The First Interview with a Family

1995 ◽  
Vol 42 (1) ◽  
pp. 119-129 ◽  
Author(s):  
William Lord Coleman
Keyword(s):  
2001 ◽  
Vol 60 (2) ◽  
pp. 73-81 ◽  
Author(s):  
Cyril Tarquinio ◽  
Gustave Nicolas Fischer ◽  
Aurélie Gauchet ◽  
Jacques Perarnaud

This study deals with the sociocognitive organization of the self-schema in alcoholic patients. It was aimed at understanding how the self-schema takes shape within the framework of social judgments known to be determinants of personality. Alcoholic subjects were interviewed twice, once during their first consultation for treatment and then again four months later after completion of treatment. Our approach was derived directly from the methodology used by Markus (1977) and Clemmey & Nicassio (1997) in their studies on the self-schema. The subjects had to perform three tasks that required manipulating personality traits with positive and negative connotations (a self-description task in which decision time was measured, an autobiographical task, and a recall task). The results of the first interview showed that 1. in their self-descriptions, alcoholics took more time than control subjects both to accept positive traits and to reject negative ones; 2. unlike control subjects, alcoholics considered more negative traits to be self-descriptive than positive traits, and 3. unlike controls, alcoholics recalled more negative traits than positive ones. By the second interview, the results for the alcoholic subjects on the autobiographical and recall tasks had changed: 1. they now described themselves more positively and less negatively than on the first meeting; 2. they recalled a marginally greater number of positive traits and a significantly smaller number of negative traits, and 3. the differences between the alcoholics and controls indicated an improvement in the alcoholics' self-perceptions.


1994 ◽  
Vol 39 (4) ◽  
pp. 435-436
Author(s):  
Terri Gullickson ◽  
Pamela Ramser
Keyword(s):  

2017 ◽  
Vol 20 (2) ◽  
pp. 324-334 ◽  
Author(s):  
Cassia Garcia Moraes ◽  
Sotero Serrate Mengue ◽  
Tatiane da Silva Dal Pizzol

ABSTRACT: Objective: To assess the agreement between three recall periods for self-reported drug use using a 24-hour recall period as reference. Methods: Participants were allocated into three groups with different recall periods of 7, 14 and 30 days and were interviewed at two different times. A 24-hour recall questionnaire was answered during the first interview, and a questionnaire on drug use over the different recall periods tested was answered during the second interview. The agreement between the questionnaires was evaluated using percent agreement and kappa. Results: For continuous drugs, percent agreement varied between 92 and 99% and kappa varied between 0.71 and 0.97 for three periods tested. For drugs of occasional use, percent agreement varied between 63 and 81% and kappa varied between 0.27 and 0.52. The prevalence of drugs, particularly those of occasional use, increases with time. Conclusions: The high level of agreement between the three recall periods suggests that all of them are valid for the investigation of drugs of continuous use.


1986 ◽  
Vol 5 (1-2) ◽  
pp. 31-44 ◽  
Author(s):  
Paola Di Blasio ◽  
Jean-Marc Fischer ◽  
Giuliana Prata
Keyword(s):  

2022 ◽  
Vol 19 (3) ◽  
pp. 175-204
Author(s):  
I. E. Pris

The renowned British philosopher Timothy Williamson talks about his philosophical views and main lines of research. Williamson is a metaphysical realist in a broad sense. Fir him there are true or false answers to questions about all aspects of reality. Classical logic is a universal true theory. Knowledge-first epistemology is an alternative to the traditional belief-first epistemology. The former takes the concept of knowledge as a basic concept, explaining other epistemic concepts, including belief, in its terms, whereas the latter does the opposite. Knowledge, not truth, is the fundamental epistemic good. The Gettier problem and the skeptical problem that arise within traditional epistemology are ill posed and therefore cannot be solved. Hybrid epistemological theories do not satisfy the principles of simplicity and beauty and are refuted by counter-examples. Epistemic contextualism is problematic, and relativism violates the semantics of the phenomena being explained. Knowledge does not entail knowledge about knowledge. Knowledge-how is a kind of knowledge-that. The distinction between a priori and a posteriori is superficial, and there are no analytical truths. The concept of qualia is unhelpful for solving the problems related to consciousness. The so-called “hard problem” of consciousness points to an area of conceptual confusions in which we do not know how to reason properly. Speculative metaphysics is quite a respectable enterprise. But progress in metaphysics is not automatic; it requires the right methodology.


10.2196/15146 ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. e15146 ◽  
Author(s):  
Sara Chew ◽  
Pauline Siew Mei Lai ◽  
Chirk Jenn Ng

Background To date, several medication adherence apps have been developed. However, the existing apps have been developed without involving relevant stakeholders and were not subjected to mobile health app guidelines. In addition, the usability and utility of these apps have not been tested with end users. Objective This study aimed to describe the usability and utility testing of a newly developed medication adherence app—Med Assist—among ambulatory care patients in Malaysia. Methods The Med Assist app was developed based on the Theory of Planned Behavior and the Nielson usability model. Beta testing was conducted from March to May 2016 at a primary care clinic in Kuala Lumpur. Ambulatory care patients who scored ≥40% on the electronic health literacy scale, were aged ≥21 years, and were taking two or more long-term medications were recruited. Two rounds of in-depth interviews were conducted with each participant. The first interview, which was conducted upon participant recruitment, was to assess the usability of Med Assist. Participants were asked to download Med Assist on their phone and perform two tasks (register themselves on Med Assist and enter at least one medication). Participants were encouraged to “concurrently think aloud” when using Med Assist, while nonverbal cues were observed and recorded. The participants were then invited for a second interview (conducted ≥7 days after the first interview) to assess the utility of Med Assist after using the app for 1 week. This was done using “retrospective probing” based on a topic guide developed for utilities that could improve medication adherence. Results Usability and utility testing was performed for the Med Assist app (version P4). A total of 13 participants were recruited (6 men, 7 women) for beta testing. Three themes emerged from the usability testing, while three themes emerged from the utility testing. From the usability testing, participants found Med Assist easy to use and user friendly, as they were able to complete the tasks given to them. However, the details required when adding a new medication were found to be confusing despite displaying information in a hierarchical order. Participants who were caregivers as well as patients found the multiple-user support and pill buddy utility useful. This suggests that Med Assist may improve the medication adherence of patients on multiple long-term medications. Conclusions The usability and utility testing of Med Assist with end users made the app more patient centered in ambulatory care. From the usability testing, the overall design and layout of Med Assist were simple and user friendly enough for participants to navigate through the app and add a new medication. From the participants’ perspectives, Med Assist was a useful and reliable tool with the potential to improve medication adherence. In addition, utilities such as multiple user support and a medication refill reminder encouraged improved medication management.


2021 ◽  
Author(s):  
◽  
Catherine McPeck Slepski

The purpose of this study was to uncover the narratives of parents/guardians with students on IEPs to determine their needs and perceptions about the IEP process. The goal of this study was to answer three research questions: 1) How do parents/guardians’ educational experiences affect their ability to navigate the educational system for their child?, 2) What supports are needed by parents/guardians of students with IEPs to support/advocate for their child’s education?, and 3) What are parents/guardians' self-perceptions about their abilities to advocate for their students on IEPs? The researcher developed a narrative methodology design that involved interviewing participants who are parents or guardians of students currently on IEPs in in kindergarten to sixth grade. Participants in the study were mothers with at least one student on an IEP. They participated in two interviews between February and December 2020. Interviews took place during the COVID-19 pandemic that led to school closures. With the exception of the first interview with Participant 1, all interviews occurred after the school closures. This had some effect on the responses of participants and may have affected the conclusions made. Through the interviews, participants shared their personal school experiences as well as their experiences with the IEP process. The researcher determined the correlation between parents/guardians’ education and their experience with the IEP process, what supports are desired by parents/guardians when working through the IEP process, and what parents/guardians' perceptions of the process are. Parents/guardians’ overall were content with the IEP process as an overall system, but participants did share their struggles with the process and supports they wanted from their students’ schools.


2019 ◽  
Author(s):  
Daniel Xue ◽  
Timothy Churches ◽  
Elizabeth Armstrong ◽  
Rajat Mittal ◽  
Justine M. Naylor ◽  
...  

Abstract Purpose: Clinical quality registries and other systems that conduct routine post-discharge surveillance of patient outcomes following surgery may have difficulty surveying patients who have limited proficiency in the language of the healthcare provider. Interpreter proxies (family and carers) are often used due to limited access to certified healthcare interpreters (due to cost or availability). The aim of this study was to assess the reliability of engaging interpreter proxies compared with certified healthcare interpreters for the administration of patient-reported health-related surveys for people with limited English proficiency (LEP). Methods: People with LEP and due for a routine 6-month telephone follow-up post knee or hip arthroplasty were invited to participate. Participants were randomly allocated to having their first interview with an interpreter proxy or a certified healthcare interpreter followed by the second (crossover) interview within 2 weeks (range: 4 to 12 days) after the first interview using the alternative method. Agreement between the two methods was assessed using quadratic weighted Cohen's kappa, intraclass correlation and concordance correlation co-efficient where appropriate for EQ-5D health domains, total Oxford hip and knee scores, patient satisfaction, operation success, readmission, reoperation, and post-surgical complication responses. The mean of the differences between the same data items collected by each of the two methods was also calculated. Results: 85 participants (96%) completed the study. There was substantial to excellent inter-rater agreement (kappa=0.69-0.87 and ICCs above 0.74) for all but one measure. The mean differences between family proxy and healthcare interpreter scores for each participant were small, ranging from 0.01 (score range of 1-5) to 0.72 (score range of 0-100). Conclusion: These results suggest that using interpreter proxies is a reliable alternative to certified healthcare interpreters in conducting patient-reported health surveys, potentially making this process easier and cost effective for researchers and registries.


1997 ◽  
Vol 42 (9) ◽  
pp. 935-942 ◽  
Author(s):  
Roger C Bland ◽  
Stephen C Newman ◽  
Helene Orn

Objective: To examine demographic and clinical determinants of seeking help for mental or emotional problems. To determine the proportion of those people with a disorder who sought help. To determine what categories of professionals are sought by those who get care. Method: A 2-stage random sample of 3956 adult residents of Edmonton, Alberta, Canada was interviewed by trained lay interviewers using the Diagnostic Interview Schedule (DIS) (73% completion rate). An average of 2.8 years later, a systematic random sample of 1964 subjects was reinterviewed (an 86% completion rate) using the DIS and a health care utilization questionnaire. After adjusting for age and sex, the reinterview sample was representative of those with and without a diagnosis at the first interview. Results: Of the 1964 subjects, 570 (31%) met criteria for a DIS/DSM-III diagnosis in the year preceding the interview (one-year prevalence rate). These diagnoses included generalized anxiety disorder (GAD) and posttraumatic stress disorder (PTSD). For those with a diagnosis, sex, age, marital status, education, employment, and income were examined as determinants of help-seeking. Only sex (female) and age (under 45) were significant predictors. Comorbidity was highly significant: the help-seeking rate for those with one diagnosis was 20.3%; for those with more than one diagnosis, the rate was 42.8% (OR = 2.94, χ2 = 31.4, df = 1, P < 0.001). Just over 28% of those with a diagnosis saw any health care professional, and 7.7% of those without a diagnosis sought help for a mental or emotional problem. A specific diagnosis made a difference: 46.7% of those with a major depressive episode sought help, but only 16.0% of those with alcohol abuse or dependence sought care. Conclusion: Major determinants of help-seeking are sex (female), age (under 45), severity of the illness, and comorbidity. A surprisingly high proportion of those with a disorder (72%) do not seek help, and over one-third of those seeking help do not have a current DIS/DSM-III disorder.


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