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At least 19 recordsLinked to original sources

Evaluation of an interviewer as a function of interviewer gaze, reinforcement of subject gaze, and interviewer attractiveness.

Male subjects were interviewed by female interviewers who gazed constantly, intermittently, or not at all. Experimental subjects were reinforced with green light feedback whenever they gazed at the interviewers and were punished with red light feedback when they averted gaze for more than 6 seconds. Control subjects received noncontingent green and red light feedback. Although gaze of experimental subjects toward the interviewers was increased significantly, their attitudes toward the interviewers remained the same. This was probably because the subjects did not discriminate that their gazing behavior had changed. Subjects gave the most unfavorable reactions to the nongazing interviewers, rating them as least attractive, giving them the shortest answers, and sitting farthest from them during the debriefing session. Subjects did not discriminate between high and low attractive interviewers, except that the latter were rated disproportionately low on attentiveness if they did not gaze. Interviewers with high rates of talking were preferred over interviewers with low rates of talking. It was concluded that interpersonal attraction is related to gaze and physical attractiveness through a number of mediating variables which will have to be isolated more specifically in future research.

Adolescent↗

Semistructured child sexual abuse interviews: interview and child characteristics related to credibility of disclosure.

This study provided the first empirical description of child and interviewer behaviors occurring within semistructured assessment interviews with children suspected of being victims of sexual abuse. Specifically, relationships between child and interviewer characteristics and interview credibility were examined. Using the Child Abuse Interview Interaction Coding System (CAIICS, Wood, 1990), 55 videotaped interviews of high-risk sex abuse cases seen at a multidisciplinary assessment center were behaviorally coded. Support was found for the interrater reliability and criterion related validity of the CAIICS was found. Results also revealed that children were initially rated as relaxed and displayed few emotional behaviors. Thus, the assumption that a credible disclosure of abuse must necessarily include the display of emotion by the child was not supported. Second, several behavioral differences between preschool and school-aged children were identified: however, no meaningful gender differences were found. Third, supporting evidence was found for both age and gender effects in judgments of interview credibility, with girls and school-aged children judged as more credible. Fourth, while the interviewer did engage in so called leading behaviors, these behaviors were not found to be related to rating of interview credibility. However, interviewer behaviors may have affected interview credibility through an intervening variable. Finally, implications, for further use of the CAIICS for examining interviewer-child interactions, evaluating standards of practice, and assisting with interviewer training are discussed.

Child↗

Reports of smoking in a national survey: data from screening and detailed interviews, and from self- and interviewer-administered questions.

PURPOSE: This study compares responses to questions about smoking in a brief screening interview with those from a subsequent, more detailed interview; it also compares responses to self-administered questions and questions administered by interviewers. The data are from the 1994 National Household Survey on Drug Abuse (NHSDA). METHODS: About 22000 respondents completed the main questionnaire of the 1994 NHSDA. Earlier, a member of each sample household had been asked to provide screening information, including smoking status, for each person in the household. Then, one or more persons in the household were interviewed about their own smoking and drug use; for some respondents, the questions about smoking were self-administered and for others they were administered by an interviewer. We examined discrepancies between reports about smoking from the screening data and main interview data; we also compared the results across the two versions of the main interview smoking questions (self and interviewer-administered). RESULTS: The screening data produced lower estimated rates of smoking than did the main interview data, particularly when proxies provided the screening data. In the main interviews, self-administered questions produced higher estimates of the prevalence of smoking than interviewer-administered questions, but only for adolescents. CONCLUSIONS: Proxies can provide some information about smoking, although the data are likely to be biased for younger age groups and for infrequent smokers. For adolescents, self-administration appears to elicit more candid reports about smoking than interviewer administration. In addition, multiple items may help to capture smoking reports by persons who are reluctant to admit they have smoked recently or whose status as smokers is unclear.

Adolescent↗

Time-tradeoff values and standard-gamble utilities assessed during telephone interviews versus face-to-face interviews.

The purpose of this study was to compare time-tradeoff values and standard-gamble utilities obtained during telephone interviews with those obtained through face-to-face interviews. Sixty-five patients with peripheral arterial occlusive disease completed both interviews. One week prior to the telephone interview, the patients received by mail a questionnaire in which the value and utility measures were presented in writing. The face-to-face interviews used the same questions, but the interviewer used visual aids. The mean time-tradeoff values were 0.84 (SD 0.20) vs 0.86 (SD 0.17) for the telephone and face-to-face interviews, respectively (p = 0.31). The mean standard-gamble utilities were 0.93 (SD 0.16) vs 0.92 (SD 0.17) for the telephone and face-to-face interviews, respectively (p = 0.26). In conclusion, telephone interviews yield similar time-tradeoff values and standard-gamble utilities compared with face-to-face interviews, suggesting that telephone interviews can replace face-to-face interviews.

Adult↗

[An instrument for evaluating th medical interview in general practice: VR-MICS/D (Verona-Medical Interview Classification System/Doctor)].

OBJECTIVE: To assess the reliability of the VR-MICS/D (Verona-Medical Interview Classification System/Doctor) and to identify the verbal behaviour by general practitioners in interviews conducted with primary care attenders with medical complaints and emotional distress. SETTING: Two general practices in South-Verona. SAMPLE: 100 primary care patients attending for a new illness episode with a GHQ-12 score > or = 3. The five participating GPs contributed each with 20 audiotaped interviews of 10 patients judged by GP as emotionally distressed and of 10 judged without emotional distress. MAIN OUTCOME MEASURES: The VR-MICS/D classifies GPs' verbal behaviour during the medical interview into 16 categories in terms of form (question or statement) and content and allows to assess their interview skills. PROCEDURE: Two raters classified 30 interviews (15 with patients judged by their GP as emotionally distressed and 15 with patients judged without emotional distress). Having established satisfactory reliability, the overall verbal performance, based on 100 interviews, was assessed and GPs' verbal behaviours with patients judged as emotionally distressed was compared with that adopted with patients judged without emotional distress. RESULTS: The reliability was satisfactory (Kappa 0.93). Percentage agreements for categories varied between 78.2% and 96.4%. The most frequent verbal behaviours were closed ended questions and information giving (58% of a total of 5522 classified verbal units). Interviews with patients judged as emotional distressed contained a greater number of psychological and psychosocial contents, facilitating comments and clarifications. These differences, however, were small, despite their statistical significance. CONCLUSIONS: The VR-MICS/D is a reliable measure for describing GPs' verbal behaviour during the interview with emotional distressed patients. The interview style of the GPs in this study was similar to that reported in the literature for GPs without formal training in communication skills and was characterised by a prevalently doctor-centred approach. This approach, particularly with emotional distressed patients, has severe limitations and underlines the necessity of the introduction of communication skills training.

Communication↗

Renard diagnostic interview. Its reliability and procedural validity with physicians and lay interviewers.

A psychiatric diagnostic interview that can be reliably and validly administered by nonpsychiatric physicians and lay interviewers has both research and clinical applications. We examined the interrater reliability and procedural validity of the Renard Diagnostic Interview (RDI), an instrument designed for these purposes. Randomly selected psychiatric inpatients were interviewed once by a psychiatrist using our standard departmental research interview and were then given RDIs by two psychiatrists, two lay interviewers, or one of each. The reliability of the RDI is estimated by examining diagnostic concordance for the two RDI interviews. Procedural validity is estimated by examining diagnostic concordance between the RDI and the traditional departmental interview. Both reliability and procedural validity were found to be high, and the study demonstrates that lay interviewers using the RDI after a brief period of training can obtain accurate diagnostic information.

Humans↗

Children's type A interview: interrater, test-retest reliability, and interviewer effect.

The Miami Structured Interview--1 was developed to assess Type A behavior in preadolescents and adolescents in the United States and Greece. This report describes the interrater and test-retest reliability of the Miami Structured Interview--1, and the effect of different interviewers on the assessment process. Interrater agreements on the A vs not A scale were 73% for Greek American (k = 0.49, p less than 0.01, n = 88), 80% for Mixed American (k = 0.61, p less than 0.01, n = 69), and 88% for Native Greek interviews (k = 0.76, p less than 0.01, n = 65). Exact agreements on a five-point scale were 48% (weighted k = 0.73, p less than 0.01), 42% (weighted k = 0.70, p less than 0.01), and 48% (weighted k = 0.80, p less than 0.01), respectively. Although levels of agreement were all greater than chance, rater bias was observed. Test-retest administrations within 10 min showed 91% agreement (k = 0.82, p less than 0.01) on the A vs not A scale. Analyses suggest interviewers can affect the assessment of Type A behavior. These findings indicate the Miami Structured Interview--1 can (1) reach acceptable levels of interrater reliability, (2) is susceptible to rater bias, (3) has sufficient test-retest reliability for use in longitudinal studies, and (4) must be presented in a standardized way before ratings from interviews conducted by different interviewers can be combined or compared. The strengths and limitations of the Miami Structured Interview-1 are discussed.

Adolescent↗

Interviewing for sexual abuse: reliability and effect of interviewer gender.

An interview to detect histories of sexual abuse was administered to consecutive attenders at a gynecology clinic on two occasions, on one occasion by a male interviewer and on the other by a female interviewer. Fifty-six subjects were assessed, and at least partial agreement was found in 70% between the two interviews. Approximately one-third of incidents were reported at only one of the interviews, with gender of interviewer making little apparent difference to this. Contrary to expectation, subjects appeared more forthcoming at the first interview. Reasons for this are discussed. Interviews for sexual abuse must be carried out in an appropriate context, and simple routine screening questions may not be appropriate. Selection of interviewers on the basis of gender alone may not be helpful.

Adolescent↗

The predictive utility of behavior-based interviewing compared with traditional interviewing in the selection of radiology residents.

RATIONALE AND OBJECTIVES: This study compares the predictive use of measures based on traditional faculty and resident interviews of residency applicants with measures obtained through behavior-based interviewing. A special emphasis was placed on predicting residents' noncognitive abilities. METHODS: One hundred fifty-one resident applicants, over a 3-year period, were interviewed using standard interviews by faculty and residents. These residents also were interviewed with an experimental behavior-based accomplishment interview. Four years later, during their diagnostic radiology residency, evaluations of performance were gathered on these applicants from their residency director. RESULTS: Results indicated that scores based on responses given during the accomplishment interviews added considerable predictive utility to the low prediction demonstrated by traditional interviews. CONCLUSIONS: These findings imply that improving unstructured faculty and resident interviews to obtain, in a more rigorous manner, desired information about noncognitive abilities may be a key to successful resident selection.

Behavior↗

Interview expectations and experiences of optometry applicants and interviewers.

This 1996 study examined the admission interview employed at the University of Waterloo School of Optometry (UWSO). A questionnaire was developed, piloted, and mailed to 157 UWSO applicants and 23 UWSO interviewers. Their expectations of an ideal optometry admission interview were compared with their experiences of the UWSO admission interview. The response rate was 71.7% (n = 129; 109 applicants, 20 interviewers). Statistical analysis involved principle component analysis and t-tests (independent and paired). Participants believed the ideal optometry admission interview should gather information, verify information, provide information, and select candidates by appraising their 'people skills,' 'professional skills,' and 'attitude orientation.' Although the participants' expectations of the ideal interview resembled the mission statement of the UWSO interview, the expectations, particularly among applicants, significantly deviated from their experiences of the UWSO interview.

Adult↗

Interviews with survivors of suicides: procedures and follow-up of interview subjects.

In a series of 104 suicides in women, 91 primary informants were interviewed face-to-face. Sixty-two informants participated in a follow-up interview by phone, conducted by an independent investigator in order to determine their attitudes toward the initial interview. One third thought that the initial interview shed new light on the suicide, and two thirds considered the interview emotionally beneficial. In all, the initial interview was a positive or neutral experience for 54 informants and negative for 6. All but one of these were recognized as problematic interview subjects at the initial interview. The remaining two subjects could not be judged at the follow-up. In order to avoid negative consequences of the interviews, the investigator should adjust the procedures and provide support in the crisis reaction.

Affective Symptoms↗

[Computer-assisted text analysis of psychiatric treatment sessions--comparison with psychoanalytically oriented initial interview, psychoanalytic sessions and visit interviews].

24 interviews in a psychiatric outpatient clinic have been analysed as well by means of the Ulm computer-assisted text data analysis (macro- and micro-structural) as by means of a self-administered adjective checklist and have been compared with psychoanalytic initial interviews, psychoanalytic sessions and visit interviews in an internal and in a psychosomatic ward. The therapists' verbal activity was more in psychiatric interviews than in psychoanalysis and psychoanalytic initial interviews, but less than in visit interviews in an internal, not in a psychosomatic ward, however. Subgrouping the psychiatric interviews according to the patients' initial emotional state, there were significant differences of the sequential analyses- and that regarding verbal activity, frequencies of anxiety topics, common vocabulary, talking about psychopharmacotherapy versus interpersonal relationships and use of personal pronouns. Conclusively, psychiatric interviews can be recorded and evaluated by methods of empirical psychotherapy process research.

Adult↗

The effects of interviewer gender in mental health interviews.

Despite indications that gender can affect the disclosure of personal information, few studies examine the effects of interviewer gender in eliciting information pertaining to psychological functioning and mental health. Analysis of data collected at the Los Angeles site of the Epidemiological Catchment Area Study reveals that interviewer gender is significantly related to respondents' reports of psychiatric symptoms. Male and female respondents interviewed by women report more symptoms of depression, substance abuse, and conduct disorders than respondents interviewed by men. It is suggested that female interviewers may create conditions more conducive to disclosure and be perceived as more sympathetic than male interviewers. Although limitations of both data and analysis preclude a definitive conclusion, the findings suggest that interviewer gender may influence disclosure in mental health and related types of interviews.

Adolescent↗

Hypnotic interviewing: the best way to interview eyewitnesses?

It has been suggested that hypnosis techniques may have the potential to enhance eyewitness memory in forensic investigations. However, laboratory research shows that increases in recall with hypnosis techniques are often associated with decreases in accuracy, false confidence in incorrect information, and increased suggestibility to leading questions and misleading post-event information. These problems limit the usefulness of hypnosis as an interviewing procedure. However, in practical investigations, many factors associated with hypnosis, apart from the hypnotic induction itself, might lead to memory enhancement compared with standard police interviews. For example, hypnotic interviewers, because of their psychological, clinical, and interpersonal skills, may be better interviewers than police officers. They may use effective interviewing strategies such as those associated with the "cognitive interview"; a procedure which has the potential to enhance recall by approximately 35% without the problems of memory distortion associated with hypnosis. It is concluded, therefore, that a cognitive interview procedure should be used in preference to hypnosis.

Bias↗

Borderline personality organization, structural diagnosis and the structural interview. A pilot study of interview analysis.

Kernberg has related the level of integration of the personality to the level of integration (and "structuring") of internalized object relations. He has designated three levels of personality organization: neurotic, borderline, and psychotic, and has developed a specially focused clinical interview designed to reveal intrapsychic structural characteristics--a "structural interview"--as a diagnostic instrument to differentiate the three types of personality organization. This study presents a method of analysis of the structural interview. Interviews of ten hospitalized psychiatric patients were studied to determine whether indicators could be retrieved from the typescripts of the interviews consonant with the diagnoses made by clinicians utilizing Kernberg's structural theory. Results indicate that scores generated from the typescripts are consistent with the hypothesis that the interviews did contain the indicators called for by structural theory and differentiate borderline from psychotic structures better than chance. In addition, this method of analysis of contingencies of interaction in the interview may have broader application to the study of psychotherapy and psychoanalysis.

Adult↗

The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10.

The Mini-International Neuropsychiatric Interview (M.I.N.I.) is a short structured diagnostic interview, developed jointly by psychiatrists and clinicians in the United States and Europe, for DSM-IV and ICD-10 psychiatric disorders. With an administration time of approximately 15 minutes, it was designed to meet the need for a short but accurate structured psychiatric interview for multicenter clinical trials and epidemiology studies and to be used as a first step in outcome tracking in nonresearch clinical settings. The authors describe the development of the M.I.N.I. and its family of interviews: the M.I.N.I.-Screen, the M.I.N.I.-Plus, and the M.I.N.I.-Kid. They report on validation of the M.I.N.I. in relation to the Structured Clinical Interview for DSM-III-R, Patient Version, the Composite International Diagnostic Interview, and expert professional opinion, and they comment on potential applications for this interview.

Adult↗

A comparison of two interview schedules. The Schedule for Affective Disorders and Schizophrenia-Lifetime and the National Institute for Mental Health Diagnostic Interview Schedule.

Two structured interviews, the Schedule for Affective Disorders and Schizophrenia-Lifetime (SADS-L) and the National Institute of Mental Health Diagnostic Interview Schedule (NIMH-DIS), were compared as methods of reducing information variance in the diagnostic process. Forty-two patients newly admitted to an alcohol treatment unit were randomly selected and were independently interviewed using the SADS-L and NIMH-DIS. The order of the interviews was random and they were separated by three to four days. Interrater reliability for each interview schedule was calculated using the kappa statistic and was found to be high. The degree of diagnostic concordance between the two interview schedules for several diagnostic categories was also found to be high.

Adult↗

Development of a structured psychiatric interview for children: agreement on diagnosis comparing child and parent interviews.

Similar structured diagnostic interviews about the child were given by different interviewers to a cohort of 307 mother-child pairs. A diagnosis was made by computer on each interview, using specified criteria. Diagnoses on mother-child interviews were compared using the kappa statistic. Kappas of .30 or higher were found for the diagnosis of antisocial personality, conduct disorder, enuresis, mixed behavior-neurotic disorder, and possible depression. Comparisons were made for sex and age. Possible depression and enuresis were diagnosed reliably at all age levels and for both sexes. The limitations of the interview and diagnostic system used are discussed. The findings support the need for further efforts to develop diagnostic research interviews for use with children and adolescents.

Adjustment Disorders↗