them, but favored the CATI system for ease of following the questionnaire and the paper version for ease of making changes to prior answers.

Analysis of Variance↗
PubMed2004

The relationship between interviewers' characteristics and ratings assigned during a multiple mini-interview.

PURPOSE: To assess the consistency of ratings assigned by health sciences faculty members relative to community members during an innovative admissions protocol called the Multiple Mini-Interview (MMI). METHOD: A nine-station MMI was created and 54 candidates to an undergraduate MD program participated in the exercise in Spring 2003. Three stations were staffed with a pair of faculty members, three with a pair of community members, and three with one member of each group. Raters completed a four-item evaluation form. All participants completed post-MMI questionnaires. Generalizability Theory was used to examine the consistency of the ratings provided within each of these three subgroups. RESULTS: The overall test reliability was found to be .78 and a Decision Study suggested that admissions committees should distribute their resources by increasing the number of interviews to which candidates are exposed rather than increasing the number of interviewers within each interview. Divergence of ratings was greater within the pairing of community member to faculty member and least for pairings of community members. Participants responded positively to the MMI. CONCLUSION: The MMI provides a reliable protocol for assessing the personal qualities of candidates by accounting for context specificity with a multiple sampling approach. Increasing the heterogeneity of interviewers may increase the heterogeneity of the accepted group of candidates. Further work will determine the extent to which different groups of raters provide equally valid (albeit different) judgments.

Adult↗
PubMed2005

Randomized trial of supplementary interviewing techniques to enhance recall of sexual partners in contact interviews.

BACKGROUND: People with multiple sex partners tend to forget a significant proportion when recalling them. METHODS: Randomized trial of supplementary interviewing techniques during routine partner notification contact interviews for chlamydia, gonorrhea, and syphilis in Colorado Springs, CO. Cases with multiple sex partners in the last 3 months (n = 123) participated. Interviewers prompted nonspecifically and read back the list of elicited partners after cases recalled partners on their own. We then randomly assigned cases to receive 1 of 3 sets of recall cues: (1) an experimental set of cues consisting of locations where people meet partners, role relationships, network ties, and first letters of names; (2) another experimental set including common first names; and (3) control cues referring to individual characteristics (e.g., physical appearance). RESULTS: Nonspecific prompting and reading back the list each increased the number of additional partners elicited and located by 3% to 5% on average. On average, the combined location/role/letter/network cues elicited more additional partners (0.57) than did the first-name (0.29) and individual characteristics (0.28) cues. The location and first-name cues were the most effective in eliciting located partners. The supplementary techniques increased the number of new cases found by 12% and, importantly, identified branches of the sexual network that would not otherwise have been discovered. CONCLUSION: Elicitation of sex partners can be enhanced in contact interviews with simple interviewing techniques, resulting in improved network ascertainment and sexually transmitted disease case finding.

Adult↗
PubMed1997

Face-to-face household interviews versus telephone interviews for health surveys.

The purpose of this study was to compare response distributions in health surveys for two interview modes: face-to-face household interviews and telephone interviews. There were two samples of the Perth metropolitan general population aged 16 to 69 years: a face-to-face household sample (n = 1000) and a telephone sample (n = 222). The samples were generated by probability-based methods commonly used by commercial market research organisations. The surveys occurred in August-September 1992 as part of a larger statewide survey component of a three-year evaluation of the Western Australian Health Promotion Foundation. Respondents were drawn from a two-stage cluster sample based on private dwellings for personal interviews, and from randomly selected listed and unlisted private numbers for telephone interviews. Although the samples did not differ significantly on a number of variables, the telephone sample was significantly higher in residential social status; there was significantly lower reporting of smoking and lower unsafe alcohol consumption in the telephone sample: significantly higher proportions of the telephone sample were in Prochaska's 'action' stage of change for several health behaviours; and there was significantly greater recall of health messages in the telephone sample. Health researchers should treat comparisons between different survey modes with caution, and should be aware that campaign evaluations using telephone surveys and household surveys may yield substantially different results.

Adolescent↗
PubMed1986

The polydiagnostic interview: a structured interview for the polydiagnostic classification of psychiatric patients.

A structured interview (PODI) for the polydiagnostic evaluation of affective and schizophrenic disorders is presented. The interview includes elements of the Structured Clinical Interview for DSM-III (SCID) and of the Present State Examination (PSE). The central idea of this interview is to break down complex criteria into their elements, to assess a wide area of such elements, and to recombine them by a computer program according to different algorithms that are included in a greater number of operational diagnoses. Reliability data will be presented which show sufficiently high kappa and Yule coefficients for a selected set of diagnostic criteria for depressive, manic and psychotic disorders. The applicability of the PODI was established in about 180 interviews.

Diagnosis, Differential↗
PubMed2004

Generalized Electronic Interviewing System (GEIS): a program and scripting method for conducting interviews in multiple modes.

A program called the Generalized Electronic Interviewing System (GEIS) was developed for conducting interviews, using computer-assisted telephone interview (CATI) and interactive voice response (IVR) modes without the need for a programmed interface. GEIS questionnaires were prepared using a common script syntax in all supported modes. Scripted development allowed for rapid interview development without the need for programming. A GEIS script specified the following: question texts, including variable texts; answer option texts; numeric codes for answers; range check information; logical question-branching information; interview status information; do-loop information; and IVR information, such as key codes and voice messages. GEIS thoroughly checked scripts for logical or syntactical errors. GEIS required SAS Version 8.0, and survey data were accumulated within SAS data sets. An application of GEIS to conduct a survey involving CATI, IVR, and a combined hybrid method is described. The CATI results deviated in the direction expected for sensitive questions, whereas IVR obtained a small sample size, rendering the results unreliable. However, the hybrid method was found to provide more accurate telephone survey data on alcohol consumption than did CATI alone. The program may be downloaded from the Psychonomic Society Web archive at www.psychonomic.org/archive/.

Electronics↗