Talk Aloud Research Articles

Think Aloud Videos and Assessment in an Introductory Economics Class for Undergraduate Students

This paper demonstrates the value of an innovative test preparation strategy, applied over multiple semesters to one principles of macroeconomics class. The professor makes a video of himself taking a copy of the test students are preparing for, talking aloud about how to think about the question and work through the solution. A natural experiment occurred one semester when the professor was unable to provide the think-aloud preparation video, but other, standard preparation materials were in place. It is demonstrated that students increase their scores on other questions in the same modules by an average of 7.6 percentage points with think-aloud videos. Think aloud interventions are shown to be an effective tool to enhance student content learning.

Verbal Mediation During Auditory Equivalence Class Formation Using Go/No-Go Successive Matching-to-Sample

AbstractSuccessive matching-to-sample (S-MTS) with a go/no-go response requirement has previously produced equivalence classes with nonverbal auditory stimuli among college students. When participants are required to talk aloud during posttests (protocol analysis), their verbal behavior tends to match their selection performance. However, in some cases, the protocol analysis seems to interfere with posttests, in that equivalence yields are lower when participants are required to talk aloud. Thus, the current study replicated and extended previous research by requiring participants to complete emergence posttests before introducing training for the protocol analysis. Subsequently, participants completed one additional block of the transitivity/equivalence posttest with the talk-aloud requirement. Additionally, participants completed tact and intraverbal tests following emergence posttests to further assess possible verbal-mediation strategies. The results showed that six of eight college students formed equivalence classes, suggesting that previous failures could have been influenced by the talk-aloud requirement. Further, there was a positive correlation between verbal and nonverbal (selection) responses suggesting the possibility that verbal mediation may have contributed to equivalence-class formation.

Understanding feelings, thoughts, and actions: Social work students and individual research consultations

The purpose of this study was to better understand how individual research consultations (IRCs) with a librarian impact undergraduate social work students' feelings, thoughts, and actions during their information search process. Screencast videography was the primary method of data collection in this qualitative case study. Participants (n = 7) were sampled from a social work research seminar course at a regional university in the upper Midwest. Both prior to and after an IRC, study participants joined a recorded Zoom meeting with the researcher, share their screen, and talk aloud during their search process. Follow up interviews with participants were also conducted. Results showed participants' feelings moved from confused prior to the IRC to confident after the IRC. Participants had a more refined topic and were more effective in applying inclusion and exclusion criteria when selecting articles for their literature review assignment after the IRC. The actions students took after the IRC were more beneficial to their information search process, especially when it came to reading and understanding scholarly research. These results underscore the value IRCs can provide to undergraduate social work students. The findings of this study demonstrate and explain changes in student information seeking as a result of an IRC.

Correspondence Between Vocal-Verbal Behavior and Go/No-Go Responses During the Successive Matching-to-Sample Procedure.

In the current study, eight college students were exposed to a successive matching-to-sample (S-MTS) procedure utilizing non-verbal auditory stimuli consisting of common sounds. During emergent relations tests, participants were asked to talk aloud, and their vocal-verbal statements were transcribed and categorized as class-consistent, class-inconsistent, or irrelevant. All participants met emergence criterion for symmetry and four did so for transitivity/equivalence. Analysis of vocal-verbal statements showed a positive correlation between class-consistent statements emitted by participants and correct selection responses during S-MTS tasks. Such results suggest possible verbal mediation during emergent relations tests.

User Experience Research Techniques Facilitate Improvements for Access and Discovery Tools Managed by Technical Services Librarians

A Review of: Hill, K. (2020). Usability beyond the home page: Bringing usability into the technical services workflow. The Serials Librarian, 78 (1–4), 173–180. https://doi.org/10.1080/0361526X.2020.1702857 Objective – To demonstrate how user experience research techniques can be incorporated into technical services work. As proof of this concept, the author describes a case wherein a team of librarians, including one in a technical services role, deployed a user experience study to determine if students were able to successfully use LibGuides and the A-Z Database List to find subject-specific resources. The study also aimed to gauge the potential for several A-Z Database List interface redesign options. Design – A case study of user experience techniques applied to technical services projects, including a classic usability test of existing tools and an A/B/C comparison of potential interface redesigns. Setting – The library at the University of North Carolina Greensboro (UNCG), a public R2 university (doctoral university with high research activity). Subjects – Eleven student participants recruited through convenience sampling. Methods – The research team recruited study participants who were in the library at the time of the study, deselecting students from UNCG’s library school and those who were not currently affiliated with the university through an initial questionnaire. Eleven student participants were ultimately selected and led through a series of tasks related to finding subject-specific databases using the A-Z Database List and LibGuides. After the tasks for the A-Z Database List were completed, students were asked for their impression of two additional database list interfaces. Students were recorded throughout the tasks using the “talk aloud” method to provide researchers with insights on their thought processes and preferences. Following the study, researchers listened to the recordings, coding them as successful or incomplete and noting their observations for use in generalized findings. Main Results – Eight of eleven participants used the library’s main search box to locate a general resource for their major on the library’s homepage. When shown the A-Z Database List, ten out of eleven participants used the list to find a database for their major, while one used the link to “Research guides by subject” from that page. Comparisons of three A-Z Database List interfaces showed that most students preferred the Springshare Content Management System that allowed for filtering by subject area. When asked to find a research guide for their subject or major from the library’s homepage, nine out of eleven students clicked on the link labeled “Research guides by subject.” Starting from their subject guide, ten out of eleven could find a tab listing article databases. Nine participants noted that the number of databases listed on the guides was daunting. Conclusion – Results from the user experience study were used to support a redesign of the A-Z Database List using the Springshare Content Management System. The author regarded the experience as a whole as demonstrating how technical services librarians can become involved in user experience work and incorporate findings from usability studies into their management and design of tools that promote access and discoverability.

71 Neuropsychological Intervention for Developmental Stuttering using Delayed Auditory Feedback Application

Objective:Brain science demonstrates that people who stutter (PWS) exhibit insufficient activation in the auditory speech area of the left hemisphere (Kikuchi, et al. 2011 ; Garnett, et al. 2018). In this study, we reported the auditory brainstem response of PWS: in PWS with moderate and severe impairment, significantly longer interpeak latencies (IPLs) between waves I and V (IPL [I-V]) of the right ear than those of the left ear were observed. However, in PWS with mild impairment, the IPLs (I-V) of the left ear were significantly longer than those of the right ear (Anzaki et al., 2020). We considered that the differences in the IPLs (I-V) between the right and left ears cause monitoring disturbance in communication, which results in developmental stuttering. It has been reported that stuttering was improved by delayed auditory feedback (DAF) (Stromsta, 1956; Sakai, 2008). Thus, we improved the DAF system and developed an application that can be used by PWS to listen to their own voices with no differences in the IPLs (I-V) between their left and right ears. We verified the effectiveness of this application.Participants and Methods:This study included five male adults with developmental stuttering (ADSs), with a mean age and handedness index of 36 years and 84, respectively. The application was adjusted so that the IPLs (I-V) of the left and right ears were the same. For example, one ADS showed that the IPL (I-V) of their right ear was 0.5 msec longer than that of their left. Subsequently, the application was adjusted so that the IPL (I-V) of his left ear would be delayed by 0.5 msec. We asked the participants to use the application for six months when free talking and reading aloud. Using the Japanese Standardized Test for Stuttering (JSTS) (Ozawa, et al. 2013), we compared their disfluencies with and without the application.Results:As per the JSTS, the stuttering severity in all participants improved. Case 1, who had severe impairment (level 5), showed a moderate improvement (level 4), Cases 2 and 3, who had moderate impairment (level 4), showed a mild improvement (level 3), and Cases 4 and 5, who had mild impairment (level 3), exhibited a normal level of improvement (level 1). We calculated the z-scores of the improvement rates of the JSTS based on the standard deviations according to the severity (Anzaki, 2019). The z-scores of Case 4 and 5 were 4.01 and 2.01, respectively, indicating a significant improvement.Conclusions:In our report last year, although ADSs with moderate and severe impairment showed improvement by stimulation intervention on the left hemisphere through the right ear, those with mild impairment exhibited only a slight or no improvement as per the JSTS (Anzaki, et al. 2021). The application developed in this study was found to significantly improve the disfluencies of all the participants as per the JSTS, especially those with mild impairment. Therefore, we considered that stuttering disorders are layered; ADSs have auditory monitoring disorder in the base.

Evaluating the content validity of the Single Assessment Numeric Evaluation (SANE) in shoulder pathologies

BackgroundThe Single Assessment Numeric Evaluation (SANE) is a single item patient reported outcome measure (PROM) of function, in where patients rate how normal they feel in relation to a specific joint or problem. Although validated for some orthopedic conditions, it is not yet validated for a population with shoulder pathologies; nor have other studies explored the content validity. This study aims to understand how 1) patients with shoulder conditions interpret and calibrate responses to the SANE and 2) how they define normal. MethodsThis study uses cognitive interviewing, a qualitative methodology that focuses on the interpretation of questionnaire items. Patients with rotator cuff disorders (n = 10), clinicians (n = 6) and measurement researchers (n = 10) were interviewed using a talk aloud structured interview that evaluated the SANE. All interviews were recorded and transcribed verbatim by one researcher (R.F). Analysis was done through an open coding scheme using a previously established framework for classification of interpretation variances. ResultsOverall, the single-item SANE was well received by all participants. Through the interviews, the themes of: Comprehension (20% of participants), Reference Point (20% of participants), Relevance (10% of participants), and Perspective Modifiers (50% of participants) emerged as potential sources of interpretation variances. Clinicians indicated this tool facilitates discussion when trying to create realistic recovery expectations for patients post-operatively. The word “normal” was defined by the themes of: 1) levels of current pain compared to pre-injury, 2) personal expectations of recovery and 3) pre-injury activity levels. ConclusionsOverall, respondents found the SANE to be cognitively simple, but it was clear that the interpretation of the question and what factors calibrated their responses were highly variable between respondents. The SANE is perceived favorable by patients and clinicians, while providing a low response burden. However, the construct being measured may vary between patients.

Development and use of the Australian reproductive genetic carrier screening decision aid.

Reproductive genetic carrier screening (RGCS) may be offered to all individuals and couples, regardless of family history or ethnicity. "Mackenzie's Mission" (MM) is an Australian RGCS pilot study, evaluating the offer of couple-based screening for ~1300 genes associated with around 750 autosomal and X-linked recessive childhood-onset conditions. Each member of the couple makes an individual decision about RGCS and provides consent. We developed a decision aid (RGCS-DA) to support informed decision-making in MM, suitable for couples who were either non-pregnant or in early pregnancy. A Delphi approach invited experts to review values statements related to various concepts of RGCS. Three review rounds were completed, seeking consensus for relevance and clarity of statements, incorporating recommended modifications in subsequent iterations. The final RGCS-DA contains 14 statements that achieved Delphi consensus plus the attitude scale of the measure of informed choice. This was then evaluated in cognitive talk aloud interviews with potential users to assess face and content validity. Minimal wording changes were required at this stage. After this process, the RGCS-DA was piloted with 15 couples participating in MM who were then interviewed about their decision-making. The RGCS-DA prompted discussion within couples and facilitated in depth consideration of screening. There was reassurance when values aligned and a sense of shared decision-making within the couple. This RGCS-DA may become a very useful tool in supporting couples' decision making and contribute to RGCS being feasible for scaled-up implementation.

The Effects of Competing Verbal Behavior on Performance in a Math Task.

The purposes of this study were to evaluate the effects of an auditory-distractor stimulus and vocal-blocking task on performance on a math task and measures of overt verbal operants. College students served as participants, and they were instructed to solve an arithmetic problem while continuously emitting overt verbal behavior. The overt verbal behavior consisted of either talking aloud while solving the problem or reciting the alphabet. A third condition consisted of playing an auditory-distractor file containing the alphabet during the response interval while participants talked aloud. Data were collected on response accuracy, latency to respond, and frequency of echoic and self-echoic responses emitted during the response interval. The vocal-blocking task significantly affected performance on the math task when visual stimuli were absent. The decrease in performance coincided with significant decreases in participants' mean frequency of echoic and self-echoic responses. In sum, correctly responding to an arithmetic problem was significantly affected by the vocal-blocking task, indicating support for the necessity of verbal mediation during problem solving.

“CASE-STUDY METHOD IN STUDENTS TRAINING”

The article discusses the specifics of using the case study method in teaching students. A specific mechanism is proposed, the logic of the development of such projects, the use of business incubator infrastructure.The essence of such a Case is that students should talk aloud about their intentions, the teacher should see the logic of their actions. In addition, in the event that any of the actions that are relevant to the case cannot be graphically depicted, the teacher can say the result of such an action. Such teaching methods help not only master the theory, but also test students their knowledge in practice in a situation as close to real as possible.

Tuvia RuebnerNow at the Threshold: The Late Poems of Tuvia Ruebner by Rachel Tzvia Back

Lee’s persistence in her desire to preach, the recognition of women as the backbone of the church, and Prathia Hall’s “I Have a Dream” talk aloud with God, among others. The discussion of Islam from the beginning of the abducted Africans’ forced migration to North America to the Nation of Islam’s influence during the modern Civil Rights Movement is fascinating. Other notable discussions include the historical bombings of Black worship houses as they were recognized as the seat of empowerment for Blacks. Gates’s discussion of the Jesuit scandal (indeed the role of the entire Catholic Church in the slave trade) involving slavery and their educational mission is riveting. Finally, his discussion on Black music (spirituals, gospel) as a requisite feature of the Black Church (along with sermonizing) is brilliantly executed and weaved throughout the account. Framed by a very informative introduction and an epilogue that contains Gates’s personal recollections of the church, the four chapters are organized chronologically by key moments in American history. Chapter 2, “A Nation within a Nation,” is especially illuminating in its guide to the development of the Black Church. Likewise , chapter 4, “Crisis of Faith,” charts the decline of the Black Church as a force for transformation to its resurgence with new and powerful voices for both social change and accommodation to new musical styles and messages. Gates identifies hip-hop as “a new kind of secular ministry.” This is a brilliant work: a compelling read that incorporates little-known facts about the Black Church and clarifies other information held popularly by the public. Adele Newson-Horst Morgan State University Tuvia Ruebner Now at the Threshold:The Late Poems of Tuvia Ruebner Trans. Rachel Tzvia Back. Cincinatti. Hebrew Union College Press. 2020. 188 pages. THE POET TUVIA RUEBNER left this world just months before the arrival of a pandemic that has since shaken it. For a life shaped by continual loss, both communal and personal, this seems a small measure of mercy. But as I read through Ruebner’s late poems, gathered in a superb bilingual collection of translations by Rachel Tzvia Back, I wondered whether the global health crisis would have affected him at all. Though his life spanned two centuries, traversed two continents, and encompassed two languages (German, his mother tongue, and Hebrew, his adopted and main language of composition), Ruebner took up BOOKS IN REVIEW Imbolo Mbue How Beautiful We Were New York. Random House. 2021. 384 pages. HOW BEAUTIFUL WE WERE is Imbolo Mbue’s second novel to be published; however , Mbue started writing it long before her first novel, Behold the Dreamers, appeared. This novel transports readers to the imaginary African village of Kosawa, grappling with the ravages of environmental pollution as a result of drilling by an American oil corporation. The novel opens dramatically when, at a village meeting with representatives from the Pexton Oil Company, Konga, a madman , captures the car keys of the delegates, steering the village toward an astonishing act of rebellion: holding the Pexton men hostage to exert pressure on the company to reveal what happened to their own men who disappeared when they went to the city to lodge a complaint. The narrative vacillates between the perspectives of the children who witness this primary act of rebellion and other characters in the village. The dramatic act of collective solidarity initiated by Konga is a sly inversion of Pexton’s strategy of liquidating the emissaries from the village who had demanded better environmental protections . The initial act of rebellion prompts a retaliatory bloodbath against Kosawa and the arrest and execution of several villagers on charges of kidnapping. Already, readers are plunged into cycles of trauma: IMBOLO MBUE 82 WLT SPRING 2021 0 remarkably little space. As a teenager he traveled from his native Bratislava to Kibbutz Merhavia in northern Israel, where he remained in a modest two-room home until his death at the age of ninety-five. Terms like “social distance” and “shelter in place” never entered his parlance, but the concepts were intuitive for him. For this reason, his poems are needed today more than ever before. They observe the wonders of the quotidian , the splendor in the...

The Effect of Case Presentation on Student Physical Therapists' Clinical Reasoning Hypotheses

Purpose: Clinical reasoning is an essential skill for Physical Therapists to develop for making sound decisions regarding patient care. Case-method teaching is an instructional strategy commonly implemented in physical therapy professional education programs for facilitating clinical reasoning skill acquisition. One advantage of case-method teaching is the various ways cases can be portrayed. The purpose of this study was to identify how a case is portrayed effects student thinking and their subsequent clinical decision making. Method: Third-year student physical therapists (n = 14) working in dyads clinically reasoned through a hypothetical musculoskeletal case presented via written case study or simulated patient experience. Talk aloud methodology via concurrent reports was implemented for data collection. Mann-Whitney U-tests followed by manual calculations of effect sizes were conducted for comparing hypothesis category generation between groups. Results: A total of 14 hypothesis categories were generated by the student dyads during the problem-solving sessions. Specifically, students generated more ideas regarding health condition, and contextual factors when thinking through a written case study whereas significantly more thoughts regarding symptom characteristics, client perspectives, and minimizing reasoning errors were generated during simulated patient experiences. Conclusion: When implementing case-method teaching, physical therapy academic educators need to be aware that the manner a case is portrayed affects the clinical judgements students generate and their learning of clinical reasoning. Future research should continue to investigate these effects and how they ultimately impact clinical practice.

Qualitative Evaluation of Web-Based Digital Intervention to Prevent and Reduce Excessive Alcohol Use and Harm Among Young People Aged 14-15 Years: A "Think-Aloud" Study.

BackgroundIn the United Kingdom, despite some downward trends in alcohol use among young people, over one-fifth of young people reported excessive alcohol use in the past month, which is associated with short- and long-term harm to health. Digital interventions to reduce alcohol use, such as websites, among young people present an appealing and cost-effective mode of intervention that can be integrated into the education system. However, relatively few school-based digital alcohol-focused interventions have been developed and evaluated for young people in the United Kingdom.ObjectiveThis study aims to develop a novel web-based intervention, Rethink Alcohol, to prevent and reduce excessive alcohol use and related harm among young people aged between 14 and 15 years, and explore the views of young people, teachers, and youth workers in relation to the content, design, and usability of the intervention.MethodsIntervention development followed the person-based approach, using theories of social norms and social influence. Qualitative “Think-Aloud” interviews, either one-to-one or paired, were conducted while participants perused and worked through the web-based intervention, talking aloud. Participants included 20 young people (12 female, 8 male), 5 youth workers (4 female, 1 male), 3 teachers (2 male, 1 female), and 1 (male) clinical professional, recruited via youth groups and professional networks. Interviews were audio recorded, transcribed verbatim, and analyzed thematically.ResultsThe prototype web-based intervention included normative feedback, information, a quiz, interactive activities, and scenarios. On a rating scale of impressions from poor (1) to excellent (5), participants gave an average score of 3.6/5. A total of 5 themes were identified: content, credibility of the website, making the website easy to understand, design and navigation, and suitability for the audience. These themes reflected views that the content was interesting, credible, informative, and embodied a neutral and nonjudgmental tone, but stronger messaging was needed regarding social pressures and short-term risks regarding safety and risk behavior alongside clarity around pathways of risk; credibility and trustworthiness of information were critical features, determined in part, by the professionalism of design and referencing of sources of information provided; and messages should be succinct and come to life through design and interactive features.ConclusionsTogether, the data illustrated the importance and challenge of communicating nuanced alcohol-focused public health messages to young people in concise, clear, nonjudgmental, and appealing ways. Young people report interest in clear, credible, neutral, and interactive messages regarding social pressures and short-term risks of alcohol use via a web-based intervention. There is scope for optimization and feasibility testing of the Rethink Alcohol intervention.

Content validation of the Kamath and Stothard questionnaire for carpal tunnel syndrome diagnosis: a cognitive interviewing study

BackgroundAccurate diagnosis of carpal tunnel syndrome (CTS) is essential for directing appropriate treatment; and for making decisions about work injury claims. The Kamath and Stothard Questionnaire (KSQ) is a self-reported tool used for the diagnosis of CTS. Comprehensibility and comprehensiveness of this questionnaire are critical to diagnostic performance and need to be established. The purpose of the study was to describe how potential respondents, clinicians, and measurement researchers interpret KSQ questions in order to identify and resolve potential sources of misclassification.MethodsHand therapists, measurement researchers, participants with CTS, and a control group were interviewed using cognitive interviewing techniques (talk aloud, semi-structured interview probes) in Hamilton, Canada. All interviews were recorded and transcribed verbatim. A directed content analysis was done to analyze the interviews using a previously established framework.FindingsEighteen participants were interviewed. Areas, where questions were unclear to some participants, were recorded and categorized into five themes: Clarity and Comprehension (52%), Relativeness (38%), Inadequate Response Definition (4%), Perspective Modifiers (4%), and Reference Point (2%). Respondents also identified several symptoms of CTS that are not covered by the KSQ that might be of diagnostic value, e.g., weakness and dropping items.ConclusionThe content validity of the current iteration of the KSQ was not established. The problematic questions identified in the study have been reported to have low specificity and negative predictive values in a previous quantitative study. The content validity issues identified may explain the poor performance. Recommendations were made to modify the wording of the KSQ and the potential addition of three new questions. Future studies should determine whether the modified questionnaire can provide better diagnostic accuracy and psychometric properties. The results of this study may assist in ruling in or out CTS diagnosis to a wide variety of target audience, such as hand specialists, physical and occupational therapists, as well as family doctors.

Custom-molded headcases have limited efficacy in reducing head motion during naturalistic fMRI experiments

Effectively minimizing head motion continues to be a challenge for the collection of functional magnetic resonance imaging (fMRI) data. The use of individual-specific custom molded headcases is a promising solution to this issue, but there has been limited work to date. In the present work, we examine the efficacy of headcases in a larger group of participants engaged in naturalistic scanning paradigms including: long movie-watching scans (~20 to 45min) and a recall task that involved talking aloud inside the MRI. Unlike previous work, we find that headcases do not reliably reduce motion during movie viewing compared to alternative methods such as foam pillows or foam pillows plus medical tape. Surprisingly, we also find that motion is worse when participants talk aloud while wearing headcases. These differences appear to be driven by large, brief rotations of the head as well as translations in the z-plane as participants speak. Smaller, constant head movements appear equivalent with or without headcases. The largest reductions in head motion are observable when participants were situated with both foam pillows and medical tape. Altogether, this work suggests that in a healthy adult population, custom-molded headcases may provide limited efficacy in reducing head motion beyond existing tools available to researchers. We hope this work can help improve the quality of custom headcases, motivate the investigation of additional solutions, and provide additional information about head motion in naturalistic contexts.

Understanding Provider Cognition in Opioid Dosing and Prescribing for Hospitalized Children through Think Aloud Talk Aloud Scenarios

Understanding Provider Cognition in Opioid Dosing and Prescribing for Hospitalized Children through Think Aloud Talk Aloud Scenarios

Understanding Provider Cognition in Opioid Dosing and Prescribing for Hospitalized Children through Think Aloud Talk Aloud Scenarios

BACKGROUND: As key stakeholders in addressing the opioid epidemic, pediatric providers should consider evaluating their individual and collective prescribing processes and practices. Think Aloud theory has been utilized in research and clinical education contexts to understand provider thought processes and metacognition. OBJECTIVE: This study utilized aThink Aloud approach to describe thought processes that influence provider’s inpatient opioid prescribing, with specific attention to cognitive steps involved in dosing. The study objective was to develop insight into provider …

Understanding Provider Cognition in Opioid Dosing and Prescribing for Hospitalized Children through Think Aloud Talk Aloud Scenarios

Understanding Provider Cognition in Opioid Dosing and Prescribing for Hospitalized Children through Think Aloud Talk Aloud Scenarios

Interpretation and content validity of the items of the numeric rating version short-WORC to evaluate outcomes in management of rotator cuff pathology: a cognitive interview approach

BackgroundThe shortened version of the Western Ontario Rotator Cuff Index (Short-WORC) is a patient reported outcome measure that evaluates quality of life (QoL) of patients with rotator cuff pathology. However, formal content validation of the full or Short-WORC has not been reported. This study aims to understand how 1) people interpret and calibrate responses to items on the Short-WORC and 2) compensatory strategies that might enhance function and thereby affect responses.MethodsThis study uses cognitive interviewing, a qualitative methodology that focuses on the interpretation of questionnaire items. Patients with rotator cuff disorders (n = 10), clinicians (n = 6) and measurement researchers (n = 10) were interviewed using a talk aloud structured interview that evaluated each of the 7 items of the Short-WORC. All interviews were recorded and transcribed verbatim by one researcher (R.F). Analysis was done through an open coding scheme using a previously established framework.ResultsOverall, the items on the Short-WORC were well received by participants. Through the interviews, the 6 themes of: Comprehension, Inadequate response definition, Reference Point, Relevance, Perspective Modifiers and Calibration Across Items emerged. The items of working above the shoulder (90%), compensating with the unaffected arm (88%) and lifting heavy objects (92%) were the most relevant to participants. Participants calibrated their scores on the items of sleeping and styling (19%) the most. Perspective modifiers of gender, influenced the calibrations of items of styling your hair (30%) and dressing or undressing (19%). Compensatory strategies of task-re allocation and using assistive devices/resources were frequently mentioned by participants. Overall, participants had minor comprehension issues, but found the 7- items of the Short-WORC to be relevant to QoL.ConclusionsTherefore, the findings demonstrate that the Short-WORC is not cognitively complex, but varies with patient perspectives. Overall, the Short-WORC provides evidence of demonstrating strong content validity when used for rotator cuff disorder patients.

Should I Keep It? Thoughts Verbalized During a Discarding Task

An essential criterion for hoarding disorder (HD) is difficulty parting with possessions, but relatively little research has been conducted on responses by people with HD during actual efforts to discard objects. Frost et al. (Behav Res Therapy 85:13–22, 2016) reported quantitative findings from a discarding task comparing those with HD to community control participants without significant hoarding symptoms (CC) on discarding behavior. The present study used qualitative data analysis of the verbal statements made by HD and CC participants while talking aloud about whether to discard or keep a personal object of low monetary value. Data were coded and analyzed using Atlas.ti software via an iterative process in order to examine thoughts reported during decision-making. Findings indicated that participants made more comments about reasons for saving than discarding and that HD participants reported more reasons to save and fewer reasons to discard than did CC participants. They also voiced more thoughts about emotions, both negative and positive, than did controls, especially for anxiety, anger and guilt and general distress. HD participants expressed more ambivalence about discarding compared to controls. Findings are discussed in relation to the cognitive and behavioural model for hoarding, previous findings regarding reasons for saving, and treatment implications.