The use of ground rules in investigative interviews with children : a synthesis and call for research

Guidelines for conducting investigative interviews with children often include instructions that explain the conversational rules of the interview. Despite the widespread and international use of such instructions (also referred to as "ground rules"), the body of research characterizing children's understanding of these rules and documenting the impact of instruction on memory reports is relatively small. We review the use of ground rules in investigative interviews, the developmental differences that likely underlie children's ability to make sense of these rules, and research pertaining to the effects of the ground rules commonly included in interview guidelines on the reports of 3- to 13-year-old children. We then present a study space analysis concerning the five ground rules reviewed: (a) a statement about interviewer naïveté regarding the target events, (b) instructions to tell the interviewer when a mistake has been made, (c) cautions that some questions may be repeated, and instructions to say (d) "I don't understand" and (e) "I don't know." The results demonstrate obvious gaps in this body of literature, with only the "I don't know" ground rule having received significant attention. In addition to exploring how individual rules impact interview performance, we encourage more process-oriented studies that relate developmental differences in ground rules benefits to the cognitive processes that underlie rule understanding and implementation. Optimally, this research should identify the most suitable format and placement of instruction in interviews and broaden to more often include field studies of child witnesses.

The effects of e-simulation interview training on teachers' use of open-ended questions.

Teachers in many parts of the world are mandated reporters of child abuse and maltreatment but very little is known concerning how they question children in suspicious circumstances. Teachers (n=36), who had previously participated in a mock interview scenario designed to characterize their baseline use of various question-types when attempting to elicit sensitive information from children, were given online training in choosing effective questions. They engaged in simulated interviews with a virtual avatar several times in one week and then participated in a mock interview scenario. The amount and proportion of open-ended questions they used increased dramatically after training. The overall number of questions, and amount and proportions of specific and leading questions decreased. In particular, large decreases were observed in more risky yes-no and other forced-choice questions. Given that most teachers may feel the need to ask a child about an ambiguous situation at some point during their careers it is worthwhile to incorporate practice asking effective questions into their training, and the present research suggests that an e-learning format is effective. Additionally, effective questions encourage the development of narrative competence, and we discuss how teachers might include open-ended questions during regular classroom learning.

Establishment and preliminary outcomes of a palliative care research network

Objective: The difficulties in conducting palliative care research have been widely acknowledged. In order to generate the evidence needed to underpin palliative care provision, collaborative research is considered essential. Prior to formalizing the development of a research network for the state of Victoria, Australia, a preliminary study was undertaken to ascertain interest and recommendations for the design of such a collaboration. Method:: Three data-collection strategies were used: a cross-sectional questionnaire, interviews, and workshops. The questionnaire was completed by multidisciplinary palliative care specialists from across the state (n = 61); interviews were conducted with senior clinicians and academics (n = 21) followed by two stakeholder workshops (n = 29). The questionnaire was constructed specifically for this study, measuring involvement of and perceptions of palliative care research. Results:: Both the interview and the questionnaire data demonstrated strong support for a palliative care research network and aided in establishing a research agenda. The stakeholder workshops assisted with strategies for the formation of the Palliative Care Research Network Victoria (PCRNV) and guided the development of the mission and strategic plan. Significance of results:: The research and efforts to date to establish the PCRNV are encouraging and provide optimism for the evolution of palliative care research in Australia. The international implications are highlighted.

Interview with Boediono, former Vice President of Indonesia

Boediono studied and worked in Australia on several occasions. He studied at the University of Western Australia in the 1960s on a Colombo Plan scholarship, completing a degree in economics in 1967. He then went on to complete a Masters degree at Monash University. He later obtained a PhD from the University of Pennsylvania in the 1970s and also worked at the Australian National University as a research assistant. Boediono was a Bank of Indonesia deputy governor from 1997 to 1998 and served as State Minister of National Planning and Development from 1998 to October 1999. He served as Vice President of Indonesia 2009-2014 and has worked as an academic, teaching economics at Gadjah Mada University. The interview was conducted in English on 23 April 2014 by Professor David Lowe and Dr Jemma Purdey of Deakin University. This set comprises: an interview recording, a photograph, and a transcript of the interview.

Interview with Samson Akunaii

Samson Akunaii is a Papua New Guinean who studied in Australia at James Cook University in Townsville, Queensland 1987-1989. He was awarded an AusAID scholarship through his employer the PNG Institute of Medical Research (IMR) and completed an MBA. His wife and three daughters accompanied him to Australia. He returned to Goroka in PNG and currently works in Corporate Affairs for the IMR. The interview was conducted by Dr Jonathan Ritchie of Deakin University and Dr Musawe Sinebare of Pacific Adventist University. The interview was recorded on 9 July 2014. This set comprises: An interview recording, timed summary of the interview, and photograph of Samson Akunaii.

Interview with Fatimah Hussein

Fatimah Hussein is an Indonesian who studied at Melbourne University in 1999-2003. She studied on an Australian Agency for International Development (AusAID) scholarship and completed a PhD in Islamic studies. She later received another scholarship, a Fulbright Scholarship, to continue her research and give lectures in the US and she was based at Seattle University for several months in 2008. The interview was conducted in English by Dr. Jemma Purdey of Deakin University on 28 May 2014. This set comprises: an interview recording, a timed summary and a photograph.

Interview with I. Komang Damar Jaya

I. Komang Damar Jaya is an Indonesian who studied in Australia on two occasions; at Sydney University in 1990-1992 and at La Trobe University in 1997-2000 (although some of this period was spent in Indonesia conducting research). On both occasions he studied on Australian Agency for International Development (AusAID) scholarships and completed his Masters degree in Agricultural Science in Sydney and completed his PhD in the same area during his time at La Trobe despite challenges presented by the length of his scholarship. The interview was conducted by Dr. Jemma Purdey of Deakin University and Dr. Ahmad Suaedy of the Abdurrahman Wahid Centre for Inter-faith Dialogue and Peace at Univertas Indonesia. This set comprises: an interview recording, a timed summary and a photograph.

Interview with Siti Maemunah

Siti Maemunah is an Indonesian who studied at The University of Sydney in 2006-2008. She studied on an Australian Agency for International Development (AusAID) and completed a Masters in South-East Asian Studies by research. The interview was conducted in English on 30 May 2014 by Dr. Jemma Purdey of Deakin University and Dr. Ahmad Suaedy of the Abdurrahman Wahid Centre for Inter-faith Dialogue and Peace at Universitas Indonesia. This set comprises: an interview recording and a timed summary.

Interview with Danny Ardianto

Danny Ardianto is an Indonesian who studied in Australia at Monash University in 2008-2010. He was awarded an Australian Development Scholarships (ADS) and completed a Masters of Accounting. When the interview was recorded he was studying for a PhD on a Monash International Postgraduate Research Scholarship. The interview is conducted in English by Dr Jemma Purdey of Deakin University on 14 May 2014. This set comprises: an interview recording, a timed summary and a photograph.

Interview with Gou Bue Rauka

Gou Bue Rauka is a Papua New Guinean who studied at the National Agriculture Research Institute in 2007-2008. She studied on an ACIAR Jon Allright Fellowship and completed a Masters in Plant Protection. The interview was conducted in English on 8 September 2014 by Dr. Jonathan Ritchie of Deakin University and Dr. Musawe Sinebare of Pacific Adventist University. This set comprises: an interview recording, a timed summary and a photograph.

Interview with Dr Ray Anere (d. 2015)

The late Dr Ray Anere was a Papua New Guinean who studied in Australia at the Australian National University in 1982 - 1985. He was awarded an Australian International Development Assistance Bureau (AIDAB) scholarship and completed a Master degree in Arts. He later completed a PhD at Claremont University in California, USA under a Fulbright Scholarship. Dr Anere was a Senior Research Fellow at the National Research Institute in PNG and maintained strong connections with Australia and with the USA. Dr Anere was a member of the PNG USA Alumni Association and the PNG Australia Alumni Association. Dr Anere passed away in April 2015. The interview was conducted in English on 17 December 2014 by Dr Musawe Sinebare and Mr Gande James, both of Pacific Adventist University. This set comprises: an interview recording, a timed summary and a photograph.

Mothers' experiences of child support: qualitative research and opportunities for policy insight

Child support is one of the defining and under-studied elements of single mothering in contemporary Australia. However, the Australian Child Support Scheme is marked by high levels of debt and unreliable, partial and non-payment, which exacerbate mothers' financial insecurity. Most Australian child support research has focused on the amounts and outcomes of payments. Little is known about how and why mothers and fathers make the child support decisions they do. In this paper, we synthesise data from three interview studies with mothers who were due to receive child support to assess whether they experienced the system as intended. We compare the experience of child support policy 'on the books' with its experience by mothers 'on the ground'. A qualitative approach to mothers' experiences of child support highlights the social meaning of that money and the importance of understanding its transfer and use as embedded in social relations.

The construction of a subset of ICNP® for patients with dementia: a Delphi consensus and a group interview study

BACKGROUND: The International Classification for Nursing Practice (ICNP®) 2013 includes over 4000 concepts for global nursing diagnoses, outcomes and interventions and is a large and complex set of standardised nursing concepts and expressions. Nurses may use subsets from the ICNP as concepts and expressions for research, education and clinical practice. The objective of this study was to identify and validate concepts for an ICNP subset to guide observations and documentation of nursing care for patients with dementia.

METHOD: The process model for developing ICNP subsets was followed, according to the guidelines adopted by the International Council of Nursing (ICN). To identify relevant and useful concepts for the subset, a modified form of the Delphi method was used. Six nurses working in healthcare services in three municipalities in Norway with postgraduate education in geriatric psychiatry and dementia care participated in two Delphi sessions. The participants reviewed and scored the concepts included in the suggested subset and had an opportunity to rewrite them and offer alternatives. To validate the subset after the Delphi study, a group interview was conducted with six other nurses with postgraduate education in geriatric psychiatry and dementia care. The group interview was recorded and transcribed, and summative content analysis was used.

RESULTS: Suitable concepts for an ICNP subset to guide observations and documentation of nursing care for patients with dementia were identified. In total, 301 concepts were identified, including 77 nursing diagnoses, 78 outcomes and 146 nursing interventions. An increased focus on concepts to describe basic psychosocial needs such as identity, comfort, connection, inclusion and engagement was recommended by nurses in the validation process.

CONCLUSIONS: Relevant and pre-formulated nursing diagnoses, goals and interventions were identified, which can be used to develop care plans and facilitate accuracy in the documentation of individuals with dementia. The participants believed that it may be difficult to find formulations for all steps of the nursing process. In particular, nursing diagnoses and psychosocial needs are often inadequately documented. The participants highlighted the need for the subset to contain essential information about psychosocial needs and communication.

Teaching the Rational Use of Medicines to medical students: a qualitative research

Background: Prescribing is a complex and challenging task that must be part of a logical deductive process based on accurate and objective information and not an automated action, without critical thinking or a response to commercial pressure. The objectives of this study were 1) develop and implement a discipline based on the WHO's Guide to Good Prescribing; 2) evaluate the course acceptance by students; 3) assess the impact that the Rational Use of Medicines (RUM) knowledge had on the students habits of prescribing medication in the University Hospital.Methods: In 2003, the RUM principal, based in the WHO's Guide to Good Prescribing, was included in the official curriculum of the Botucatu School of Medicine, Brazil, to be taught over a total of 24 hours to students in the 4th year. We analyzed the students' feedback forms about content and teaching methodology filled out immediately after the end of the discipline from 2003 to 2010. In 2010, the use of RUM by past students in their medical practice was assessed through a qualitative approach by a questionnaire with closed-ended rank scaling questions distributed at random and a single semistructured interview for content analysis.Results: The discipline teaches future prescribers to use a logical deductive process, based on accurate and objective information, to adopt strict criteria (efficacy, safety, convenience and cost) on selecting drugs and to write a complete prescription. At the end of it, most students considered the discipline very good due to the opportunity to reflect on different actions involved in the prescribing process and liked the teaching methodology. However, former students report that although they are aware of the RUM concepts they cannot regularly use this knowledge in their daily practice because they are not stimulated or even allowed to do so by neither older residents nor senior medical staff.Conclusions: This discipline is useful to teach RUM to medical students who become aware of the importance of this subject, but the assimilation of the RUM principles in the institution seems to be a long-term process which requires the involvement of a greater number of the academic members.

The Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders: recruitment, assessment instruments, methods for the development of multicenter collaborative studies and preliminary results

OBJETIVO: Descrever o recrutamento de pacientes, instrumentos de avaliação, métodos para o desenvolvimento de estudos colaborativos multicêntricos e os resultados preliminares do Consórcio Brasileiro de Pesquisa em Transtornos do Espectro Obsessivo-Compulsivo, que inclui sete centros universitários. MÉTODO: Este estudo transversal incluiu entrevistas semi-estruturadas (dados sociodemográficos, histórico médico e psiquiátrico, curso da doença e diagnósticos psiquiátricos comórbidos) e instrumentos que avaliam os sintomas do transtorno obsessivo-compulsivo (Escala para Sintomas Obsessivo-Compulsivos de Yale-Brown e Escala Dimensional para Sintomas Obsessivo-Compulsivos de Yale-Brown), sintomas depressivos (Inventário de Depressão de Beck), sintomas ansiosos (Inventário de Ansiedade de Beck), fenômenos sensoriais (Escala de Fenômenos Sensoriais da Universidade de São Paulo), juízo crítico (Escala de Avaliação de Crenças de Brown), tiques (Escala de Gravidade Global de Tiques de Yale) e qualidade de vida (questionário genérico de avaliação de qualidade de vida, Medical Outcome Quality of Life Scale Short-form-36 e Escala de Avaliação Social). O treinamento dos avaliadores consistiu em assistir cinco entrevistas filmadas e entrevistar cinco pacientes junto com um pesquisador mais experiente, antes de entrevistar pacientes sozinhos. A confiabilidade entre todos os líderes de grupo para os instrumentos mais importantes (Structured Clinical Interview for DSM-IV, Dimensional Yale-Brown Obsessive-Compulsive Scale, Universidade de São Paulo Sensory Phenomena Scale ) foi medida após seis entrevistas completas. RESULTADOS: A confiabilidade entre avaliadores foi de 96%. Até março de 2008, 630 pacientes com transtorno obsessivo-compulsivo tinham sido sistematicamente avaliados. A média de idade (±SE) foi de 34,7 (±0,51), 56,3% eram do sexo feminino e 84,6% caucasianos. Os sintomas obsessivo-compulsivos mais prevalentes foram os de simetria e os de contaminação. As comorbidades psiquiátricas mais comuns foram depressão maior, ansiedade generalizada e transtorno de ansiedade social. O transtorno de controle de impulsos mais comum foi escoriação neurótica. CONCLUSÃO: Este consórcio de pesquisa, pioneiro no Brasil, permitiu delinear o perfil sociodemográfico, clínico e terapêutico do paciente com transtorno obsessivo-compulsivo em uma grande amostra clínica de pacientes. O Consórcio Brasileiro de Pesquisa em Transtornos do Espectro Obsessivo-Compulsivo estabeleceu uma importante rede de colaboração de investigação clínica padronizada sobre o transtorno obsessivo-compulsivo e pode abrir o caminho para projetos semelhantes destinados a integrar outros grupos de pesquisa no Brasil e em todo o mundo.