Questionnaire Group Research Articles

The Group Questionnaire (GQ)—Psychometric properties among outpatients with personality disorders.

The Group Questionnaire (GQ)—Psychometric properties among outpatients with personality disorders.

Evaluating a Questionnaire in Telephone Balance Consultations during the Coronavirus Disease 2019 Pandemic

Introduction: During the coronavirus disease 2019, pandemic clinical practice had to change, and this study trialled a diagnostic questionnaire to assess patients with dizziness over the telephone. Methods: All 115 patients awaiting otorhinolaryngological assessment for balance were randomised to receive a dizziness questionnaire in the post prior to their telephone consultation or not. Consultation outcomes were recorded by the clinicians conducting the consultation. Follow-up data were collected in June 2022 for final outcomes. Results: 82/115 patients had consultations with complete data collection: 35 in the questionnaire group (QG) and 47 in the no questionnaire group (NQG), with a 70% response rate in the QG. Clinicians made a diagnosis in 27/35 QG consultations versus 27/47 NQG consultations. Nine out of 35 QG patients required additional investigations compared to 34/47 in the NQG (p < 0.05). Only 6/35 QG patients needed additional telephone follow-up, compared to 20/47 NQG patients (p < 0.05). Conclusion: Using a diagnostic questionnaire increased clinicians’ ability to come to a diagnosis in telephone consultations.

The relationship of alliance, cohesion, and climate with outcome among college counseling populations.

It is not yet fully understood how alliance, cohesion, and climate differentially correlate with client outcome in group therapy, especially when assessed simultaneously. This study aims to elucidate these relationships through an archival analysis of continuous Group Questionnaire (GQ) and Outcome Questionnaire-45 (OQ-45) data from 412 group therapy clients at college counseling centers, which were originally collected by Burlingame, Whitcomb, et al. (2018). We predicted that alliance, cohesion, and climate would each correlate with improvements in outcome and, further, that they would have similar relationships with change in outcome. Results indicate that greater alliance, cohesion, and climate are individually associated with lower distress. This relationship was significant regarding session-to-session fluctuations on individual client scores (p < .01), as well as regarding differences between clients in their personal averages across sessions (p < .01). However, when linear growth trajectories were considered, only alliance was significantly associated with improvement (p < .05). In other words, alliance, climate, and cohesion all correlate with outcome when time is ignored; however, alliance alone significantly correlates with outcome when change over time is taken into account. This study highlights the importance of the client-therapist relationship, emphasizing how alliance is significantly related to change in group therapy. Thus, therapists should prioritize a strong bond with clients. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Mobile app for comprehensive management of orthodontic patients with fixed appliances : Design and use.

This study aimed to design and implement amobile phone application (app) aiming to enhance the cooperation and oral hygiene of orthodontic patients. An orthodontic app named "Labkhand" was designed by ateam of orthodontists and programmers according to the needs and scheduled interventions for patients. The aim of this app was to obviate the orthodontic needs of patients by providing educational content in the form of texts and videos, oral hygiene reminders, appointment reminders, and nutrition reminders. It also enabled instant messaging and chatting between patients and dental personnel. In this study, 61patients were monitored during their orthodontic treatment procedure. All patients were evaluated using aquestionnaire with 7questions before and after a6-month treatment period. A total of 31patients were instructed to use the app, while the other 30patients received treatment without the app. The collected data were analyzed using paired t‑test and analysis of covariance (ANCOVA) test. While the control group's questionnaire score remained almost the same (P > 0.05), the mean questionnaire score of patients in the intervention group significantly increased after using the app compared to the baseline scores acquired before using the app (P < 0.001). The greatest improvement was noted in topics related to "reminding of appointments", "general information about orthodontic treatment", and "oral hygiene maintenance and instructions". "Quality of services" and "patient-orthodontist communication" showed the least improvement in patient satisfaction. The Labkhand orthodontic app has multiple functions and can obviate the needs of orthodontic patients easily and at alow cost.

How can learning effects be measured in Balint groups? Validation of a Balint group questionnaire in China

BackgroundBalint groups aim to reflect doctor-patient relationships on the basis of personal cases. This study reports the validation of a questionnaire aimed at the identification of learning processes among Balint group participants in China.MethodsThis multicenter cross-sectional study was conducted during Balint group sessions in Beijing, Guangzhou and Shanghai. A heterogeneous sample of different professional groups was intended to adequately capture the reality of Balint work in China. After a Balint group session, the participants were asked to complete the Mandarin version of the Balint group session questionnaire (BGQ-C) and the group questionnaire (GQ), an internationally validated instrument to assess central dimensions of therapeutic relationships during group processes.ResultsQuestionnaires from n = 806 participants from 55 Chinese Balint groups, predominantly comprising individuals with a medical background, were analyzed. Most participants were female (74.6%), and the average age was 34.2 years old (SD = 9.4). The results indicated good to very good reliability (Cronbach’s α = .70 to .86; retest rs = .430 to .697). The verification of the construct validity of the BGQ-C showed satisfying convergent (rs = .465 to .574) and discriminant validity (rs = -.117 to -.209). The model was tested with a confirmatory factor analysis of a three-factor model (standardized root mean square residual = .025; comparative fit index = .977; Tucker-Lewis index = .971). The 3 empirically identified scales resulted in good model fit with the theoretical dimensions of Balint work postulated in the literature: “reflection of transference dynamics in the doctor-patient relationship”, “emotional and cognitive learning” and “case mirroring in the dynamic of the group”. Due to the high correlations between the factors, a single-factor model was possible. A group comparison between the German and Chinese samples showed different loadings across cultures.ConclusionsThe BGQ-C is a quick-to-complete, item-based measuring instrument that allows the relevant dimensions of Balint group work to be recorded. This study suggests good psychometric properties of the Chinese version. Nevertheless, it must be assumed that the composition of constructs in the two countries is different.

Distance learning and the development of speaking skills: Challenges and opportunities

&#x0D; &#x0D; &#x0D; Based on data from the GRAAL group's questionnaire on remote teaching, caused by the Covid-19 emergency as reported in Conti (2021), oral production practice was neglected by both high school and college students. The aim of this paper is to reflect on how to promote and sustain speaking from the beginning of the language learning process, during in-person, remote and/or hybrid teaching. The framework presented indicates task-based language teaching (TBLT) as an effective approach to help learners participate in successful communication. The paper provides: 1. an overview of current literature on the subject; 2. applicable examples integrated with Flipgrid; 3. data analysis of students’ performance.&#x0D; &#x0D; &#x0D;

Alliance Rupture Detection and Repair in Group Therapy: Using the Group Questionnaire--GQ

ABSTRACT The identification of relationship ruptures in group therapy coupled with repair efforts by the group leader are addressed from a measurement-based care (MBC) perspective. Several MBC systems are now recognized as evidence-based treatments, and these systems typically use self-report assessment of both outcome and relationship measures. After laying a brief foundation of alliance rupture and repair from an individual therapy perspective, the complexity of applying alliance and repair across the multiple therapeutic relationships and constructs found in the group treatment literature is considered. The Group Questionnaire (GQ) is an empirically derived measure designed to capture the multiple relationship structures (member-member, member-leader, and member-group) and constructs (alliance, cohesion, climate, and empathy) in group therapy. Similarities and differences between the GQ and alliance rupture and repair measures are considered, followed by algorithms used to identify rupture and repair in group therapy on the three GQ subscales—positive bond, positive work, and negative relationship. MBC clinical reports are used to illustrate how rupture is identified at both a group and individual member perspective along with information to support repair interventions. Finally, both clinical and empirical reasons for using the MBC approach are considered along with clinical observations.

Dyspnoea, lung function and CT findings 3 months after hospital admission for COVID-19.

The long-term pulmonary outcomes of coronavirus disease 2019 (COVID-19) are unknown. We aimed to describe self-reported dyspnoea, quality of life, pulmonary function and chest computed tomography (CT) findings 3 months following hospital admission for COVID-19. We hypothesised outcomes to be inferior for patients admitted to intensive care units (ICUs), compared with non-ICU patients.Discharged COVID-19 patients from six Norwegian hospitals were enrolled consecutively in a prospective cohort study. The current report describes the first 103 participants, including 15 ICU patients. The modified Medical Research Council (mMRC) dyspnoea scale, the EuroQol Group's questionnaire, spirometry, diffusing capacity of the lung for carbon monoxide (DLCO), 6-min walk test, pulse oximetry and low-dose CT scan were performed 3 months after discharge.mMRC score was >0 in 54% and >1 in 19% of the participants. The median (25th–75th percentile) forced vital capacity and forced expiratory volume in 1 s were 94% (76–121%) and 92% (84–106%) of predicted, respectively. DLCO was below the lower limit of normal in 24% of participants. Ground-glass opacities (GGO) with >10% distribution in at least one of four pulmonary zones were present in 25% of participants, while 19% had parenchymal bands on chest CT. ICU survivors had similar dyspnoea scores and pulmonary function as non-ICU patients, but higher prevalence of GGO (adjusted OR 4.2, 95% CI 1.1–15.6) and lower performance in usual activities.3 months after admission for COVID-19, one-fourth of the participants had chest CT opacities and reduced diffusing capacity. Admission to ICU was associated with pathological CT findings. This was not reflected in increased dyspnoea or impaired lung function.

Italian adaptation of the Group Questionnaire: validity and factorial structure.

The Group Questionnaire (GQ) is a measure recently developed by Krogel et al. (2013) for the evaluation of the therapeutic relationship in group. The GQ identifies a three-factor model of the relationship that allows to measure quality (Positive Bonding, Positive Working and Negative Relationship) and structure (member-member, member-leader and member-group), dimensions in group. This work shows the results of a first study on the Italian validation of the GQ. In this study the GQ was administered to 536 subjects from 32 non-clinical groups of undergraduate students. The cross-cultural validity of the GQ in the Italian population has been examined by comparing the psychometric properties and equivalence in factor structure and scores of the Italian GQ with the original American version. Multilevel confirmatory factor analysis was used to examine both the between- and within-group structures. Data concerning reliability and validity of GQ and the results for different SEM in Multilevel CFA confirm the three factors structure of the GQ. Data from the Italian population have a good fit with the original proposed model. Finally, we discuss the importance of an instrument like GQ, short but consistent, for the evaluation of the therapeutic relationship in clinical and training group.

Restless Legs Syndrome in Aircrew.

INTRODUCTION: Restless legs syndrome (RLS) is characterized by an uncomfortable sensation on the legs, which causes the urge to move the legs. The main cause is unknown but there are many risk factors, including geographical properties and high altitude. Our objective was to explore the frequency of RLS in aircrew.METHODS: There were 301 Turkish aircrew who were admitted to Istanbul Medipol University Hospital Neurology Department for periodic examinations and 272 healthy (non-aircrew) subjects included in the study. The International RLS Study Group's Questionnaire and the International RLS Study Group Rating Scale (IRLSSGRS) were used to evaluate RLS. The participants filled the RLS questionnaire and then both groups were divided into two subgroups as having RLS or not. The subjects years in the profession, average flight duration in a month, daily sleep duration, smoking, and coffee consumption were recorded. None of the subjects had previously been diagnosed with RLS.RESULTS: The frequency of RLS was 6.7% in the aircrew group and 7.9% in the control group, and there was no significant difference between the two groups. Age, gender, daily duration of sleep, smoking, coffee consumption, family history of RLS, being a pilot or a flight attendant, years in profession, and monthly flight hours were similar in aircrew with and without RLS.DISCUSSION: The RLS frequency in aircrew was similar to that of the control group. We can conclude flying at high altitude wasnt a risk factor for RLS.Düz OA, Yilmaz NH, Olmuscelik O. Restless legs syndrome in aircrew. Aerosp Med Hum Perform. 2019; 90(11):934937.

Well-being and return rate of first-time whole blood donors.

Previous studies observed a transient increase in well-being in about one-third of regular donors after blood donation. In addition, personal contact with donors after donation seems to increase return rates. We were interested whether changes in well-being and/or personal contact after the first donation impact return rates of first-time donors (FTDs). First-time donors were randomized to a questionnaire group (QG), in which questionnaires assessing the well-being had to be filled in, or a control group (CG), which was not contacted with a questionnaire. The QG had to complete the same questionnaire three times at the day of the first donation and then four times over an 8-week period with reminding calls by the study coordinator. Return rates of participants were followed for 12months. A total of 102 FTDs participated in the QG and 115 in the CG. Changes in well-being after the first donation had minimal impact on the return rates. In contrast, contacting FTDs after their first donation had a significant impact on the return rate of male donors (89·2% in the QG vs. 58·3% in the CG; P=0·001). Females showed no significant difference in return rates between both groups (P=0·32). The well-being of FTDs had no influence on their return rate. The intervention of regular contacts during a research project follow-up resulted in an increased return rate of male but not of female FTDs. The pronounced difference of the impact of this intervention between male and female donors requires further studies.

Developing a therapeutic relationship monitoring system for group treatment.

The use of outcome monitoring systems to identify clients that are at-risk for treatment failure has now become part of daily clinical practice, shown in >25 empirical studies to improve client outcomes. These promising findings have led to outcome monitoring systems being recognized as evidence-based. Feedback systems based on client perception of therapeutic processes are recent additions to the monitoring literature, and the research suggests that these too lead to improved outcomes. Unfortunately, feedback systems and research have been primarily limited to individual therapy, creating a knowledge gap for multiperson treatment. This study reports on the development of a therapeutic relationship monitoring system for group treatment using results from 6 Group Questionnaire (GQ) studies conducted in 4 unique clinical populations: nonclinical process, counseling center, European inpatient, and seriously mentally ill inpatients. The GQ is a factor-analytically derived scale, which assesses a client's perception of 3 relationship quality constructs (positive bond, positive work, and negative relationship) across 3 structural domains (member-member, member-leader, and member-group). The first goal of the present study was to replicate the previously established factor structure across each clinical population. The second goal was to establish normative values and relevant feedback alerts for the GQ subscales in each population. Findings support the GQ factor structure across clinical populations, indicating that the constructs measured by the GQ bear similar relationships in each population. Further, findings support the implementation of unique norms and feedback alerts in each clinical population, reflecting the reality of meaningful differences between clinical populations. (PsycINFO Database Record

An item reduction analysis of the Group Questionnaire.

There is a constant tension between having measures short enough for daily practice and long enough to provide useful information. Although shorter measures are more convenient for clients, fewer items necessarily mean less information, a loss of psychometrics, and possible floor and ceiling effects. This study examined the effects of shortening the Group Questionnaire (GQ) on its clinical utility and psychometric integrity. Creation of a 12-item GQ (GQ-12) was done using archival data with 1,087 participants gathered from counseling centers, nonclinical process groups, outpatient psychiatric hospitals, and an inpatient state hospital. Testing of the loss of clinical utility was conducted using archival data from 432 group counseling center patients. Analysis for creation of the GQ-12 was done using multilevel structural equation modeling. Items were selected using clinical judgment and statistical judgment considering interitem correlation and factor loading. Model fit was analyzed in comparison with the standards in the literature and with the full-length GQ. Loss of clinical utility was analyzed by comparing alerts generated by the GQ-30 with alerts generated by the GQ-12. The GQ-12 has good model fit and acceptable reliability. A significant number of alerts were lost by reducing the items (status alerts: sensitivity 82-93%, specificity 97-99%; change alerts: sensitivity 52-67%, specificity 99-100%). This study suggests that although it is possible to create a psychometrically sound, shortened version of a feedback measure, clinicians should be aware that helpful information is lost. (PsycINFO Database Record

European survey of diagnosis and management of the polycystic ovary syndrome: results of the ESE PCOS Special Interest Group's Questionnaire.

There is evidence for differences between endocrinologists and other specialists in their approach to diagnosis and management of the polycystic ovary syndrome (PCOS). A mailed survey consisting of a simple questionnaire aiming to understand current practice for diagnosis and management of the PCOS by specialists across Europe. The questionnaire consisted of 23 questions grouped to achieve information on i) the general characteristics of the respondents, ii) patients with PCOS seen by endocrinologists, iii) the main diagnostic criteria, iv) biochemical parameters used in the differential diagnosis of hyperandrogenism, v) long-term concerns, and, finally vi) treatment choices. A total of 357 questionnaires representing 13.3% of the members of European Society of Endocrinology (ESE) were available for final analysis; 93% of the respondents were endocrinologists In relation to the diagnostic criteria, respondents were most likely to select menstrual irregularity as the most frequent criteria used for the diagnosis of PCOS although very high rates were achieved for the use of hirsutism and biochemical hyperandrogenism. It therefore appears that the NIH criteria were followed by the majority of respondents. The most frequent biochemical parameters in the differential diagnosis of hyperandrogenism were total testosterone or free androgen index. Obesity and type 2 diabetes were regarded as the principal long-term concerns for PCOS. The most common treatments for patients with PCOS were metformin (33%), lifestyle modification (25%), and oral contraceptives (22%). More direct treatments of infertility include clomiphene citrate alone or in combination with metformin, prescribed by 9 and 23%, respectively, whereas only 6% used other methods for induction of ovulation. The survey produced by ESE is a good start for evaluating the perspective in the diagnosis and treatment of PCOS by endocrinologists in Europe.

The validity of the Group Questionnaire: Construct clarity or construct drift?

The Validity of the Group Questionnaire: Construct Clarity or Construct Drift? Stephen D. Thayer Department of Psychology, BYU Doctor of Philosophy The Group Questionnaire (GQ) is a recently developed measure of the quality of the therapeutic relationship in group treatment. Its 3 subscales—Positive Bonding Relationship, Positive Working Relationship, and Negative Relationship—are taken from a 3-factor conceptualization of the group therapeutic relationship (Johnson et al., 2005). The purpose of the present study was to estimate the GQ’s construct and criterion-related validity by 1) replicating the aforementioned factor structure with a similar sample and by 2) correlating the GQ with the measures from which is was derived (i.e., Working Alliance Inventory, Burns Empathy Scale, Therapeutic Factors Inventory, Group Climate Questionnaire) and to 3) explore the GQ’s ability to measure relationship quality at member-member, member-leader, and member-group structural relationship levels using a sociometric test. Two hundred and ninety participants were recruited from 65 treatment groups at 4 university counseling centers and 1 community mental health clinic. Confirmatory factor analysis (CFA) fit indexes from both singleand multiple-level analyses met standards for acceptable model fit. Intraclass correlation coefficients (ICC) suggested the GQ is sensitive to group level processes. Therefore, the Johnson et al. (2005) 3-factor model was successfully replicated and the GQ’s construct validity supported. Pearson product-moment (r) and Spearman’s rank (ρ) correlation coefficients were sufficiently high to lend support for the GQ’s criterion-related validity. Sociometric exploration yielded moderate support for the GQ’s ability to access the structural parameters of group therapeutic relationships. The present study’s findings suggest the GQ is an empirically valid, clinically useful measure of the quality of the group therapeutic relationship.

The Group Questionnaire: A clinical and empirically derived measure of group relationship

The Group Questionnaire (GQ) is a recently developed self-report measure of the therapeutic relationship based on Johnson and colleagues (2005) three-factor model; Positive Bonding, Positive Working, and Negative Relationship. This study validated Johnson's model with a new and extended sample and created a shorter 40-item trial version. SEM analysis of the GQ tested whether it produced the same three-factor structure found in three earlier studies with 486 participants from three populations—outpatient university counseling center, non-patient AGPA process groups, and inpatient state hospital. Results of further SEM refinements demonstrated that a final 30-item version had good fit to the three-factor model although distinct differences in response pattern were found between the three populations. Implications for future utility and clinical relevance of the GQ are discussed.

Money matters: does the symbolic presence of money affect charitable giving and attitudes among adolescents?

PurposeMoney plays an integral part in the daily lives of people all over the world and its mere presence can affect one's behavior and attitudes. The present paper aims to test whether the presence of money will reduce the amount of money donated to charity and affect adolescents' attitudes toward charitable giving. The role of gender in charitable giving and attitudes is also to be investigated.Design/methodology/approachThe study's subjects consisted of 114 adolescents ranging in age from 13‐14. Using an experimental design, each subject was randomly assigned to one of two groups. The treatment group's questionnaire had the image of a $100 bill at the bottom of the first page. The analyses consisted of two separate ANOVAs to test the study's hypotheses.FindingsThe initial ANOVA analysis investigates the impact of money salience and gender on the willingness to donate. The full model was significant as were the main effects for treatment group (money prime) and gender. Those primed for money gave less to the food bank and girls gave more compared to boys. A second ANOVA investigates the impact of money salience and gender on attitudes toward charitable giving. Again, both the full model and main effects were significant. Those primed for money held less favorable attitudes toward charitable giving than the control group and girls held more positive attitudes than boys.Research limitations/implicationsThe findings suggest that gender plays an important role in charity and answers a call for increased research in this critical area of study. Study limitations and directions for future research are discussed.Practical implicationsThe results of this study have important implications for both charitable giving and attitudes and for better understanding this important human value. It appears that when money is made salient it makes people less charitable.Originality/valueThis is the first study to extend the impact of money salience to adolescents.

Benefits of Testable Concept Maps for Learning About Pathogenesis of Disease

Background: Concept maps can assist learning by integrating new information with existing cognitive structure to facilitate meaningful understanding. The benefits of testable concept maps to illustrate cause-and-effect sequences in the pathogenesis of disease have not yet been determined. Purpose: A controlled trial was employed to evaluate the learning benefits of testable pathogenesis maps. Methods: Consecutive cohorts of junior medical students allocated to control and study groups participated in case-based pathology practical classes. Online testable pathogenesis maps were integrated into classes for the study group. An online quiz and questionnaire were used to evaluate outcomes. Results: The study group scored significantly higher on the quiz ( p= .014), including significantly better performance in topics covered by pathogenesis maps ( p= .049). The study group's questionnaire responses regarding pathogenesis maps were overwhelmingly positive. Conclusions: Testable pathogenesis maps significantly improved medical students’ understanding of the pathogenesis of disease. Wider use of such maps should be explored.

A Proposal of Quality Evaluating Model for Serious Game Contents

This paper is on the premise that we need objective and measurable researches on quality evaluation of serious game for users' correct selection of games fitting for their purposes, for development of competitive high-quality game, and for stable growth of game industry. At first, we looked into various characteristics of serious game, read the present situation of game market, and proposed the necessity of quality evaluating model for serious game. To guarantee the objectivity of the proposed models, we compared and analyzed various proposals of standard model on the basis of international standard quality-evaluating model, ISO/IEC 9126 S/W. And so we extracted quality-evaluating items for serious game that composed of 8 evaluating areas and 25 sub-attributes, and presented quality-evaluating indices of each area. The proposed quality-evaluating model was added 2 areas and 8 sub-attributes to the international standard model, and the validity of the extracted items' was verified by expert group's questionnaire. Accordingly, we expect that this paper will increase game users' satisfaction, promote the development of high-quality games, and contribute to continuous growth in serious game market.

Attitudes of Professional and Community Groups Toward Male and Female Suicide

Further to the work of Broverman et al. (1972) and others, this study explored whether different attitudes exist toward female as opposed to male suicidal behaviours, and, in turn, whether these conceptions would vary according to one's professional discipline. Psychologists (N = 38), social workers (N = 45), registered nurses (N = 43), and 42 lay persons completed the Suicide Opinion Questionnaire (Domino et al., 1982). Half of each group's questionnaires referred to a female target person, and half referred to a male. Judged seriousness of behaviour for males vs. females was significantly different on 22 items, and significant differences between professional groups appeared on 36 items. Some female suicide behaviours were perceived as less serious than were the same behaviors when performed by a male. Further analyses, and implications for theory and practice in the community, are outlined.