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Cross-cultural validity of the Miami Structured Interview--1 for type A in children: the American-Hellenic Heart Study.

The Miami Structured Interview--1 was developed (1) to assess Type A behaviour in a broader age range of children than tested with previous interviews, and (2) for cross-cultural studies. This study examined the validity of the Miami Structured Interview--1 for assessing Type A behavior in 507 American and Greek preadolescent (ages 7-11) and adolescent (ages 12-16) boys. The interview was scored on voice stylistics such as speed of speech, word emphasis, and latency of response. Validity was tested using the Matthews Youth Test for Health (MYTH), a teacher rating scale of Type A behaviors. Interview determined Type A's received significantly higher MYTH scores than non Type A's for American adolescents (p less than 0.05), Greek preadolescents (p less than 0.01), and Greek adolescents (p less than 0.05). The interview also identified extreme groups of Type A's and Type B's for American adolescents (p less than 0.01) and Greek preadolescents (p less than 0.05). The findings support the cross-cultural validity of the Miami Structured Interview--1 and the Type A construct for children. Limitations of the Miami Structured Interview--1 are discussed.

Adolescent↗

Evaluating a method of assessing competence in Motivational Interviewing: a study using simulated patients in the United Kingdom.

In this evaluation of a method of assessing competence in Motivational Interviewing (MI), participants were asked to interview an actor simulating a substance abuser who was ambivalent about an important issue. The interviews were videotaped and subsequently rated for competence in MI using the Motivational Interviewing Treatment Integrity code (MITI). Ratings of 43 interviews made independently by trained judges found high levels of inter-rater agreement. Ratings of 11 pairs of interviews carried out by the same interviewer with different simulated patients, a mean of 26days apart, resembled each other closely. Participants who had been trained in MI were significantly more competent than others. There was a significant association between researchers' and patients' ratings of the extent to which the interviewer demonstrated the spirit of MI. These findings imply that the assessment method produces reasonably reliable and valid ratings of competence in MI and can be used for both clinical and research purposes.

Adult↗

Interviewing youthful suspects in alleged sex crimes: a descriptive analysis.

OBJECTIVE: To introduce and evaluate a structured interview protocol designed for investigative interviews of youthful alleged perpetrators of child sexual abuse. METHOD: Seventy-two alleged perpetrators ranging from 9 to 14 years of age (M = 12 years) were interviewed by 1 of 13 experienced youth investigators, employed by the Israeli Ministry of Labour and Social Affairs, about incidents that had been reported by alleged victims. All interviews were conducted as part of the investigators' regular work and followed the structured interview guide appended to this article. RESULTS: Interviewers questioned older and younger children similarly, but addressed fewer invitations, directive questions, and option-posing prompts to suspects who denied the allegations than to those who partially or fully admitted them. The total number of details provided by the suspects did not vary depending on their age or whether or not they fully or partially admitted the allegations. In both cases, more information was elicited using invitations rather than suggestive or option-posing prompts. CONCLUSION: Contrary to expectations, suspects who at least partially admitted their involvement provided considerable amounts of information and were very responsive to free recall prompts, although interviewers used more risky (potentially error-inducing) prompts when interviewing suspects rather than alleged victims.

Adolescent↗

Frequency of stuttering during challenging and supportive virtual reality job interviews.

UNLABELLED: This paper seeks to demonstrate the possibility of manipulating the frequency of stuttering using virtual reality environments (VREs). If stuttering manifests itself in VREs similarly to the way it manifests itself in real world interactions, then VREs can provide a controlled, safe, and confidential method for treatment practice and generalization. Though many researchers and clinicians recognize the need for generalization activities in the treatment of stuttering, achieving generalization in a clinical setting poses challenges to client confidentiality, safety, and the efficient use of a professionals' time. Virtual reality (VR) technology may allow professionals the opportunity to enhance and assess treatment generalization while protecting the safety and confidentiality of their clients. In this study, we developed a VR job interview environment which allowed experimental control over communication style and gender of interviewers. In this first trial, persons who stutter (PWS) experienced both challenging and supportive VR job interview conditions. The percentage of stuttered syllables was calculated for both interviews for each participant. Self-reported ratings of communication apprehension and confidence were also obtained, and were not significantly correlated with stuttering severity. Results indicated that interviewer communication style affected the amount of stuttering produced by participants, with more stuttering observed during challenging virtual interviews. Additionally, the amount of stuttering observed during the VR job interviews was significantly, positively correlated with the amount of stuttering observed during an interview with the investigator prior to VR exposure. Participants' subjective reports of the VR experience indicate reactions similar to those they report experiencing in the real world. Possible implications for the use of VR in the assessment and treatment of stuttering are discussed. EDUCATIONAL OBJECTIVES: After reading this article, the reader will be able to-(1) list some of the challenges to treatment generalization; (2) describe how virtual reality technology can assist in alleviating some of these challenges; (3) describe how the frequency of stuttering varies across two different virtual environments.

Adult↗

[Telephone versus face-to-face household interviews in the assessment of health behaviors and preventive practices].

OBJECTIVE: This study examines the influence of the interview method (telephone or face-to-face in households) on the assessment of health behaviors and preventive practices. MATERIAL AND METHOD: The same questionnaire was completed by two independent samples of the population aged 18-64 years living in the municipality of Madrid. One sample (n = 1,391 subjects) completed the questionnaire by telephone interview and the other (n = 739) by face-to-face interview in households. The results of the two samples for 28 variables related to anthropometry, physical activity, food consumption, tobacco and alcohol use, preventive practices and injuries were compared. RESULTS: The telephone sample had a higher rate of failed contact (31.8% vs. 22.2%) but a greater degree of cooperation than the sample for the face-to-face interview (83.0% vs. 74.0%). In total, 19 of the 28 variables showed a relative variation of less than 10% between the two surveys; the differences found were between 10 and 20% for eight variables and were higher than 20% for one variable. Differences were statistically significant for only four variables (sedentary leisure time, consumption of vegetables, giving up smoking and cholesterol measurement), with a relative variation of 6.1% (p < 0.01), 10% (p < 0.001), 36.7% (p < 0.01) and 8.6% (p < 0.01), respectively. The total cost of the telephone interview was half that of the face-to-face household interview. CONCLUSIONS: The results of both surveys were very similar. Because of its lower cost, the telephone interview is a good option in public health research when data collection by interview is required.

Adolescent↗

Comparability of epidemiological information between self- and interviewer-administered questionnaires.

The aim of the present study was to determine the extent to which respondents provided the same answers to a health-related lifestyle questionnaire in self- and interviewer-administered forms. A total of 234 subjects completed a 110-item questionnaire in both interviewer and self-administered forms. Modes of administration were separated by a 2-week interval. The order was determined by random allocation. The presence and the extent of the tendency to give socially acceptable responses were evaluated using percentage of bias calculated as the ratio of the difference in proportion of positive responses or the mean between interviews and questionnaires and those in questionnaires. All percentages of bias were in the positive direction, ranging from 1.4% (physical exercise) to 26.1% (general life stress). The average percentage of bias was higher in women than in men and were stronger for younger respondents. The age differences between interviewer and respondent were inversely and most strongly related to percentage of bias. Self- and interviewer-administered questionnaires yield very similar results in discriminating between subjects, but the interviewer-administered questionnaire showed systematically more desirable responses to questions related to lifestyle factors. The differences in characteristics between interviewer and respondent may be important determinants of the socially desirability bias in the interview.

Adult↗

Measurement errors stemming from nonrespondents present at in-person interviews.

PURPOSE: Data are frequently collected from in-person interviews in epidemiologic studies. Despite the advantages of this mode of data collection, the presence of a third party during the interview can contribute to measurement error, especially if third-party presence is related to case status. METHODS: Using data obtained from a case-control study of colon cancer, we evaluated the frequency of third-party presence during in-person interviews, and how having someone else present during the interview influences reporting of exposure data. RESULTS: Interviews were conducted in the presence of a third party for 28% of cases and 22% of controls who lived in a household of two or more individuals. Men with a third party present reported significantly lower age-adjusted mean levels of alcohol consumption (P < 0.01). Associations, as indicated by odds ratios, between colon cancer and alcohol intake were not statistically different among those with a third party present and those without a third party present. Although not statistically significant, energy intake was more strongly associated with colon cancer among those without a third party present during the interview. CONCLUSIONS: These results emphasize the need to review questions to be asked and decide whether privacy should be emphasized before data collection begins. If privacy is required, interviewers need to be given better skills to ensure privacy during interview.

Adult↗

Interviewing children about real and fictitious events: revisiting the narrative elaboration procedure.

Elementary school children participated in a staged event. Two weeks later they were randomly assigned to three interview conditions: (a) a streamlined version of the Narrative Elaboration (NE) procedure involving training in the use of reminder cue cards, (b) exposure to reminder cue cards without training in their use (cue card control group), and (c) a standard interview including no NE training or exposure to reminder cue cards (standard-interview control group). Children in each interview condition were questioned about the staged event and a fictitious event to determine whether children trained in the streamlined NE procedure would provide more information about a staged event than would children in the two control groups and whether the NE interview would result in increased reporting of false information when questioned about a fictitious event. Results indicated that children questioned with the NE interview reported a greater amount of accurate, but not a greater amount of inaccurate, information during cue-card presentation for the staged event than did the cue-card control group. Analyses further indicated that the NE-interview group did not report significantly more false information about the fictitious event than did children in the two control groups. Large standard deviations for the NE-interview children's cue-card recall indicate that the streamlined NE procedure was useful for many children in reporting the staged event, but may have contributed to a small number of children providing false information for the fictitious event. Further research is being conducted to determine which children may be more likely to be helped and which children may be more likely to provide false information regarding a fictitious event.

Bias↗

Is that what I said?: witnesses' responses to interviewer modifications.

Modifications occur when interviewers contradict statements made by witnesses or imply that witnesses provided information that they (interviewers) did not provide. Because of their suggestive nature, modifications threaten the reliability of investigative interviews. This study investigated developmental differences in witnesses' responses to modifications during interviews as well as in inclusion of modified misinformation in subsequent answers. Preschool, elementary school, and college students were interviewed about a video presentation. In the experimental conditions, the interviewer contradicted information about the video provided by the participants. Participants then answered two sets of follow-up questions: one immediately following the interview and another 6-8 days later. Results indicated that participants were more likely to ignore modifications than to correct or agree with them. Adult participants were most likely to disagree with modifications. Preschoolers were most likely to incorporate modified misinformation into subsequent answers. Implications of these findings for investigative interviews are discussed.

Adolescent↗

[Value of telephone interview for quality assurance and therapy evaluation in child and adolescent psychiatry. Review of the literature and empirical results of participation quota and possible sampling bias].

OBJECTIVE: The incurred costs of telephone interviews are lower than those of other methods. Thus the question arises whether this method affords the necessary quality for therapy evaluation in child and adolescent psychiatry and psychopathology. A review of the literature shows higher rates of participation for telephone and personal interviews as opposed to those for questionnaires sent by mail. Results of investigations within the social sciences are inconsistent with regard to the quality of the data collected in telephone interviews. The few results available from samples from psychiatry permit no clear-cut conclusions as to the quality of such data. METHOD: The results of two follow-up studies of former inpatients of a hospital for child and adolescent psychiatry are presented with regard to the rate of participation and the sample bias. RESULTS: The empirical data show a higher rate of participation for telephone interviews (85%) than for either personal interviews or questionnaires sent by mail. Sample bias in telephone interviews is smaller than in the other assessment approaches. CONCLUSIONS: Since the advantages of telephone interviews outweigh those of other methods, this method of interviewing should be used as a matter of routine for quality assurance and therapy evaluation.

Adolescent↗

Assessing communication skills for medical interviews in a postgraduate clinical training course at Hiroshima University Dental Hospital.

The study was conducted to investigate and clarify the effectiveness of our method of teaching communication and interview skills for medical interviews. Subjects were 18 first-year residents, enrolled in a postgraduate clinical training course at Hiroshima University Dental Hospital. Subjects underwent two objective structured clinical examinations (OSCEs), and the results of instructor and resident assessments of various elements dealing with necessary communication skills for conducting medical interviews were analysed. A statistically significant correlation between assessments of instructors and residents was observed in one element: confirming patient identity and introducing self (r = 0.812, p < 0.001) in the first interview. However, a statistically significant correlation between assessments of instructors and residents was observed in four elements in the second interview: greeting the patient (r = 0.548, p < 0.05), maintaining physical distance (r = 0.582, p < 0.05), showing empathy (r = 0.601, p < 0.05), summarizing and reconfirming patient complaints (r = 0.628, p < 0.01). Total scores given by instructors in the second OSCE were higher than those in the first OSCE (p < 0.001). The correlation coefficients of the total score in the first and second interviews were r = 0.020 and 0.679 (p < 0.01), respectively. These results may suggest the educational effectiveness of OSCE on the acquisition of communication skills for medical interviews. However, the results of resident self-assessments reveal that OSCE should be performed at least twice in order for residents to acquire the necessary communication skills for medical interviews.

Communication↗

Effects of procedure and outcome accountability on interview validity.

This study tested effects of holding interviewers accountable for either the procedure they follow to make interview judgments (procedure accountability) or the accuracy of their judgments (outcome accountability) on interview validity. Undergraduates (N = 338) simulated employment interviewers in an experiment that crossed 2 levels of procedure accountability with 2 levels of outcome accountability. They watched videotapes of 60 managers answering an interview question and rated the managers on leadership potential. The dependent variable was the correlation between their interview judgments and supervisory ratings of the managers' actual leadership performance on the job. Results showed that procedure accountability increased interview validity and outcome accountability lowered it. Participants' apparent attentiveness fully mediated effects of procedure accountability on interview validity.

Adolescent↗

The believability of children and their interviewers' hearsay testimony: when less is more.

Hearsay testimony from children's interviewers is increasingly common in sexual abuse trials, but little is known about its effects on juries. In 2 studies, the authors examined college students' perceptions of 3 types of hearsay testimony (an actual interview with a child or an adult interviewer providing either the gist of what that child had said or a verbatim account of the interview). Interviewers were rated as more accurate and truthful than the children. The interview was rated as higher quality, and children's statements, including their false statements, were sometimes rated as more believable in the interviewer gist hearsay condition. Mock jurors reacted differently to various types of hearsay testimony, and interviewer gist testimony may favor a child's case.

Adolescent↗

A counterintuitive hypothesis about employment interview validity and some supporting evidence.

This study found mixed support for the hypothesis that the difference in criterion-related validity between unstructured and structured employment interviews is due solely to the greater reliability of structured interviews. Using data from prior meta-analyses, this hypothesis was tested in 4 data sets by using standard psychometric procedures to remove the effects of measurement error in interview scores from correlations with rated job performance and training performance. In the 1st data set. support was found for this hypothesis. However, in a 2nd data set structured interviews had higher true score correlations with performance ratings, and in 2 other data sets unstructured interviews had higher true score correlations. We also found that averaging across 3 to 4 independent unstructured interviews provides the same level of validity for predicting job performance as a structured interview administered by a single interviewer. Practical and theoretical implications are discussed.

Employee Performance Appraisal↗

Accounting for overlap? An application of Mezzich's kappa statistic to test interrater reliability of interview data on parental accident and emergency attendance.

STUDY RATIONALE: The number of interview studies with service users is rising because of growth in health services research. The level of agreement between multiple interview data coders requires statistical calculation to support results. Basic kappa statistics are often used but this depends on having mutually exclusive data. Researchers should be aware that this is not valid when an interview word or paragraph can be coded into more than one category. The 'proportional overlap' kappa extension by Mezzich et al. (1981, Journal of Psychiatric Research 16, 29-39) has been investigated as an original solution. OBJECTIVES: To assess the level of agreement beyond chance between several raters of interview data by applying the 'proportional overlap' kappa statistic by Mezzich et al. to verbal interview data. The clinical area investigated was child attendance at an Accident and Emergency Department, where parental attendance experiences have been under-explored. METHODS: Two researchers using a coding schedule coded a random sample of interview transcripts. These data were applied to Mezzich's procedure; coder 1 notes that a paragraph refers to category A and B but coder 2 notes A, B and C. The total agreement overlap in this case was 0.66 because two actual agreements out of three possible agreements were made. This was repeated for each paragraph and divided by the number of coding pairs. All agreement values were summed then subsequently divided by the total number of paragraphs to get Po (total number of observed agreements) and by the total number of coding pairs to get Pe (total number of agreements by chance alone). Po and Pe were used in the basic kappa formula to assess interview coding reliability. RESULTS: The overall mean Po was 0.61, the mean Pe was 0.32, with a kappa score of 0.43; a moderate level of agreement which was statistically significant (t=4.8, P < 0.001, d.f.=23). CONCLUSION: Mezzich's procedure may be applied to interview data to calculate agreement levels between several coders.

Accidents↗

Conducting a qualitative child interview: methodological considerations.

BACKGROUND: Studies of children have a long history, but the literature related to young children consists for the most part of studies on rather than with children and taking little account of what is regarded as significant and meaningful by children themselves. Researchers have relied almost exclusively on adults when collecting data about children's thoughts, feelings and experiences. Interviewing children, however, gives an opportunity to gain information about their subjective experiences. AIM: The purpose of this article is to illustrate the theoretical premises of child interviewing, as well as to describe some practical methodological solutions used during interviews. Factors that influence data gathered from children and strategies for taking these factors into consideration during the interview are also described. METHOD: This paper is based on literature and the experience of one of the authors in interviewing children aged from 4 to 11 years about their experiences of pain. FINDINGS AND CONCLUSION: A consideration of literature dealing with the principles of child interviewing shows that there is surprisingly little guidance available on conversational methods involving children. The empirical and conceptual foundation for child interviewing is not very clear. Novice researchers especially may need recommendations about how to conduct a qualitative child interview. The method must suit both the purpose and the context.

Child↗

Semi-structured and unstructured interviewing: a comparison of methodologies in research with patients following discharge from an acute psychiatric hospital.

This comparison of interview methods was made during a preliminary investigation into the experiences and expectations of patients discharged from an acute psychiatric hospital. The data was collected by four unstructured and four semi-structured interviews and included the views of respondents regarding the method used. A comparison of both interview methods was made. Analysis followed Miles & Huberman's (1994) guidance for data analysis, from which conclusions were drawn. Data were first reduced, then displayed using cross-case analysis. The use of Miles & Huberman's (1994) model of data analysis proved effective in allowing for data to be displayed and compared in a robust manner. Findings related to the comparative analysis showed that unstructured interviews resulted in greater depth and enabled positive and negative aspects of care to be identified in greater detail than semi-structured interviewing. Additionally, when asked to reflect upon the interview methods used, respondents found that unstructured interviewing allowed them to describe their experiences and expectations in greater detail than semi-structured interviews.

Acute Disease↗

An admissions OSCE: the multiple mini-interview.

CONTEXT: Although health sciences programmes continue to value non-cognitive variables such as interpersonal skills and professionalism, it is not clear that current admissions tools like the personal interview are capable of assessing ability in these domains. Hypothesising that many of the problems with the personal interview might be explained, at least in part, by it being yet another measurement tool that is plagued by context specificity, we have attempted to develop a multiple sample approach to the personal interview. METHODS: A group of 117 applicants to the undergraduate MD programme at McMaster University participated in a multiple mini-interview (MMI), consisting of 10 short objective structured clinical examination (OSCE)-style stations, in which they were presented with scenarios that required them to discuss a health-related issue (e.g. the use of placebos) with an interviewer, interact with a standardised confederate while an examiner observed the interpersonal skills displayed, or answer traditional interview questions. RESULTS: The reliability of the MMI was observed to be 0.65. Furthermore, the hypothesis that context specificity might reduce the validity of traditional interviews was supported by the finding that the variance component attributable to candidate-station interaction was greater than that attributable to candidate. Both applicants and examiners were positive about the experience and the potential for this protocol. DISCUSSION: The principles used in developing this new admissions instrument, the flexibility inherent in the multiple mini-interview, and its feasibility and cost-effectiveness are discussed.

Adult↗