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PubMed2004

Comparison of face-to-face and videoconferenced multidisciplinary clinical meetings.

A trial of videoconferencing of multidisciplinary breast cancer clinical meetings between three public hospitals was conducted in an attempt to increase attendance by medical staff at the meetings, and thus facilitate multidisciplinary care for breast cancer patients. The videoconferences were compared with the previously existing face-to-face clinical meetings through questionnaires, attendance, number of cases discussed and anthropological analysis. Although more people attended the videoconferences than the face-to-face meetings, most of the participants in the trial preferred the face-to-face meetings to the videoconferences. The mean number of cases discussed at the videoconferences was significantly less than the mean number of cases presented at the face-to-face clinical meetings. The face-to-face meetings were informal, spontaneous and conducive to open discussion. In contrast, the videoconferences were formal and regimented. Multidisciplinary case discussion can be facilitated by videoconferencing. Some of the negative experiences we encountered could be overcome with changes in meeting format. Our experience may help others in setting up a successful multidisciplinary team via videoconference.

Breast Neoplasms↗
PubMed1994

AIDS and behavioural risk factors in women in inner city Baltimore: a comparison of telephone and face to face surveys.

STUDY OBJECTIVE: The study aimed to investigate the influence the mode of administration of a questionnaire (telephone or face to face) on reports of sexual behaviour and attitudes of HIV risk among woman of reproductive age. DESIGN: Two cross sectional surveys--one, a modified random digit dialing telephone survey, the second, a face to face street sample--were carried out by the same interviewers using similar questionnaires in the same neighbourhoods. SETTING AND PARTICIPANTS: Two socially deprived, inner city neighbourhoods of Baltimore City were assessed in early 1990 before a community health intervention was carried out in one of them. Women between 17 and 35 years were surveyed. MAIN RESULTS: Altogether 775 and 416 women in the target age group were interviewed by telephone and face to face methods: the response rates were 66.4% and 77% respectively. Telephone respondents tended to be older, had more education, were more often married, were less likely to live in subsidised housing, and were more likely to report HIV testing. The proportions of respondents who reported a previous abortion and had had a surgical sterilisation were higher among the telephone respondents (34.7% v 24.1% and 26.4% v 20.6%, respectively). With regard to sexual risk behaviour, the only statistically significant differences were found in the proportion who reported having used drugs (10.6% of the face to face v 2.4% of the telephone sample) or alcohol (30.5% v 16.3%) at last sexual intercourse. The observed method effect on these variables remained unchanged after adjusting for age, education, employment, and marital status. This effect was even stronger for a subgroup of face to face respondents who reported not having a telephone at home. The adjusted odds ratios for reporting alcohol consumption and use of drugs at the last sexual encounter in this group compared with the telephone respondents were 3.7 (2.1, 6.6) and 14.1 (5.7, 34.5) respectively. CONCLUSIONS: Despite the socioeconomic bias associated with the mode of data collection, there are only a few differences between the telephone and personal survey methods in reports of sexual behaviour. These differences are mostly concentrated in young women (under 20 years), and in a particularly socioeconomically deprived subgroup identified through telephone ownership.

Acquired Immunodeficiency Syndrome↗
PubMed1997

Comparability of telephone and face-to-face interviews in assessing axis I and II disorders.

OBJECTIVE: The present study examined the comparability of data obtained by telephone and face-to-face interviews for diagnosing axis I and II disorders. METHOD: Sixty young adults from the community were interviewed face-to-face and over the telephone regarding axis I disorders; another 60 subjects were interviewed twice regarding axis II disorders. The order of interviews was counterbalanced, and subjects with a history of disorder were oversampled. Agreement between telephone and face-to-face interviews was contrasted with interrater values, which were obtained by having a second interviewer rate a recording of the original interview. RESULTS: Interrater reliability was excellent. Agreement between telephone and face-to-face assessment was excellent for anxiety disorders and very good for major depressive disorder and alcohol and substance use disorders; agreement was problematic, however, for adjustment disorder with depressed mood. Strong support was shown for the validity of the axis II telephone assessment format. Small but consistent trends were noted for lower rates of psychopathology reported in the second interview. CONCLUSIONS: This is the first study in which telephone and face-to-face assessments of axis I and II psychopathology were conducted with the same subjects assigned to conditions in a counterbalanced manner. The present findings provide qualified justification for the use of telephone interviews to collect axis I and II data. The apparent concerns do not appear sufficient to override the economic and logistic advantages of telephone interviewing.

Adolescent↗
PubMed2002

The relationship between the amount of face-to-face contact and partners' reports of domestic violence frequency.

This investigation examines the relationship between partners' amount of face-to-face contact and partners' frequency of domestic violence. Men entering a domestic violence treatment program (N = 134) and their intimate partners were asked to complete the Conflict Tactics Scale (CTS) at the beginning of treatment and 12 months after treatment completion concerning partner violence during the previous year. Partners were also asked to identify days during the year before and the year after treatment during which they did not have face-to-face contact. Results indicated that at both baseline and 12-month posttreatment follow-up, the number of days of face-to-face contact was significantly related to verbal aggression and physical violence. However, after controlling for physical violence, the relationship between the number of days of face-to-face contact and verbal aggression was not significant; the relationship between the number of days of face-to-face contact and physical violence remained significant, even after controlling for verbal aggression.

Adult↗
PubMed2006

Controlled trial of worksite health education through face-to-face counseling vs. e-mail on drinking behavior modification.

This study examined the effectiveness of a traditional face-to-face health education and e-mail health education on alcohol usage among male workers in comparison with a control group. Male workers at a manufacturing plant (N=36) who had abnormal serum gamma-GTP were stratified by age and job types, then randomized into three groups: face-to-face education, e-mail education, and the control. The subjects were assessed on their knowledge about and attitude towards drinking, reported alcohol consumption, and serum gamma-GTP before the start of education and 2 months later after comparison of the education. Paired t-test and repeated ANOVA were conducted to test the significance of changes pre and post the intervention and across groups. In the face-to-face group, knowledge (p=0.001), attitude (p=0.026), alcohol consumption (p=0.003) and serum gamma-GTP showed significant improvement. In the e-mail group, only alcohol consumption showed marginal improvement (p=0.077). In the control group, no variables remarkably changed. These results indicate that the face-to-face health education was more effective than the e-mail program. We discuss why the face-to-face approach was superior to the e-mail approach in this study by referring to self-monitoring, goal setting processes and timely feedback. We concluded that further studies are warranted to identify the effect of health education using e-mails and other network tools in consideration of the above three factors.

Adult↗
PubMed2000

A comparison of the reliability of self-reported drug use and sexual behaviors using computer-assisted versus face-to-face interviewing.

The purpose of this study was to assess the reliability of responses to HIV risk behavior questions obtained using a voice-enhanced, computer-administered self-interview (audio-CASI) system with touch-screen response compared with those obtained via face-to-face interviews administered by trained and experienced interviewers. Additionally, the study assessed bias that may be attributable to an audio-CASI data collection format. The design of the study was a four-group crossover design with random assignment to one of four study conditions: (a) audio-CASI interview at both intake and retest, (b) face-to-face interview at both intake and retest, (c) audio-CASI interview at intake and face-to-face interview at retest, and (d) face-to-face interview at intake and audio-CASI interview at retest. The study was conducted with a sample of drug users at risk for HIV infection interviewed in nonclinical settings. Data were collected at intake and 48 hours after intake. Analyses show that data obtained using voice-enhanced computer interviewing with touch-screen response are reliable and are comparable to data obtained using interviewer administered face-to-face interviews. However, bias was found to be associated with data collection format and may be partially attributable to the complexity of the questionnaire.

Adult↗
PubMed1995

The inverted face inversion effect in prosopagnosia: evidence for mandatory, face-specific perceptual mechanisms.

Does the human visual system contain a specialized system for face recognition, not used for the recognition of other objects? This question was addressed using the "face inversion effect" which refers to the loss of our normal proficiency at face perception when faces are inverted. We found that a prosopagnosic subject paradoxically performed better at matching inverted faces than upright faces, the opposite of the normal "face inversion effect". The fact that his impairment was most pronounced with the stimuli for which normal subjects show the greatest proficiency in face perception provides evidence of a neurologically localized module for upright face recognition in humans. An additional implication of these data is that specialized systems may control behavior even when they are malfunctioning and therefore maladeaptive, consistent with the mandatory operation of such systems according to the "modularity" hypothesis of the cognitive architecture.

Adult↗
PubMed1988

Non-conscious face recognition in patients with face agnosia.

Four patients with face agnosia, a condition in which there is a failure to recognize previously known faces or faces that ought to have been learned without difficulty, were studied with an experimental paradigm in which both overt (verbal self-report) and covert (electrodermal skin conductance response) probes of recognition were used. The results showed a striking dissociation between the two indices: (1) all 4 patients generated more frequent and significantly larger-amplitude skin conductance responses to familiar faces, as compared to unfamiliar ones. This outcome contrasts with the finding that (2) none of the patients was able to give discriminatory verbal ratings of familiar versus unfamiliar faces. The positive electrodermal discrimination is interpreted as an index of the rich co-activation of records that is produced when familiar facial stimuli successfully trigger the reassembly of previously acquired representations of the physical structure of faces. The results of this co-activation, however, are unavailable to consciousness. This is seen as the consequence of lesion-related disruption of linkages between face records, on the one hand, and non-face records that contain information uniquely and unequivocally apposite to the possessor of a particular face.

Adult↗
PubMed2004

A unique look at face processing: the impact of masked faces on the processing of facial features.

This experiment utilized a masked priming paradigm to explore the early processes involved in face recognition. The first experiment investigated implicit processing of the eyes and mouth in an upright face, using prime durations of 33 and 50 ms. The results demonstrate implicit processing of both the eyes and mouth, and support the configural processing theory of face processing. The second experiment used the same method with inverted faces and the third experiment was a combination of Experiments 1 and 2. The fourth experiment utilized misaligned faces as the primes. Based on the pattern of results from these experiments, we suggest that, when a face is inverted, the eyes and mouth are initially processed individually and are not linked until a later stage of processing. An upright face is proposed to be processed by analysis of its configuration, whereas an inverted face is initially processed using first-order relational information, and then converted to an upright representation and transferred to face specific regions for configural analysis.

Adult↗
PubMed2005

Face adaptation depends on seeing the face.

Retinal input that is suppressed from visual awareness can nevertheless produce measurable aftereffects, revealing neural processes that do not directly result in a conscious percept. We here report that the face identity-specific aftereffect requires a visible face; it is effectively cancelled by binocular suppression or by inattentional blindness of the inducing face. Conversely, the same suppression does not interfere with the orientation-specific aftereffect. Thus, the competition between incompatible or interfering visual inputs to reach awareness is resolved before those aspects of information that are exploited in face identification are processed. We also found that the face aftereffect remained intact when the visual distracters in the inattention experiment were replaced with auditory distracters. Thus, cross-modal or cognitive interference that does not affect the visibility of the face does not interfere with the face aftereffect. We conclude that adaptation to face identity depends on seeing the face.

Adaptation, Physiological↗
PubMed1992

Perception of conspecific faces by budgerigars (Melopsittacus undulatus): I. Natural faces.

Perception of faces by 4 budgerigars (Melopsittacus undulatus), a species of small parrot, was studied with a same-different discrimination task. Reaction times were taken as a measure of the similarity between pairs of faces and analyzed with multidimensional scaling to reveal patterns of similarity among the faces. The perception of natural faces was tested to determine which characteristics were perceptually salient. Color, patterns of markings, darkness of the iris, and size of the pupil corresponded to the observed patterns of similarity among the faces. Differences among budgerigar faces were more salient than differences among zebra finch faces, and budgerigar faces were perceptually distinct from the faces of other avian species. The results from these experiments provide a basis for understanding the ways in which these signals function in the coordination of social behaviors.

Animals↗
PubMed2002

Exploring levels of face familiarity by using an indirect face-matching measure.

An experiment is reported in which participants matched complete images of unfamiliar, moderately familiar, and highly familiar faces with simultaneously presented images of internal and external features. Participants had to decide if the two images depicted same or different individuals. Matches to internal features were made faster to highly familiar faces than both to moderately familiar and to unfamiliar faces, and matches to moderately familiar faces were made faster than to unfamiliar faces. For external feature matches, this advantage was only found for "different" decision matches to highly familiar faces compared to unfamiliar faces. The results indicate that the differences in familiar and unfamiliar face processing are not the result of all-or-none effects, but seem to have a graded impact on matching performance. These findings extend the earlier work of Young et al (1985 Perception 14 737-746), and we discuss the possibility of using the matching task as an indirect measure of face familiarity.

Adolescent↗
PubMed2004

Ethnic categorisation of faces is not independent of face identity.

Is the extraction of a visually derived semantic code from faces (ethnicity) affected by face identity (familiarity) or not? The traditional view considers that this operation is made independently of face identity, and in parallel with the recognition of identity. However, some recent studies cast doubt on this parallel thesis regarding other visually derived semantic codes, namely: facial expression, facial speech, apparent age, and gender. Twenty-eight Caucasian participants were enrolled in an 'ethnic-decision' task on morphed faces made of an Asiatic source face and a Caucasian source face, in the proportion of 70%-30%. Half of the original faces were previously made familiar by a learning procedure (associating the face, surname, occupation, and city of residence of the person displayed), while the remaining half were unfamiliar. The results showed clearly that ethnic decision was affected by face familiarity. This adds support to the thesis according to which the identification of identity and the extraction of visually derived semantic codes are not made independently from each other and that the 'parallel-route' hypothesis becomes weakly supported.

Adult↗
PubMed2005

Impaired face discrimination in acquired prosopagnosia is associated with abnormal response to individual faces in the right middle fusiform gyrus.

The middle fusiform gyrus (MFG) and the inferior occipital gyrus (IOG) are activated by both detection and identification of faces. Paradoxically, patients with acquired prosopagnosia following lesions to either of these regions in the right hemisphere cannot identify faces, but can still detect faces. Here we acquired functional magnetic resonance imaging (fMRI) data during face processing in a patient presenting a specific deficit in individual face recognition, following lesions encompassing the right IOG. Using an adaptation paradigm we show that the fMRI signal in the rMFG of the patient, while being larger in response to faces as compared to objects, does not differ between conditions presenting identical and distinct faces, in contrast to the larger response to distinct faces observed in controls. These results suggest that individual discrimination of faces critically depends on the integrity of both the rMFG and the rIOG, which may interact through re-entrant cortical connections in the normal brain.

Discrimination Learning↗
PubMed2000

The face-specific N170 component reflects late stages in the structural encoding of faces.

To investigate which stages in the structural encoding of faces are reflected by the face-specific N170 component, ERPs (event-related brain potentials) were recorded in response to different types of face and non-face stimuli. The N170 was strongly attenuated for cheek and back views of faces relative to front and profile views, demonstrating that it is not merely triggered by head detection. Attenuated and delayed N170 components were elicited for faces lacking internal features as well as for faces without external features, suggesting that it is not exclusively sensitive to salient internal features. It is suggested that the N170 is linked to late stages of structural encoding, where representations of global face configurations are generated in order to be utilised by subsequent face recognition processes.

Adult↗
PubMed1988

Upside-down faces: a review of the effect of inversion upon face recognition.

Several studies have found that face recognition is disproportionately impaired by stimulus inversion when compated to recognition of other classes of visual stimuli. This effect has been interpreted as evidence that face recognition benefits from a 'special' process which is not engaged by an inverted face. This paper reviews studies of the effect of inversion on face recognition in recognition memory tasks, matching tasks and upon cerebral hemisphere asymmetries. Evidence is drawn from developmental studies and from studies of brain-injured and normal adult subjects. It is concluded that the evidence that inverted faces are processed differently from upright faces is far from compelling, and therefore the effect of inversion provides little or no evidence of a unique process in face recognition. The inversion effect is interpreted in terms of expertise in face processing and the highly homogeneous nature of faces as a stimulus class.

Attention↗
PubMed2004

Face recognition memory and configural processing: a developmental ERP study using upright, inverted, and contrast-reversed faces.

The effects of configural changes on faces were investigated in children to determine their role in encoding and recognition processes. Upright, inverted, and contrast-reversed unfamiliar faces were presented in blocks in which one-third of the pictures repeated immediately or after one intervening face. Subjects (8-16 years) responded to repeated faces; event-related potentials were recorded throughout the procedure. Recognition improved steadily with age and all components studied showed age effects reflecting differing maturation processes occurring until adulthood. All children were affected by inversion and contrast-reversal, and face-type effects were seen on latencies and amplitudes of early components (P1 and N170), as well as on later frontal amplitudes. The "old-new" repetition effects (larger amplitude for repeated stimuli) were found at frontal sites and were similar across age groups and face types, suggesting a general working memory system comparably involved in all age groups. These data demonstrate that (1) there is quantitative development in face processing, (2) both face encoding and recognition improve with age, but (3) only encoding is affected by configural changes. The data also suggest a gradual tuning of face processing towards the upright orientation.

Adolescent↗
PubMed2006

Unfamiliar faces are not faces: evidence from a matching task.

It is difficult to match two images of the same unfamiliar face, even under good conditions. Here, we show that there are large individual differences on unfamiliar face matching. Initially, we tried to predict these using tests of visual short-term memory, cognitive style, and perceptual speed. Moderate correlations were produced by various components of these tests. In three other experiments, we found very strong correlations between face matching and inverted face matching on the same test. Finally, we examined potential associations between familiar and unfamiliar face processing. Strong correlations were found between familiar and unfamiliar face processing, but only when the familiar faces were inverted. We conclude that unfamiliar faces are processed for identity in a qualitatively different way than are familiar faces.

Adolescent↗