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1.
BMC Med ; 22(1): 23, 2024 01 17.
Artigo em Inglês | MEDLINE | ID: mdl-38229039

RESUMO

BACKGROUND: Little is known regarding the association of interviewer-reported cognitive problems (ICP) with age-related cognitive decline. We aimed to investigate the independent associations of ICP and the combined associations of ICP and self-reported cognitive problems (SCP) with subsequent cognitive decline and dementia in two prospective cohort studies. METHODS: We included 10,976 Chinese (age = 57.7 ± 8.7) and 40,499 European (age = 64.6 ± 9.4) adults without dementia from the China Health and Retirement Longitudinal Study (CHARLS) and the Survey of Health, Ageing, and Retirement in Europe (SHARE). Self-rated memory (5-point scale) and interviewer-rated frequencies of asking for clarification (6-point scale) were used to define SCP and ICP (dichotomized). Outcomes included objective cognitive test scores (z-score transformation) and incident dementia. Generalized estimating equation models were performed to evaluate mean differences in objective cognitive decline. Logistic and Cox regression models were used to estimate the relative risk of dementia. Results from two cohorts were pooled using the random-effects models. RESULTS: ICP was associated with faster cognitive decline in CHARLS (ßCHARLS = -0.025 [-0.044, -0.006] z-score/year). ICP and SCP were also independently associated with higher risk of dementia in two cohorts (pooled relative risk for SCP = 1.73 [1.30, 2.29]; pooled relative risk for ICP = 1.40 [1.10, 1.79]). In the joint analysis, participants with coexistence of SCP and ICP had the fastest cognitive decline (ßCHARLS = -0.051 [-0.080, -0.021]; ßSHARE = -0.024 [-0.043, -0.004]; pooled ß = -0.035 [-0.061, -0.009] z-score/year) and highest risk of dementia (ORCHARLS = 1.77 [1.42, 2.20]; HRSHARE = 2.94 [2.42, 3.59]; pooled relative risk = 2.29 [1.38, 3.77]). CONCLUSIONS: The study suggested that interviewer-reported cognitive problems may be early indicators of cognitive decline and dementia in middle-aged and older adults. A combination of self- and interviewer-reported cognitive problems showed the strongest associations with cognitive decline and dementia.


Assuntos
Disfunção Cognitiva , Demência , Pessoa de Meia-Idade , Humanos , Idoso , Estudos Prospectivos , Demência/epidemiologia , Demência/psicologia , Estudos Longitudinais , Disfunção Cognitiva/epidemiologia , Cognição
2.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 46(3): 324-328, 2024 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-38953255

RESUMO

Objective To assess the influences of self-and interviewer-administered methods on the scores of anxiety and depression questionnaires among the patients with sports injuries.Methods A total of 532 participants with sports injuries treated in the Sports Medicine Center of West China Hospital,Sichuan University from November 2022 to May 2023 were included.They were randomly assigned to either the interviewer-administered group (n=270) or the self-administered group (n=262) to complete the generalized anxiety disorder (GAD-7) and the patient health questionnaire (PHQ-9) scales.The total scores and prevalence rates of anxiety and depression were compared between the two groups.Results There was no statistically significant difference in gender,occupation,or surgical site between the two groups (all P>0.05).The self-administered group had higher scores of GAD-7 and PHQ-9 scales than the interviewer-administered group (P<0.001,P<0.001).A greater proportion of participants in the self-administered group than in the interview-administered group met the criteria for mild to moderate anxiety and depression (P<0.001,P=0.002).The prevalence rates of moderate to severe anxiety (GAD-7≥10) and depression (PHQ-9≥10) showed no statistically significant difference between the two groups (P=0.761,P=0.086).Conclusion This study demonstrates that the participants in the self-administered group are more likely to report mild to moderate symptoms of anxiety and depression than those in the interviewer-administered group.


Assuntos
Ansiedade , Depressão , Humanos , Inquéritos e Questionários , Depressão/epidemiologia , Depressão/diagnóstico , Feminino , Ansiedade/epidemiologia , Masculino , Adulto , Traumatismos em Atletas/psicologia , Traumatismos em Atletas/epidemiologia , China/epidemiologia , Pessoa de Meia-Idade , Adulto Jovem
3.
Mil Psychol ; : 1-13, 2024 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-38781503

RESUMO

Like all job applicants, veterans have to face the ubiquitous employment interview and pass this potential hurdle to civilian sector employment. So, because of the uniqueness of transitioning from the military to civilian employment, the present paper sought to identify perceived interviewing strengths and weaknesses of veteran interviewees from (a) the perspective of civilian sector human resource professionals (i.e. hiring personnel) with experience interviewing veterans (Study 1, five focus groups, N = 14), and (b) veterans (Study 2, N = 93). Qualitative analysis of the focus group transcripts resulted in the emergence of two theme categories: (1) veteran interviewee strengths and (2) veteran interviewee weaknesses. This information guided the development of a 10-item survey that was completed by 93 veterans (Study 2). In its totality, the results (from both Study 1 and Study 2) indicated that communication of soft skills, confidence, and professionalism were perceived to be strengths that veterans displayed during civilian employment interviews, and conversely, the ineffective translation and communication of relevant technical skills acquired in the military, use of military jargon, and nervousness were considered to be weaknesses. Recommendations to capitalize on the strengths and mitigate the weaknesses are presented.

4.
Health Qual Life Outcomes ; 21(1): 19, 2023 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-36814254

RESUMO

OBJECTIVES: The aim of this study was to determine the validity and reliability of the EQ-5D-Y-3L interviewer-administered (IA) version in South African children aged 5-7-years compared to 8-10-years. METHODS: Children aged 5-10-years (n = 388) were recruited from healthcare facilities, schools for learners with special educational needs and mainstream schools across four known condition groups: chronic respiratory illnesses, functional disabilities, orthopaedic conditions and the general population. All children completed the EQ-5D-Y-3L IA, Moods and Feelings Questionnaire (MFQ), Faces Pain Scale-Revised (FPS-R) and a functional independence measure (WeeFIM) was completed by the researcher. Cognitive debriefing was done after the EQ-5D-Y-3L IA to determine comprehensibility. Test-retest of the EQ-5D-Y-3L IA was done 48 h later and assessed using Cohen's kappa (k). RESULTS: Results from children aged 5-7-years (n = 177) and 8-10-years (n = 211) were included. There were significantly higher reports of problems in the Looking After Myself dimension in the 5-7-year-olds (55%) compared to the 8-10-year-olds (28%) (x2 = 31.021; p = 0.000). The younger children took significantly longer to complete the measure (Mann-Whitney U = 8389.5, p < 0.001). Known-group validity was found at dimension level with children receiving orthopaedic management reporting more problems on physical dimensions across both age-groups. Convergent validity between Looking After Myself and WeeFIM items of self-care showed moderate to high correlations for both age-groups with a significantly higher correlation in the 8-10-year-olds for dressing upper (z = 2.24; p = 0.013) and lower body (z = 2.78; p = 0.003) and self-care total (z = 2.01; p = 0.022). There were fair to moderate levels of test-retest reliability across age-groups. CONCLUSION: The EQ-5D-Y-3L IA showed acceptable convergent validity and test-retest reliability for measuring health in children aged 5-7-years. There was more report of problems with the dimension of Looking After Myself in the 5-7-year group due to younger children requiring help with dressing, including buttons and shoelaces due to their developmental age, rather than their physical capabilities. Therefore, it may be useful to include examples of age-appropriate dressing tasks. There was further some reported difficulty with thinking about the dimensions in the younger age-group, most notably for Usual Activities which includes a large number of examples. By decreasing the number of examples it may reduce the burden of recall for the younger age-group.


Assuntos
Qualidade de Vida , Humanos , Criança , Pré-Escolar , Qualidade de Vida/psicologia , Inquéritos e Questionários , Reprodutibilidade dos Testes , Medição da Dor , Doença Crônica , Psicometria/métodos
5.
BMC Med Educ ; 23(1): 392, 2023 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-37248475

RESUMO

BACKGROUND: All Canadian Residency Matching Service (CaRMS) R1 interviews were conducted virtually for the first time in 2021. We explored the facilitators, barriers, and implications of the virtual interview process for the CaRMS R1 match and provide recommendations for improvement. METHODS: We conducted a cross-sectional survey study of CaRMS R1 residency applicants and interviewers across Canada in 2021. Surveys were distributed by email to the interviewers, and by email, social media, or newsletter to the applicants. Inductive thematic analysis was used for open-ended items. Recommendations were provided as frequencies to demonstrate strength. Close-ended items were described and compared across groups using Chi-Square Fisher's Exact tests. RESULTS: A total of 127 applicants and 400 interviewers, including 127 program directors, responded to the survey. 193/380 (50.8%) interviewers and 90/118 (76.3%) applicants preferred virtual over in-person interview formats. Facilitators of the virtual interview format included cost and time savings, ease of scheduling, reduced environmental impact, greater equity, less stress, greater reach and participation, and safety. Barriers of the virtual interview format included reduced informal conversations, limited ability for applicants to explore programs at different locations, limited ability for programs to assess applicants' interest, technological issues, concern for interview integrity, limited non-verbal communication, and reduced networking. The most helpful media for applicants to learn about residency programs were program websites, the CaRMS/AFMC websites, and recruitment videos. Additionally, panel interviews were preferred by applicants for their ability to showcase themselves and build connections with multiple interviewers. Respondents provided recommendations regarding: (1) dissemination of program information, (2) the use of technology, and (3) the virtual interview format. CONCLUSIONS: Perceptions of 2021 CaRMS R1 virtual interviews were favourable among applicants and interviewers. Recommendations from this study can help improve future iterations of virtual interviews.


Assuntos
Internato e Residência , Humanos , Canadá , Estudos Transversais , Comunicação , Correio Eletrônico , Inquéritos e Questionários
6.
Am J Epidemiol ; 191(5): 921-929, 2022 03 24.
Artigo em Inglês | MEDLINE | ID: mdl-35136900

RESUMO

Interviewer error has long been recognized in face-to-face surveys, but little is known about interviewer error within face-to-face food frequency questionnaires, particularly in large multisite epidemiologic studies. Using dietary data from the China Multi-Ethnic Cohort (2018-2019), in which all field interviews were audio recorded, we identified a potentially error-prone sample by outlier detection and further examined the interviewer errors by reviewing these error-prone interviews. Among 174,012 questions for 5,025 error-prone interviews, 13,855 (7.96%) questions were identified with interviewer error, which mainly came from falsification (37.53%), coding error (31.71%), and reading deviation (30.76%). We found that 98.29% of interviewers and 73.71% of respondents had at least 1 error, and half of the errors could be attributed to 21.94% of interviewers or to 13.77% of respondents. Higher error risk was observed in complicated questions, such as questions assessing food quantification or referring to seasonally supplied food groups. After correcting the errors, the means and standard deviations of estimated food intakes all decreased. These findings suggested that interviewer error should not be ignored within face-to-face food frequency questionnaires and that more efforts are needed to monitor error-prone interviewers and respondents and reduce survey burdens in questionnaire design.


Assuntos
Etnicidade , China/epidemiologia , Estudos Epidemiológicos , Humanos , Inquéritos e Questionários
7.
Age Ageing ; 51(2)2022 02 02.
Artigo em Inglês | MEDLINE | ID: mdl-35180286

RESUMO

INTRODUCTION: Face-to-face surveys are applied frequently when conducting research in older populations. Interviewers play a decisive role in data quality, may affect measurement and influence results. This study uses survey data about pain in nursing home residents and analyses, whether affiliation-of-interviewer (internal vs. external to nursing home) and gender-of-interviewer affect residents' responses in terms of interviewer variance and systematically varying pain reports. METHODS: Overall, 258 nursing home residents with up to moderate cognitive impairment were examined by 61 interviewers about pain intensity and interference applying the Brief Pain Inventory. Interviewer variance was measured using intra-interviewer correlation coefficients (ρ). Two-factorial covariance analysis was applied to analyse whether pain intensity and interference scores differ by interviewer characteristics. RESULTS: Interviewer heterogeneity accounts for almost one quarter of total variance on average. Interviewer variance is higher for internal and male interviewers than for external and female interviewers. Covariance analyses show significant effects of interviewer characteristics on pain reports. Average pain intensity and interference scores vary considerably by interviewer gender and affiliation. Highest pain intensity was reported towards female internal and male external interviewers; highest pain interference was reported towards male external interviewers. CONCLUSION: Residents' answers substantially differ in relation to who is assessing pain. There is a risk of imprecise and biased survey estimates on sensitive topics like pain in nursing homes. Interviewer gender and affiliation seem to evoke gender-specific and status-related expectations and attributions which influence residents' response process. Interviewer effects pose a considerable threat to survey data quality in institutionalised older populations.


Assuntos
Casas de Saúde , Dor , Idoso , Modificador do Efeito Epidemiológico , Feminino , Humanos , Masculino , Dor/diagnóstico , Dor/epidemiologia , Medição da Dor/métodos , Inquéritos e Questionários
8.
Demography ; 58(1): 31-50, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33834247

RESUMO

Responses to survey questions about abortion are affected by a wide range of factors, including stigma, fear, and cultural norms. However, we know little about how interviewers might affect responses to survey questions on abortion. The aim of this study is to assess how interviewers affect the probability of women reporting abortions in nationally representative household surveys: Demographic and Health Surveys (DHS). We use cross-classified random intercepts at the level of the interviewer and the sampling cluster in a Bayesian framework to analyze the impact of interviewers on the probability of reporting abortions in 22 DHS conducted worldwide. Household surveys are the only available data we can use to study the determinants and pathways of abortion in detail and in a representative manner. Our analyses are motivated by improving our understanding of the reliability of these data. Results show an interviewer effect accounting for between 0.2% and 50% of the variance in the odds of a woman reporting ever having had an abortion, after women's demographic characteristics are controlled for. In contrast, sampling cluster effects are much lower in magnitude. Our findings suggest the need for additional effort in assessing the causes of abortion underreporting in household surveys, including interviewers' skills and characteristics. This study also has important implications for improving the collection of other sensitive demographic data (e.g., gender-based violence and sexual health). Data quality of responses to sensitive questions could be improved with more attention to interviewers-their recruitment, training, and characteristics. Future analyses will need to account for the role of interviewer to more fully understand possible data biases.


Assuntos
Aborto Induzido , Teorema de Bayes , Modificador do Efeito Epidemiológico , Características da Família , Feminino , Inquéritos Epidemiológicos , Humanos , Gravidez , Reprodutibilidade dos Testes , Inquéritos e Questionários
9.
Demography ; 58(2): 763-772, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33834217

RESUMO

In 2018, the General Social Survey (GSS) asked some respondents for their sex assigned at birth and current gender identity, in addition to the ongoing practice of having survey interviewers code respondent sex. Between 0.44% and 0.93% of the respondents who were surveyed identified as transgender, identified with a gender that does not conventionally correspond to the sex they were assigned at birth, or identified the sex they were assigned at birth inconsistently with the interviewer's assessment of respondent sex. These results corroborate previous estimates of the transgender population size in the United States. Furthermore, the implementation of these new questions mirrors the successful inclusion of other small populations represented in the GSS, such as lesbian, gay, and bisexual people, as well as Muslims, Buddhists, and Hindus. Data on transgender and gender-nonconforming populations can be pooled together over time to assess these populations' attitudes, beliefs, behaviors, and social inequality patterns. We identified inconsistencies between interviewer-coded sex, self-reported sex, and gender identity. As with the coding of race in the GSS, interviewer-coded assessments can mismatch respondents' self-reported identification. Our findings underscore the importance of continuing to ask respondents to self-report gender identity separately from sex assigned at birth in the GSS and other surveys.


Assuntos
Homossexualidade Feminina , Minorias Sexuais e de Gênero , Pessoas Transgênero , Feminino , Identidade de Gênero , Humanos , Recém-Nascido , Masculino , Inquéritos e Questionários , Estados Unidos
10.
Demography ; 58(1): 1-29, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33834250

RESUMO

Directly eliciting individuals' subjective beliefs via surveys is increasingly popular in social science research, but doing so via face-to-face surveys has an important downside: the interviewer's knowledge of the topic may spill over onto the respondent's recorded beliefs. Using a randomized experiment that used interviewers to implement an information treatment, we show that reported beliefs are significantly shifted by interviewer knowledge. Trained interviewers primed respondents to use the exact numbers used in the training, nudging them away from higher answers; recorded responses decreased by about 0.3 standard deviations of the initial belief distribution. Furthermore, respondents with stronger prior beliefs were less affected by interviewer knowledge. We suggest corrections for this issue from the perspectives of interviewer recruitment, survey design, and experiment setup.


Assuntos
Motivação , Humanos , Inquéritos e Questionários
11.
J Adv Nurs ; 77(1): 484-491, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33058245

RESUMO

AIM: A discussion of five prevalent tensions in phenomenological interviewing and ways to diminish them. A rigorous interviewer training program for novices is presented, grounded in the philosophy of Merleau-Ponty, and delivered in the context of a transdisciplinary phenomenology research group that provides constructive critique and mentoring. DESIGN: Discussion Paper. DATA SOURCES: Personal experience as a trainer of novice researchers for over 25 years, and classic and contemporary literature on phenomenological research methodology and interview technique. IMPLICATIONS FOR NURSING: Phenomenological methodology is one of the most widely used research approaches across the globe in nursing and other human science disciplines. Current nursing literature contains reports in which a phenomenological approach is espoused, but the procedures are not consistent with the tenets of phenomenological philosophy. In particular, problems related to interview technique are evident. Interview training is essential for development of skill in eliciting comprehensive descriptions of the phenomena of concern to nurses, such as chronic pain and spiritual distress. Enhancing nurses' understanding of these phenomena ultimately impacts the provision of sensitive and compassionate care. CONCLUSION: Tensions in phenomenological interviewing can be diminished by trainee grounding in phenomenological philosophy, bracketing and pilot interviews, constructive peer critique, and guidance of research mentors. IMPACT: Problems in interview technique indicate the need to provide novice interviewers with rigorous training. A richly evocative interview is critical for powerful, credible, phenomenological research. This paper makes a unique contribution by identifying five tensions confronting the phenomenological interviewer, and ways to diminish them. Principles of the interviewer training program can be replicated in other locales by supervisors of student research in nursing and other human sciences.


Assuntos
Pesquisa em Enfermagem , Projetos de Pesquisa , Humanos , Pesquisadores
12.
J Exp Child Psychol ; 194: 104824, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32127193

RESUMO

When researchers and helping professionals interview children about a target event, how long should they tolerate silence before delivering another prompt? In other words, at what point are children so unlikely to begin talking again that continued silence would likely be unproductive? To test the reasonableness of a 10-s wait time guideline during open-ended prompting, we analyzed the wait times of research assistants (N = 7) who interviewed with a 10-s guideline, timed how quickly children responded to prompts, and also timed pauses within children's event narratives. In our sample (105 conversations with children aged 4-8 years), interviewers complied fully with the 10-s rule in the majority of interviews, children often paused for longer than 5 s before beginning to talk about the event or continuing a narrative, and more than 96% of children's pauses that were followed by event information fell within the 10-s window. These findings show that the 10-s wait time was a practical guideline that gave children time to respond without peppering interviews with uncomfortably long pauses. We conclude that adding wait time guidelines to protocols for interviewing children, and augmenting guidelines with wait time training for research assistants and helping professionals, could improve the quality of information obtained from children and advance our understanding of age differences in event memory.


Assuntos
Comportamento Infantil/fisiologia , Comunicação , Interação Social , Comportamento Verbal/fisiologia , Criança , Pré-Escolar , Feminino , Guias como Assunto , Humanos , Masculino , Narração , Fatores de Tempo
13.
BMC Med Res Methodol ; 19(1): 60, 2019 03 15.
Artigo em Inglês | MEDLINE | ID: mdl-30876402

RESUMO

BACKGROUND: Interviewers can substantially affect self-reported data. This may be due to random variation in interviewers' ability to put respondents at ease or in how they frame questions. It may also be due to systematic differences such as social distance between interviewer and respondent (e.g., by age, gender, ethnicity) or different perceptions of what interviewers consider socially desirable responses. Exploration of such variation is limited, especially in stigmatized populations. METHODS: We analyzed data from a randomized controlled trial of HIV self-testing amongst 965 female sex workers (FSWs) in Zambian towns. In the trial, 16 interviewers were randomly assigned to respondents. We used hierarchical regression models to examine how interviewers may both affect responses on more and less sensitive topics, and confound associations between key risk factors and HIV self-test use. RESULTS: Model variance (ICC) at the interviewer level was over 15% for most topics. ICC was lower for socio-demographic and cognitively simple questions, and highest for sexual behaviour, substance use, violence and psychosocial wellbeing questions. Respondents reported significantly lower socioeconomic status and more sex-work related violence to female interviewers. Not accounting for interviewer identity in regressions predicting HIV self-test behaviour led to coefficients moving from non-significant to significant. CONCLUSIONS: We found substantial interviewer-level effects for prevalence and associational outcomes among Zambian FSWs, particularly for sensitive questions. Our findings highlight the importance of careful training and response monitoring to minimize inter-interviewer variation, of considering social distance when selecting interviewers and of evaluating whether interviewers are driving key findings in self-reported data. TRIAL REGISTRATION: clinicaltrials.gov NCT02827240 . Registered 11 July 2016.


Assuntos
Infecções por HIV/diagnóstico , Infecções por HIV/prevenção & controle , HIV-1/patogenicidade , Programas de Rastreamento/métodos , Profissionais do Sexo/estatística & dados numéricos , Adulto , Análise por Conglomerados , Modificador do Efeito Epidemiológico , Feminino , Infecções por HIV/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Fatores Sexuais , Inquéritos e Questionários , Zâmbia/epidemiologia
14.
Sociol Methods Res ; 48(3): 485-533, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31827308

RESUMO

In face-to-face surveys, interviewer observations are a cost-effective source of paradata for nonresponse adjustment of survey estimates and responsive survey designs. Unfortunately, recent studies have suggested that the accuracy of these observations can vary substantially among interviewers, even after controlling for household-, area-, and interviewer-level characteristics, limiting their utility. No study has identified sources of this unexplained variance in observation accuracy. Motivated by theoretical expectations from the observer bias literature, this study analyzed more than 45,000 open-ended justifications provided by interviewers in the U.S. National Survey of Family Growth (NSFG) for their observations on two key features of all sampled NSFG households: presence of children and expected probability of household response. The study finds that variability among interviewers in the cues used to record these observations (evident from the open-ended justifications) explains much of the previously unexplained variance in observation accuracy.

15.
Psychiatr Psychol Law ; 26(4): 499-519, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31984092

RESUMO

This study examines how children's age, gender and interviewer gender affected children's testimony after witnessing a theft. Children (N = 127, age = 6-11 years) witnessed an experimenter (E1) find money, which he/she may/may not have taken. E1 then asked the children to falsely deny that the theft occurred, falsely accuse E1 of taking the money, or tell the truth when interviewed by a second experimenter. Falsely denying or falsely accusing influenced children's forthcomingness and quality of their testimony. When accusing, boys were significantly more willing than girls to disclose about the theft earlier and without being asked directly. When truthfully accusing, children gave lengthier testimony to same-gendered adults. When denying, children were significantly more willing to disclose the theft earlier to male interviewers than to females. As children aged, they were significantly less likely to lie, more likely to disclose earlier when accusing, and give lengthier and more consistent testimony.

16.
Public Health Nutr ; 21(10): 1781-1793, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29467041

RESUMO

OBJECTIVE: To understand the effects of interviewers on the responses they collect for measures of food security, income and selected survey quality measures (i.e. discrepancy between reported Supplemental Nutrition Assistance Program (SNAP) status and administrative data, length of time between initial and final interview, and missing income data) in the US Department of Agriculture's National Household Food Acquisition and Purchase Survey (FoodAPS). DESIGN: Using data from FoodAPS, multilevel models with random interviewer effects were fitted to estimate the variance in each outcome measure arising from effects of the interviewers. Covariates describing each household's socio-economic status, demographics and experience in taking the survey, and interviewer-level experience were included as fixed effects. The variance components in the outcomes due to interviewers were estimated. Outlier interviewers were profiled. SETTING: Non-institutionalized households in the continental USA (April 2012-January 2013). SUBJECTS: Individuals (n 14 317) in 4826 households who responded to FoodAPS. RESULTS: There was a substantial amount of variability in the distributions of the outcomes examined (i.e. time between initial and final interview, reported values for food security, individual income, missing income) among the FoodAPS interviewers, even after accounting for the fixed effects of the household- and interviewer-level covariates and removing extreme outlier interviewers. CONCLUSIONS: Interviewers may introduce error in food acquisition survey data when they are asked to interact with the respondents. Managers of future surveys with similarly complex data collection procedures could consider using multilevel models to adaptively identify and retrain interviewers who have extreme effects on data collection outcomes.

17.
Multivariate Behav Res ; 53(5): 595-611, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29771150

RESUMO

Multilevel multiple membership models account for situations where lower level units are nested within multiple higher level units from the same classification. Not accounting correctly for such multiple membership structures leads to biased results. The use of a multiple membership model requires selection of weights reflecting the hypothesized contribution of each level two unit and their relationship to the level one outcome. The Deviance Information Criterion (DIC) has been proposed to identify such weights. For the case of logistic regression, this study assesses, through simulation, the model identification rates of the DIC to detect the correct multiple membership weights, and the properties of model variance estimators for different weight specifications across a range of scenarios. The study is motivated by analyzing interviewer effects across waves in a longitudinal study. Interviewers can substantially influence the behavior of sample survey respondents, including their decision to participate in the survey. In the case of a longitudinal survey several interviewers may contact sample members to participate across different waves. Multilevel multiple membership models are suitable to account for the inclusion of higher-level random effects for interviewers at various waves, and to assess, for example, the relative importance of previous and current wave interviewers on current wave nonresponse. To illustrate the application, multiple membership models are applied to the UK Family and Children Survey to identify interviewer effects in a longitudinal study. The paper takes a critical view on the substantive interpretation of the model weights and provides practical guidance to statistical modelers. The main recommendation is that it is best to specify the weights in a multiple membership model by exploring different weight specifications based on the DIC, rather than prespecifying the weights.


Assuntos
Viés , Entrevistas como Assunto/normas , Análise Multinível , Criança , Coleta de Dados , Humanos , Estudos Longitudinais , Modelos Estatísticos , Inquéritos e Questionários
19.
Psychiatr Q ; 88(4): 865-877, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28229347

RESUMO

Psychological factors have been described as important for tinnitus severity, but attempts to incorporate them in one picture are sparse. This study investigated to what extent traits (personality), states (depressive and anxiety symptoms), sociodemographic factors and questioning environment influence tinnitus severity perception and how they interplay. Data were obtained from 212 subjects in a survey that was undertaken in 2016 at Vilnius University hospital and via internet. Measures included the Tinnitus Handicap Inventory (THI), Visual Analogue Scale (VAS), Hospital Anxiety and Depression Scale (HADS), Big Five Personality Dimensions Scale and sociodemographic questions. A series of stepwise forward and multiple regression analyses were undertaken to discover how factors interconnect. Female gender, age, living in rural area, but not level of education, were found to be associated with THI and HADS. Total HADS score and of both subscales were linked to scores on THI, VAS scales and all personality traits, except agreeableness (and consciousness for anxiety). Anxiety was the most important predictor for tinnitus severity, followed by depressive symptoms. Only neuroticism from personality dimensions was a predictor of THI score, whereas THI scores did not predict scores on neuroticism. All results in scales were higher in the internet group, except agreeableness and neuroticism, while extroversion correlated negatively with THI score only in the hospital group. Tinnitus severity was highly correlated with depressive, anxiety symptoms and neuroticism. Respondents recruited through internet had higher scores on most parameters. Results emphasize the importance of psychological factors in tinnitus management.


Assuntos
Ansiedade/psicologia , Depressão/psicologia , Autoavaliação Diagnóstica , Personalidade/fisiologia , Zumbido/fisiopatologia , Zumbido/psicologia , Adulto , Fatores Etários , Escolaridade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Fatores Sexuais
20.
Soc Sci Res ; 67: 229-238, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28888288

RESUMO

Interviewer characteristics affect nonresponse and measurement errors in face-to-face surveys. Some studies have shown that mismatched sociodemographic characteristics - for example gender - affect people's behavior when interacting with an interviewer at the door and during the survey interview, resulting in more nonresponse. We investigate the effect of sociodemographic (mis)matching on nonresponse in two successive rounds of the European Social Survey in Belgium. As such, we replicate the analyses of the effect of (mis)matching gender and age on unit nonresponse on the one hand, and of gender, age and education level (mis)matching on item nonresponse on the other hand. Recurring effects of sociodemographic (mis)match are found for both unit and item nonresponse.

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