scholarly journals Mapping Memories: Do Sketchplans Help Young Adolescents Recall more Information about an Event?

2021 ◽  
Author(s):  
◽  
Paula O'Connor

<p>A common practice among forensic interviewers in New Zealand involves asking children to draw a sketchplan of the location of the incident to help them recall and report more information about their experiences (Wolfman, Brown & Jose, 2016). There is no evidence to suggest, however, that this technique is useful when used alongside an exhaustive verbal interview. So, the purpose of the current study was to examine whether sketchplans, when used in conjunction with a forensically relevant interview protocol, help young adolescents recall more information about an event. Sixty-eight 11-13 year-old children viewed a staged magic show and, one month later, were interviewed using the National Institute of Child Health and Human Development Investigative Interview Protocol. Following the interview, children were asked to either: draw a sketchplan, draw generally, or have a break and think about the event, and were then asked to report anything else they could remember. The visual aids (i.e. sketchplans and drawings) did not increase the amount of new information reported relative to the talk-only condition, but did help children maintain accuracy. Sketchplans did, however, help young adolescents recall location-based information about the event. The findings do not support the use of sketchplans as a tool for helping young adolescents recall more information about their experiences when best practice guidelines are followed. Sketchplans may be useful, however, when location details about the incident are required for the investigation.</p>

2021 ◽  
Author(s):  
◽  
Paula O'Connor

<p>A common practice among forensic interviewers in New Zealand involves asking children to draw a sketchplan of the location of the incident to help them recall and report more information about their experiences (Wolfman, Brown & Jose, 2016). There is no evidence to suggest, however, that this technique is useful when used alongside an exhaustive verbal interview. So, the purpose of the current study was to examine whether sketchplans, when used in conjunction with a forensically relevant interview protocol, help young adolescents recall more information about an event. Sixty-eight 11-13 year-old children viewed a staged magic show and, one month later, were interviewed using the National Institute of Child Health and Human Development Investigative Interview Protocol. Following the interview, children were asked to either: draw a sketchplan, draw generally, or have a break and think about the event, and were then asked to report anything else they could remember. The visual aids (i.e. sketchplans and drawings) did not increase the amount of new information reported relative to the talk-only condition, but did help children maintain accuracy. Sketchplans did, however, help young adolescents recall location-based information about the event. The findings do not support the use of sketchplans as a tool for helping young adolescents recall more information about their experiences when best practice guidelines are followed. Sketchplans may be useful, however, when location details about the incident are required for the investigation.</p>


Author(s):  
Hayden M. Henderson ◽  
Samantha J. Andrews

This chapter discusses the various ways in which the veracity of children’s forensic interviews can be assessed, and the implications this diversity has for the courtroom. Beforehand, it summarizes the capabilities and vulnerabilities children bring to forensic settings, and then what constitutes veracity, the importance this concept has in legal settings, and how it is typically measured. Reality Monitoring (RM) and Criteria-Based Content Analysis (CBCA) are reviewed alongside experimental and field research designed to elucidate the ways in which interview “quality” can be improved. The usefulness of best practice guidelines, such as the NICHD Investigative Interview Protocol, in assessing quality is considered. Difficulties for translating research into practice are discussed. The implications these factors have for the examination of children in court are then considered, and the experimental and field research is reviewed. The chapter ends by outlining directions for future research.


2016 ◽  
Vol 8 (4) ◽  
pp. 351 ◽  
Author(s):  
Mark D. Muller ◽  
Simon A. Moyes ◽  
Mark L. Fulcher

ABSTRACT INTRODUCTION Patients are interested in receiving text messages (texts) related to their health care. However, anecdotes are emerging of associated problems and it is possible that many of the potential pitfalls are not recognised. AIM To assess clinicians’ attitudes and behaviours towards text messaging (texting) with patients. METHODS A voluntary, anonymous, online survey was created and distributed to general practitioners and physiotherapists in New Zealand and to Sports Medicine Fellows and Sports Medicine Registrars in New Zealand and Australia. RESULTS In total, 322 clinicians completed the survey. Texting behaviours relating to accuracy, privacy and security were identified. A range of sensitive and important medical information was frequently conveyed and at times forwarded to third parties. The clinicians generally felt uneasy communicating this way and some felt pressured into it. Most thought that guidelines are insufficient and that they had not received sufficient education on the issues. Most were interested in further education. CONCLUSION This study has demonstrated frequent texting between clinicians and patients. It has highlighted potential risks to the privacy, accuracy and security of medical information. Current guidelines and education may be insufficient. Clinicians were interested in receiving readily available best practice guidelines and education regarding texting.


2021 ◽  
Author(s):  
◽  
Missy Wolfman

<p>Questioning techniques in forensic interviews make a critical contribution to the amount and quality of children’s testimony (Lamb, La Rooy, Malloy, & Katz, 2011). Best practice recommendations advise that interviewers ask predominantly broad open-ended prompts (invitations and cued-invitations), minimise focused (direct) and closed-ended (option-posing) prompts, and avoid suggestive questions (Orbach & Pipe, 2011). Deviation from these recommendations is common, and deterioration in interviewing practice over time is typical unless interviewers received regular practice focused supervision and feedback (Lamb, Sternberg, Orbach, Esplin, & Mitchell, 2002). However, interviewers’ access to supervision is often limited (La Rooy, Lamb, & Memon, 2011). Guided self-review may be an effective method to complement traditional face-to-face supervision. This thesis examined: 1) forensic interviewing practice with children in New Zealand, 2) factors that influenced practice, 3) forensic interviewers’ perceptions of supervision, and 4) the effectiveness of a self-review tool designed to increase the use of invitations and cued-invitations.  The first study was divided into two parts (Study 1a and Study 1b). In Study 1a, we evaluated the extent to which forensic interviewers in New Zealand adhered to best-practice recommendations, and examined factors (child, interviewer, allegation characteristics) that influenced practice. We examined 93 interviews with children (6-16 years old) about sexual abuse allegations that were conducted by 27 interviewers. Interviewers utilised more direct (57%), and option-posing prompts (20%), and fewer invitations and cued-invitations (22% combined) than stipulated by best practice recommendations, although very few suggestive questions were posed. A number of child, interviewer and allegation characteristics influenced questioning techniques. In Study 1b, we examined whether limited use of invitations and cued-invitations (in a larger sample of 103 interviews) was associated with decreased responsiveness from children, and failure to follow recommended practice of using such questions following any direct or option-posing questions (termed pairing). Although invitations were more likely to elicit responses (83%) than non-responses (17%) from children, non-responding was more highly associated with this type of prompt than expected by chance. Furthermore, interviewers did not adhere to the pairing principle, even though this practice was positively associated with higher proportion of invitations and cued-invitations.  In the second study, we surveyed 39 forensic interviewers about their engagement in, and beliefs about supervision. Two-thirds of the interviewers indicated that they engage in practice-focused supervision. Out of these interviewers, over half (57.7%) received supervision regularly and were satisfied with the content of their supervision, and approximately half (53.9%) were satisfied with their supervision opportunities. Nonetheless, interviewers varied in terms of how satisfying they found their access to, and the content of supervision. Finally, a number of individual and organisational barriers (e.g., financial, time constraint and limited availability of supervisors) to accessing face-to-face supervision were identified.  In the final study, we explored the impact of a self-review tool specifically designed to increase invitations and cued-invitations and adherence to the pairing principle. This pilot study used an AB design (baseline vs. intervention) with six interviewers (n=54 interviews with 4-16 year old children for alleged physical or sexual abuse). Interviews conducted during the self-review phase had a significantly higher proportion of invitations, and a lower proportion of direct prompts, and higher adherence to the pairing principle than interviews at baseline.  Overall, our evaluation of forensic interviewing practice with children in New Zealand has highlighted areas of strengths as well as areas for improvement. In particular, consistent with international evaluations, an increase in the use of invitations and cued-invitations is recommended, and our results suggest that one way this may be achieved is by a greater focus in training and practice on the use of the pairing principle. Undoubtedly, forensic interviewing is a challenging task that requires highly specialised skills. Without regular supervision and feedback, it is difficult to maintain consistent and high standards of interviewing. Given the challenges that may limit forensic interviewers’ access to regular feedback and supervision, guided self-review may offer an accessible and low-cost complementary method to improve the conduct of forensic interviews with children. Better quality interviews increase the chance of investigations progressing when maltreatment has occurred, thereby protecting vulnerable children from further abuse, and innocent adults from the consequences of false allegations.</p>


2021 ◽  
Author(s):  
◽  
Missy Wolfman

<p>Questioning techniques in forensic interviews make a critical contribution to the amount and quality of children’s testimony (Lamb, La Rooy, Malloy, & Katz, 2011). Best practice recommendations advise that interviewers ask predominantly broad open-ended prompts (invitations and cued-invitations), minimise focused (direct) and closed-ended (option-posing) prompts, and avoid suggestive questions (Orbach & Pipe, 2011). Deviation from these recommendations is common, and deterioration in interviewing practice over time is typical unless interviewers received regular practice focused supervision and feedback (Lamb, Sternberg, Orbach, Esplin, & Mitchell, 2002). However, interviewers’ access to supervision is often limited (La Rooy, Lamb, & Memon, 2011). Guided self-review may be an effective method to complement traditional face-to-face supervision. This thesis examined: 1) forensic interviewing practice with children in New Zealand, 2) factors that influenced practice, 3) forensic interviewers’ perceptions of supervision, and 4) the effectiveness of a self-review tool designed to increase the use of invitations and cued-invitations.  The first study was divided into two parts (Study 1a and Study 1b). In Study 1a, we evaluated the extent to which forensic interviewers in New Zealand adhered to best-practice recommendations, and examined factors (child, interviewer, allegation characteristics) that influenced practice. We examined 93 interviews with children (6-16 years old) about sexual abuse allegations that were conducted by 27 interviewers. Interviewers utilised more direct (57%), and option-posing prompts (20%), and fewer invitations and cued-invitations (22% combined) than stipulated by best practice recommendations, although very few suggestive questions were posed. A number of child, interviewer and allegation characteristics influenced questioning techniques. In Study 1b, we examined whether limited use of invitations and cued-invitations (in a larger sample of 103 interviews) was associated with decreased responsiveness from children, and failure to follow recommended practice of using such questions following any direct or option-posing questions (termed pairing). Although invitations were more likely to elicit responses (83%) than non-responses (17%) from children, non-responding was more highly associated with this type of prompt than expected by chance. Furthermore, interviewers did not adhere to the pairing principle, even though this practice was positively associated with higher proportion of invitations and cued-invitations.  In the second study, we surveyed 39 forensic interviewers about their engagement in, and beliefs about supervision. Two-thirds of the interviewers indicated that they engage in practice-focused supervision. Out of these interviewers, over half (57.7%) received supervision regularly and were satisfied with the content of their supervision, and approximately half (53.9%) were satisfied with their supervision opportunities. Nonetheless, interviewers varied in terms of how satisfying they found their access to, and the content of supervision. Finally, a number of individual and organisational barriers (e.g., financial, time constraint and limited availability of supervisors) to accessing face-to-face supervision were identified.  In the final study, we explored the impact of a self-review tool specifically designed to increase invitations and cued-invitations and adherence to the pairing principle. This pilot study used an AB design (baseline vs. intervention) with six interviewers (n=54 interviews with 4-16 year old children for alleged physical or sexual abuse). Interviews conducted during the self-review phase had a significantly higher proportion of invitations, and a lower proportion of direct prompts, and higher adherence to the pairing principle than interviews at baseline.  Overall, our evaluation of forensic interviewing practice with children in New Zealand has highlighted areas of strengths as well as areas for improvement. In particular, consistent with international evaluations, an increase in the use of invitations and cued-invitations is recommended, and our results suggest that one way this may be achieved is by a greater focus in training and practice on the use of the pairing principle. Undoubtedly, forensic interviewing is a challenging task that requires highly specialised skills. Without regular supervision and feedback, it is difficult to maintain consistent and high standards of interviewing. Given the challenges that may limit forensic interviewers’ access to regular feedback and supervision, guided self-review may offer an accessible and low-cost complementary method to improve the conduct of forensic interviews with children. Better quality interviews increase the chance of investigations progressing when maltreatment has occurred, thereby protecting vulnerable children from further abuse, and innocent adults from the consequences of false allegations.</p>


Autism ◽  
2021 ◽  
pp. 136236132110157
Author(s):  
Lauren J Taylor ◽  
Matthew JF Eggleston ◽  
Hiran Thabrew ◽  
Larah van der Meer ◽  
Hannah Waddington ◽  
...  

Recent studies of autism diagnosis in New Zealand have revealed inconsistent implementation of best practice standards in autism assessment and high rates of parental dissatisfaction with the diagnostic process. These findings have arisen despite the development and dissemination of the New Zealand Autism Spectrum Disorder Guideline (the Guideline). In this study, we investigated current diagnostic processes, and adherence to the Guideline in New Zealand, for an opportunity sample of 117 health professionals who practice across a wide range of diagnostic services, health professionals and geographic regions in New Zealand. The results show considerable variability in practice, and suggest specific areas for improvement. These include the robustness of diagnostic evaluations conducted in private settings, the provision of specialist assessment services for youth and adults presenting for autism diagnosis, and the uniformity of post-diagnostic supports and services. These findings have implications for further implementation of the Guideline in New Zealand. Lay abstract Many clinicians in New Zealand do not follow guidelines for best practice in autism diagnosis. In this study, we investigated the processes that health professionals in New Zealand follow when diagnosing autistic children and adults. We asked 117 health professionals from a range of services and regions in New Zealand, how they identify and diagnose autism. We found that there are differences in the way that clinicians in New Zealand diagnose autism. We identified areas in which autism diagnosis in New Zealand could be improved, for example, by establishing more services to diagnose autism in adolescents and adults, and providing more consistent support after a person is diagnosed with autism. These findings will help to improve autism diagnosis in New Zealand.


2021 ◽  
Vol 9 ◽  
Author(s):  
Lincoln M Tracy ◽  
Peter A Cameron ◽  
Yvonne Singer ◽  
Arul Earnest ◽  
Fiona Wood ◽  
...  

Abstract Background Patients with burn injuries are considered to have an increased risk of venous thromboembolism (VTE). While untreated VTEs can be fatal, no studies have examined chemoprophylaxis effectiveness. This study aimed to quantify the variation in prevalence of VTE prophylaxis use in patients in Australian and New Zealand burns units and whether prophylaxis use is associated with in-hospital outcomes following burn injury. Methods Admission data for adult burns patients (aged ≥16 years) admitted between 1 July 2016 and 31 December 2018 were extracted from the Burns Registry of Australia and New Zealand. Mixed effects logistic regression modelling investigated whether VTE prophylaxis use was associated with the primary outcome of in-hospital mortality. Results There were 5066 admissions over the study period. Of these patients, 81% (n = 3799) with a valid response to the VTE prophylaxis data field received some form of VTE prophylaxis. Use of VTE prophylaxis ranged from 48.6% to 94.8% of patients between units. In-hospital death was recorded in &lt;1% of patients (n = 33). After adjusting for confounders, receiving VTE prophylaxis was associated with a decrease in the adjusted odds of in-hospital mortality (adjusted odds ratio = 0.21; 95% CI, 0.07–0.63; p = 0.006). Conclusions Variation in the use of VTE prophylaxis was observed between the units, and prophylaxis use was associated with a decrease in the odds of mortality. These findings provide an opportunity to engage with units to further explore differences in prophylaxis use and develop future best practice guidelines.


2021 ◽  
Author(s):  
◽  
Alexandra Hill

<p>In cases of child maltreatment child witnesses are often the sole sources of information about the suspected events, meaning their contribution to an investigation is critical. However, children may find recounting their experiences in sufficient detail challenging (Poole & Bruck, 2012). Visual aids are the tools (e.g. diagrams, drawings, and dolls) forensic interviewers often use in interviews to help children remember or describe their experiences and overcome children’s social and cognitive limitations. Research evaluating these aids indicates that any gains in information, reported by children, are typically accompanied by significant increases in false details, thus compromising the accuracy of accounts (Brown, 2011). The purpose of this study was to establish the extent to which interviewers in New Zealand use visual aids with children, and their knowledge of relevant research and the national interviewing protocol. Thirty-one New Zealand Specialist Child Witness Interviewers completed a questionnaire that assessed how and why they use aids, and their knowledge of, and adherence to, the literature and protocols guiding interviewer practice with visual aids. Interviewers’ responses indicated they used a range of aids, with both younger and older children, for a range of reasons, many of which have not been extensively researched. Generally, interviewers had poor knowledge of the existing research and protocol guidelines, and knowledge did not predict adherence to the recommendations. The findings identify the need to educate interviewers about the evidence-base surrounding various aids, as well as conducting research that more closely reflects how aids are used with children.</p>


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