Interview Ratings Research Articles

Maternal return to work and breastfeeding: A population-based cohort study

Background In recent decades there has been a marked rise in the participation of women with infants in the labour market, while there has been a decline in the prevalence rate of breastfeeding. Objective To explore the relationship between maternal return to work and breastfeeding. Design An on-going prospective longitudinal study. Setting and participants Multistage stratified systematic sampling was designed to recruit 24,200 pairs, postpartum women and newborns, from the Taiwan national birth register in 2005. Participating women underwent two home interviews at 6 and 18 months after giving birth, following structured questionnaires. A total of 21,248 and 20,172 women were interviewed, and the completed interview rate was thus 87.8% and 83.4% at 6 and 18 months, respectively. All study participants provided informed consent as approved by the Ethics Review Board of the National Taiwan College of Public Health. Results The overall prevalence of initial breastfeeding was 83.7%. Postpartum women returning to work less than or equal to 1 month had the lowest initiation of breastfeeding rate (77.5%), but had a higher prevalence of breastfeeding duration less than or equal to 1 month (34.9%) than the overall population (26.8%). Overall 67.9%, 39.4%, 25.4%, and 12.7% mothers who started breastfeeding still breastfed their infants at the age of 1, 3, 6 and 12 months, respectively. Women with maternal leave of less than or equal to 6 months ceased breastfeeding earlier than those with maternal leave beyond 6 months and those who did not return to work up to 18 months after birth. After adjustment for potential confounders, odds ratios of initial breastfeeding seemed no different, except those for postpartum women who returned to work less than or equal to 1 month and those who did not return to work. Mothers returning to work within 1 year after giving birth were significantly earlier in weaning than those without return to work. Conclusion In our study, an early maternal return to work, especial within 6 months after giving birth, was a barrier to the initiation and continuation of breastfeeding. Thus, a comprehensive strategy is required to encourage the practice of breastfeeding in working women from pregnancy to the return to work, and nurses should work to promote breastfeeding in the different occasion.

Alcohol usage and associated treatment outcomes for opiate users entering treatment in Ireland

Evidence has shown that frequency and quantity of drug usage are reduced after treatment but the effect of opioid addiction treatment on alcohol consumption remains unclear. As part of the national Research Outcome Study in Ireland Evaluating drug treatment effectiveness (ROSIE, see www.nuim.ie/rosie) comprehensive drug and alcohol data on 404 opiate users were collected. This study recruited and followed up at 1 and 3 years a prospective cohort of 404 users entering a new treatment episode. Descriptive and inferential statistics were computed and logistic modelling was used to identify key factors effecting outcomes. The cohort represented 8.2% of all new treatments. Follow-up interview rate at 3 years was 88%. Analysis revealed that those who abstained from alcohol use at 3 years were less likely to be using heroin at 3 years than non-abstainers. In addition, those who abstained from alcohol use at 3 years were also less likely to be using methadone, benzodiazepines and cocaine at 3 years than alcohol users. Outcomes for medium and heavy drinkers were found not to be as good as alcohol abstainers. Finally males tended to reduce the frequency and level of alcohol usage after entering treatment more than females. Results demonstrate to clinicians that an alcohol strategy is a key component of opiate treatment planning and a comprehensive and regular assessment of the client's alcohol and drug use profile is essential if treatment interventions are to have maximum impact on outcomes.

Mothers’ narratives regarding their child with autism predict maternal synchronous behavior during play

Mothers' synchronous playtime behaviors have been linked to language development in children with autism (Siller & Sigman, 2002, 2008). This study sought to explain individual differences in maternal synchrony in order to improve parent-training programs targeting communication skills in children with autism. Participants were 67 children with autism under the age of 7 and their biological mothers. Maternal cognitions were assessed using two narrative measures, the Insightfulness Assessment (Koren-Karie & Oppenheim, 1997) and the Reaction to Diagnosis Interview (Pianta & Marvin, 1992). Mean levels of maternal synchrony, measured with a micro-analytic coding system (Siller & Sigman, 2002, 2008), were compared between groups formed according to mothers' interview classifications. Variation in maternal synchrony was related to classification of the Insightfulness Assessment, but not the Reaction to Diagnosis Interview. Child characteristics were not related to interview classifications or ratings of maternal synchrony. Qualities of mothers' narratives about their child with autism and the relationship with the child are associated with variability in maternal synchronous behavior during play.

Multiple mini-interviews versus traditional interviews: stakeholder acceptability comparison

The McGill University Faculty of Medicine undertook a pilot, simulation-based multiple mini-interview (MMI) for medical school applicant selection, which ran simultaneously with traditional unstructured interviews (all applicants underwent both processes). This paper examines major stakeholder (applicants and evaluators) opinions towards the MMI compared with traditional interviews, including perceptions about the feasibility and utility of the MMI. A total of 100 candidates applying to McGill University Medical School were enrolled in the pilot comparison of the MMI with the traditional, unstructured interview. Applicants' opinions were obtained by questionnaire shortly after the process (for all applicants) and approximately 6 months after the interviews (for non-accepted applicants). Evaluators' perceptions were also surveyed. Questionnaires contained both quantitative items and space for qualitative impressions. Descriptive statistics, repeated measures analysis of variance (manova) and analysis of the topics raised in written comments were conducted. Univariate analyses of response scores revealed statistically significant differences, with the MMI rated more highly than the traditional interview on fairness, imposition of stress and effectiveness as a measurement tool. Compared with the traditional interview, applicants also felt the MMI: (i) allowed them to be competitive; (ii) was enjoyable, and (iii) was often a favourite part of their interview experience. It should be noted that applicants were aware that their MMI score would be included in their overall interview rating. Written comments were positive with regard to, for example, fairness, the provision of opportunities to show one's strengths, and appreciation of the fidelity of the simulations. Evaluators' responses were in agreement with applicants' responses, albeit that overall they expressed more caution about the MMI. Results suggest the MMI is a promising selection tool from the point of view of both applicants and evaluators. Both groups expressed concerns, but overall the response was favourable for the MMI in comparison with traditional interviews, and the MMI has been adopted by McGill University's medical school.

“I Know What You Want to Know”: The Impact of Interviewees' Ability to Identify Criteria on Interview Performance and Construct-Related Validity

The current study tested whether candidates' ability to identify the targeted interview dimensions fosters their interview success as well as the interviews' convergent and discriminant validity. Ninety-two interviewees participated in a simulated structured interview developed to measure three different dimensions. In line with the hypotheses, interviewees who were more proficient at identifying the targeted dimensions received better evaluations. Furthermore, interviewees' ability to identify these evaluation criteria accounted for substantial variance in predicting their performance even after controlling for cognitive ability. Finally, the interviewer ratings showed poor discriminant and convergent validity. However, we found some support for the hypothesis that the quality of the interviewer ratings improves when one only considers ratings from questions for which interviewees had correctly identified the intended dimensions.

Validation of a new scale to assess quality of life in schizophrenic patients treated with antipsychotic drugs, the RSM-scale

The assessment of quality of life has become more important in clinical studies as a new outcome parameter in schizophrenia. Current used scales were not developed to measure quality of life in treated schizophrenic patients with regard to the efficacy and side effect profile of atypical antipsychotics. We developed a new scale – the RSM-scale – with an interviewer and a self-rating part. We defined a priori subscores and performed a factor analysis. The primary objective of this study was to evaluate this new scale in terms of validity and reliability. Inclusion criteria were a diagnosis of schizophrenia and a current inadequate response to treatment or side effects. As reference scales we used the Qualtiy of Life and the SWN-K scale. Psychopathology was measured using the PANSS, CGI and GAF scales. Side effect profiles were measured using the ESRS and UKU-scale. The study plan encompassed four visits over eight weeks. All together 145 patients participated in the study. Tests for reliability revealed a Cronbach's value of 0.915 for the self-rating part and of 0.913 for the interviewer rating part. The RSM scale reached adequate results for test-retest stability, discriminant validity, construct validity and scale score distribution. The overall correlation between both scales in all patients was mild to moderate, so the performance of a self-rating in addition to an interviewer rating makes sense to gain subjective information about quality of life in schizophrenic patients.

Positive manifold limits the relevance of content-matching strategies for validating selection test batteries.

Inferences about the relationships between scores on selection tests and measures of job performance are often made on the basis of an assessment of the match between the content of the test and the content of the job. However, there is little evidence that these test-to-job comparisons have any bearing on the criterion-related validity of selection tests. The authors show that conclusions reached in analyses of cognitive tests-that content matching is largely irrelevant to criterion-related validity-can be generalized to most sets of selection tests (e.g., psychomotor and performance tests, interview ratings, biodata scores, knowledge tests, work sample tests) that are positively correlated with one another and with the criterion. When the universe of potential predictors shows positive manifold, almost all possible sets of test batteries will yield similar outcomes and show similar validities, regardless of whether the content of these tests matches the content of the job.

Strategies for achieving a high response rate in a home interview survey

BackgroundResponse rates in surveys have been falling over the last 20 years, leading to the need for novel approaches to enhance recruitment. This study describes strategies used to maximise recruitment to a home interview survey of mothers with young children living in areas of high deprivation.MethodsMothers of two year old children received a letter from their GP inviting them to take part in a survey on diet. Participants were subsequently recruited by a researcher. The researcher first tried to contact potential participants by telephone, to discuss the study and make an appointment to conduct a home interview. Where telephone numbers for women could not be obtained from GP records, web searches of publicly available databases were conducted. After obtaining correct telephone numbers, up to six attempts were made to establish contact by telephone. If this was unsuccessful, a postal request for telephone contact was made. Where no telephone contact was achieved, the researcher sent up to two appointments by post to conduct a home interview.ResultsParticipating GPs invited 372 women to take part in a home based interview study. GP practices provided telephone numbers for 162 women, of which 134 were valid numbers. The researcher identified a further 187 numbers from electronic directories. Further searches of GP records by practice staff yielded another 38 telephone numbers. Thus, telephone numbers were obtained for 99% of potential participants.The recruitment rate from telephone contacts was 77%. Most of the gain was achieved within four calls. For the remaining women, contact by post and home visits resulted in 18 further interviews, corresponding to 35% of the women not recruited by telephone. The final interview rate was 82%. This was possible because personal contact was established with 95% of potential participants.ConclusionThis study achieved a high response rate in a hard to reach group. This was mainly achieved by first establishing contact by telephone. The use of multiple sources identified the telephone numbers of almost all the sample. Multiple attempts at telephone contact followed by postal approaches led to a high home interview rate.

Quality of Early Care and Childhood Trauma

Kihlstrom (2005) has recently called attention to the need for prospective longitudinal studies of dissociation. The present study assesses quality of early care and childhood trauma as predictors of dissociation in a sample of 56 low-income young adults followed from infancy to age 19. Dissociation was assessed with the Dissociative Experiences Scale; quality of early care was assessed by observer ratings of mother-infant interaction at home and in the laboratory; and childhood trauma was indexed by state-documented maltreatment, self-report, and interviewer ratings of participants' narratives. Regression analysis indicated that dissociation in young adulthood was significantly predicted by observed lack of parental responsiveness in infancy, while childhood verbal abuse was the only type of trauma that added to the prediction of dissociation. Implications are discussed in the context of previous prospective work also pointing to the important contribution of parental emotional unresponsiveness in the development of dissociation.

Coping et qualité de vie dans la sclérose en plaques et la maladie de Parkinson : une réflexion clinique

Objective In neurological disorders, such as multiple sclerosis (MS) and Parkinson’ s disease (PD), psychological and adaptive processes have not been extensively investigated, it has, however, been demonstrated that they have a great impact on “quality of life” (QoL). Interestingly, even though these two diseases affect people of different ages, both of them have a substantial impact on mood and QoL. In these two diseases, the authors objective was to analyse the style of coping in relation with the QoL taking depression and anxiety into account. Methods Two hundred and seventy MS and PD subjects were seen for a semistructured interview in order to collect sociodemographic and clinical information, after which there was an assessment of their mental and cognitive states using: the Mini International Neuropsychiatric Interview (MINI), the Montgomery and Asberg Depression Rating Scale (MADRS), the Depressive Mood Scale (EHD), the Hamilton Anxiety scale (HAMA) and the Frontal Assessment Battery (FAB). Then, all subjects completed three self-report questionnaires; two about coping strategies: the Ways of Coping Checklist (WCC), the Coping with Health, Injuries and Problems scale (CHIP), and one about QoL: the SEP 59 for MS and the French version of PDQ-39 for PD. Results The studies show that the psychosocial dimension of QoL is preserved in the two diseases studied. They also demonstrated that in MS and PD the two factors associated with a poor QoL are depression and emotion-focused coping strategies. Furthermore, these variables are highly dependent on the clinical courses in MS and motor signs in PD. However, the MS patients tended to be more irritable and to lose the control of their emotions more easily than PD patients. Discussion The report discusses the importance, first, of identifying these manifestations in patients with MS or PD and, second, of offering patients interventions tailored to the characteristics of each disorder. The authors propose some examples of psychotherapy, which could be used with neurological patients. The studies show that it is also important to work with MS and PD patients on both the expression and the management of their emotions in connection with their diseases.

Feasibility and reliability of the elderly version of the Camberwell Assessment of Needs (CANE): results from the São Paulo Ageing & Health Study

We set out to assess the feasibility, reliability and convergent validity of the Camberwell Assessment of Needs for the Elderly Scale in older residents of a Brazilian urban elderly population of low socioeconomic status. We identified 32 older users of community health services from a population-based catchment area survey. We administered the Brazilian version of the Camberwell Assessment of Needs for the Elderly Scale to the older person and to an informal caregiver, and tape-recorded the assessments. Interviewers made a rating. Tape-recordings were independently co-rated. Items contributing to older person and caregiver reports of needs and unmet needs had a high internal consistency. Inter-rater reliability was excellent for all needs, and fair to good for unmet needs. Older person and caregiver's reports, and interviewer ratings were highly mutually consistent. Convergent validity was supported by associations, as hypothesized, between needs and disability, and needs and dementia. The Brazilian version of the Camberwell Assessment of Needs for the Elderly Scale is a feasible, reliable and, to the extent assessed, valid assessment of unmet needs in a disadvantaged low and middle income countries setting. Its practical utility as a clinical tool remains to be assessed.

Long-Term Impact of Family Arguments and Physical Violence on Adult Functioning at Age 30 Years: Findings From the Simmons Longitudinal Study

ObjectiveTo prospectively examine the extent to which an increase in family arguments by age 15 years and the occurrence of family physical violence by age 18 years are related to deficits in key domains of adult functioning at age 30 years. MethodThe 346 participants were part of a single-age cohort from a predominately white working-class community whose psychosocial development has been traced since age 5 years. Family arguments and violence were assessed through self-reports during adolescence. Developmentally relevant areas of current adult functioning were measured by self-reports, structured diagnostic interviews, and clinical interviewer ratings. ResultsBoth family arguments and physical violence were significantly related to compromised functioning across multiple areas of adult functioning. Although many associations were somewhat attenuated after controlling for sex, other early family adversities, and family history of disorder, most relations retained statistical significance. Both risk factors were linked with later mental health problems and deficits in psychological and occupational/career functioning. Family violence was also linked to poorer physical health at age 30 years. ConclusionsFindings underscore the potential long-term impact of troubled family interactions and highlight the critical importance of early intervention programs for youths experiencing either verbal conflict or physical violence in the home.

Can Nonverbal Cues be Used to Make Meaningful Personality Attributions in Employment Interviews?

This study examines the role of personality attributions in understanding the relationships between nonverbal cues and interview performance ratings. A structured behavioral interview was developed for identifying management potential in a large, national company. Using a concurrent design to validate the interview, managers were interviewed and the interviews were videotaped (n = 110). These videotapes were used as stimuli for raters in this study. Results indicate that raters can make personality attributions using only one channel of information and these attributions partly explain the relationships between nonverbal cues and performance measures. Furthermore, conscientiousness attributions explain the relationship between visual cues and interview ratings, extraversion attributions mediate the relationship between vocal cues and interview ratings. Neuroticism attributions had a suppressing effect for both visual and vocal cues. No matter how much an interview is structured, nonverbal cues cause interviewers to make attributions about candidates. If we face this fact, rather than consider information from cues as bias that should be ignored, interviewers can do a better job of focusing on job-related behavior and information in the interview, while realizing that the cues are providing information that must be attended to. This study isolated the sources of information provided to raters to either the vocal or the visual channel to examine their impact individually. A Brunswik lens model shows the potential impact of personality attributions predicting both job and interview performance ratings when both channels of information are used.

Is research using the narcissistic personality inventory relevant for understanding narcissistic personality disorder?

Most research on narcissism has been conducted using the narcissistic personality inventory (NPI). However, the generalizability of findings from the NPI to narcissistic personality disorder (NPD) is unknown. The current study uses two samples (48 clinical outpatients; 49 undergraduates) to address this question by examining the correlations between the NPI and interview ratings of NPD. The profiles generated by both assessments in relation to measures of general personality traits are compared to expert and meta-analytically derived profiles of NPD. The NPI and NPD assess overlapping constructs as they are significantly correlated and generate similar personality profiles. The measures diverge primarily in that NPI narcissism includes traits related to certain facets of Extraversion, which is consistent with expert conceptualizations of NPD.

Negotiation of meaning as a tool for evaluating conversational skills in the OPI

Though the oral proficiency interview (OPI) rates the examinee's overall language proficiency in face-to-face interaction, the rating is based solely upon the evaluation of the examinee's contribution in isolation. No attempt is made to evaluate conversational skills in interaction. A criticism that has been made of the OPI is that the format is not appropriate for the evaluation of such interactive dialogue events. As one way to enhance the understanding of language proficiency in interaction, this study undertakes a step-by-step analysis of negotiation of meaning of eight examinees in four different proficiency levels obtained from a OPI training workshop. More specifically, the study examines negotiation sequences, focusing on the interactional modifications used by the interviewers and communication strategies used by the examinees. The study explores how these problem-solving behaviors reflect the examinees’ conversational skills in interaction, and argues that the OPI evaluation protocols should be amended to explicitly take such skills into account.

Patient Perceptions of Caregiver Criticism in Psychosis

Expressed emotion (EE) has been described as a measure of caregivers' appraisals of the quality of their relationship with patients. However, far less is known about how the perception of their caregivers by patients with psychosis is shaped by caregivers' EE, and nothing about the clinical correlates of perceived EE. The current study examines the association of patient ratings of carer criticism with patient and carer characteristics. Patient ratings of carer criticism were also compared with the ratings of the carer derived from the Camberwell Family Interview. Sixty-seven patient-carer dyads participated in the cross-sectional study. Perceived carer criticism was associated with general psychopathology in patients, but not with overall levels of positive or negative symptoms of psychosis. Patients with lower levels of social functioning, higher levels of negative affect, and negative schematic beliefs about other people, tended to perceive greater criticism. Perceptions of carer criticism were associated with Camberwell Family Interview ratings of carer criticism, hostility, and high EE independently of affect, and poorer functioning. High EE was a significant predictor of perceived carer criticism. This study supports the validity of using feedback from patients to assess the emotional climate of the family environment.

Do physicians improve their communication skills between finishing medical school and completing internship? A nationwide prospective observational cohort study

Objective To test whether young physicians improve their communication skills between graduating from medical school and completing clinical internship, and to explore contributing background and/or internship factors. Methods Norwegian medical students graduating June 2004 were invited to take part in a videotaped standardized patient interview February 2004. Of the 111 students who originally participated, 62 completed a second interview February 2006. Observed communication skills were assessed with the Arizona Communication Interview Rating Scale (ACIR). Results The level of communication skills increased significantly during the period for participants overall; and for females but not males. General social skills reached significantly higher levels than specific professional skills, both types of skill improving during the study. Independent predictors were working in local hospitals, learning atmosphere and low stress. At school completion, 50% reached a level defined as ‘advanced beginner’. Towards the end of the internship, 58% reached ‘capable’ and 27% ‘competent’ levels of communication skills. Conclusions Female physicians improved most in communication skills, the gender difference being multivariate mediated through low stress levels and learning atmosphere. The findings support the division of communication skills into general social and specific professional skills. Practice implications The relatively low proportion of young physicians, especially males, developing the capability to practise independently at internship completion indicates a need for more effective training in communication skills, during both medical school and internship.

How attendance and quality of participation affect treatment response to parent management training.

This study examined whether attendance and quality of participation in parent management training predicted treatment response. Data were from 445 parents (55% minority, 62% single; almost all of low socioeconomic status) who had 1st-grade children with severe conduct problems. Quality of participation in weekly parent groups was based on group leader ratings. Parent outcomes were based on interviewer ratings, behavioral observations, parent reports, and teacher ratings. Results of hierarchical linear models suggested that few family characteristics predicted attendance in this efficacy trial and that attendance was not related to changes in parenting over the year. However, several family characteristics predicted quality of participation in parent management training, and this in turn predicted changes in parental perceptions, warmth, physical punishment, and school involvement. From a clinical perspective, these findings suggest that it is not enough to get parents to attend sessions; it is also necessary to facilitate their active engagement in the therapeutic process.

Predicting work Performance through selection interview ratings and Psychological assessment

The aim of the study was to establish whether selection interviews used in conjunction with psychological assessments of personality traits and cognitive functioning contribute to predicting work performance. The sample consisted of 102 managers who were appointed recently in a retail organisation. The independent variables were selection interview ratings obtained on the basis of structured competency-based interview schedules by interviewing panels, fve broad dimensions of personality defned by the Five Factor Model as measured by the 15 Factor Questionnaire (15FQ+), and cognitive processing variables (current level of work, potential level of work, and 12 processing competencies) measured by the Cognitive Process Profle (CPP). Work performance was measured through annual performance ratings that focused on measurable outputs of performance objectives. Only two predictor variables correlated statistically signifcantly with the criterion variable, namely interview ratings (r = 0.31) and CPP Verbal Abstraction (r = 0.34). Following multiple regression, only these variables contributed signifcantly to predicting work performance, but only 17.8% of the variance of the criterion was accounted for.

The effect of coaching interviewees on subsequent interview performance in structured experience‐based interviews

This study investigated the effect of coaching interviewees on subsequent interview performance within a structured experience‐based interview format. Using a post‐test only experimental design, participants (N=144) were assigned to one of three coaching conditions of increasing comprehensiveness: low (introduction‐only training), medium (introduction plus awareness training), and high (introduction plus awareness plus skill training). Results indicated that individuals who participated in more comprehensive coaching ultimately received higher interview ratings. Results also identified interviewee knowledge as a partial mediator of the relationship between coaching comprehensiveness and subsequent interview performance.