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This research focused on respondent burden, defined as the negative attitudes experienced by persons participating in voluntary personal interviews. The topic is of interest to education and other researchers who rely upon personal interviews as a data gathering technique. But the use of this technique in federally-sponsored research is subject to severe restrictions, based on federal assumptions that long interviews and repeated interviewing (such as that experienced by members of survey panels) are burdensome. However, survey researchers argue that the relationship between interview length, panel participation, and respondent burden is far from clear, and that there may be other mediating factors which affect reactions to the interview. These researchers also contend that respondent burden is poorly defined, and that, before further research about the correlates of burden is carried out, the field must explore the meaning or dimensions of this phenomenon. To address these concerns, a reanalysis of a data base developed by the author through a previous study was carried out. In this earlier study, respondents, who were suburban Philadelphia residents, participated in one of four experimental treatments: one short (25- minute) interview, one long (75-minute) interview, or two short or long interviews, with the second administered ten months after the first using a similar instrument. All versions of this instrument involved topics of moderate salience, such as housing and neighborhood conditions. Respondent reactions to the interview were assessed via a self-administered reaction form, completed at the end of the treatment interview. Responses to this form, as well as background information about respondents, constituted the data base for the dissertation. The reanalysis of this data base addressed two major questions: l. What are the underlying dimensions of respondent burden as measured through the reaction form? 2. In explaining these dimensions, what are the relative contributions of interview length, panel participation, respondent demographic characteristics, and past participation by the respondent in other, unrelated surveys? The first question was explored by a factor analysis, and the second by a regression analysis. Three major components of respondent burden were identified: 1. Perceived Uselessness, which loaded on variables relating to the interest, importance, and general benefits of survey participation, and views about the ability of survey participants to affect government decisions. This factor is the most important, accounting for 48 percent of the common factor variance. 2. Time Concerns, which loaded on three variables related to ''time'': willingness to continue the interview, views about the length of the just-completed interview, and attitudes about the use of short questionnaires as a survey improvement. This factor accounted for 14 percent of the common factor variance. 3. Privacy Concerns, which loaded on three variables representing agreement/disagreement with statements about the privacy invading nature of surveys. This factor accounted for 10 percent of the variance. The regression analysis showed no relationship between Perceived Uselessness or Privacy Concerns and any of the independent variables. Time Concerns were significantly related (p.<.01) to interview length, in the direction postulated by federal assumptions, and to (p.<.05) sex, with females more burdened than males, and employment status, with employed persons more burdened than others. Based on these findings, several recommendations were made, chief among them that researchers use public relations mechanisms to convince potential respondents of the usefulness of survey participation. / Ph. D.

Thesis (PhD)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: It is more than 18 years since South Africa became a democratic country. However, many South Africans are still discriminated against when accessing state services, such as healthcare services (Drennan, 1999). The problem is that healthcare practitioners, in the higher positions of the healthcare system, are commonly made up of professionals who speak only one or at most two of South Africa’s official languages (Swartz, 1998). Due to the lack of funding ad hoc arrangements are made for interpreter-services (Drennan, 1999). Anyone available that can speak even a fragment of the patient’s language, such as nurses, household aides and security guards are called to act as interpreters (Drennan, 1999; Smith, 2011). In many clinical settings, although not ideal, it is possible to treat patients even if there are minimal shared communicative resources (Anthonissen & Meyer, 2008). However, in psychiatric care, language is the primary diagnostic tool, and is one of the central instruments through which patients voice their symptoms (Westermeyer & Janca, 1997). In the Western Cape (one of the nine provinces in South Africa), clinicians working in psychiatric care are mainly fluent in English and Afrikaans. Many Black isiXhosa-speaking patients are not proficient in these languages. The aim of this dissertation is to gain a better understanding of the language barriers facing isiXhosa-speaking patients by focusing on natural conversations, which take place during psychiatric interviews within a particular psychiatric institution in the Western Cape. I made video-recordings of interpreter-mediated psychiatric interviews (n=13) as well as psychiatric interviews (n=12) conducted without the use of an interpreter. In addition, I had discussions (i.e. through semi-structured interviews) with registrars, interpreters and patients to understand their views about issues related to language barriers and interpreting practices. I used an ethnographic approach and the method of Conversation Analysis to understand the study findings. The findings, derived from the psychiatric interviews that were not interpreter-mediated, suggest that the Limited English Proficient (LEP) patients had great difficulty communicating with the registrars. The findings (emerging from the interpreter-mediated encounters and semi-structured interviews), strongly suggest that the haphazard use of hospital employees, who are not trained and employed to act as interpreters, have a significant impact on the goals of the psychiatric interview. In some instances, the use of ad hoc interpreters positively contributed to the successful achievement of the goals of the psychiatric interview. In most instances, the use of ad hoc interpreters inhibited the successful achievement of the goals of the psychiatric interview. One of the most significant findings was that interpreters’ interpretations of patients’ words at times suggest that patients appear to be more psychiatrically ill (increasing the risk for over-diagnosis) than it appears when looking at patients’ original responses. In essence, the lack of language services is unjust towards patients, clinicians, hospital staff acting as ad hoc interpreters, and LEP patients caught in a system, which construct them as voiceless, dependent, powerless, healthcare users. / AFRIKAANSE OPSOMMING: Suid-Afrika is vir die afgelope 18 jaar `n demokratiese land, maar ongeag die afskaffing van apartheid word daar steeds teen baie Suid-Afrikaners gediskrimineer. Dit is veral die geval wanneer Suid-Afrikaners gebruik maak van gesondheidsdienste (Drennan, 1999). Baie gesondheidspraktisyne of dokters is alleenlik vaardig in een of op die meeste twee offisiële Suid-Afrikaanse tale (Swartz, 1998). Ongelukkig weens `n gebrek aan fondse, is die meeste hospitale nie instaat om amptelike tolke in diens te neem nie. Gevolglik word ad hoc reëlings getref wanneer pasiënte tolkdienste benodig. Gewoonlik word enige iemand, insluitende verpleegsters, skoonmakers en sekuriteitswagte, wat selfs net tot `n sekere mate die pasiënt se taal kan praat, gebruik as tolke (Drennan, 1999; Smith, 2011). Die gebrek aan tolkdienste is veral problematies wanneer dit kom by psigiatriese dienste. Dit is omdat in psigiatrie word taal en kommunikasie as primêre diagnostiese instrument gebruik, en pasiënte gebruik hoofsaaklik taal om hul simptome en ervaringe met die dokter mee te deel (Westermeyer & Janca, 1997). In die Wes-Kaap (een van Suid-Afrika se nege provinsies) is die meeste dokters wat in psigiatriese instansies werk hoofsaaklik Engels en / of Afrikaans-sprekend. Baie Swart isiXhosa-sprekende pasiënte, wat gebruik maak van psigiatriese staatsdienste, is egter nie vlot in Afrikaans en Engels nie. Die doel van my proefskrif is om hierdie probleem, wat baie siXhosa-sprekende pasiënte in die gesig staar, beter te verstaan. Ek het besluit om dit te doen deur te fokus op `n spesifieke aspek – natuurlike gesprekke tussen dokters en isiXhosa-sprekende pasiënte. Dokters en pasiënte kommunikeer onder andere gedurende psigiatriese onderhoude, en ek het besluit om video opnames van psigiatriese onderhoude te maak. Ek het die video opnames in `n spesifieke hospitaal in die Wes-Kaap gemaak. Die video opnames het ingesluit psigiatriese onderhoude (n=12) waarin die dokter en pasiënt in Engels kommunikeer, sowel as onderhoude (n=13) waarin die dokter en pasiënt deur middel van (d.m.v) `n ad hoc tolk kommunikeer. Ek het ook gesprekke gevoer (deur middel van semi-gestruktureerde onderhoude) met pasiënte, dokters, en ad hoc tolke om hulle insigte en opinies rakende die bogenoemde taalkwessies beter te verstaan. Verder het ek `n ethnografiese benadering en gespreksanaliese gebruik om die data te benader en verstaan. Die bevindinge wat voortgevloei het uit die psigiatriese onderhoude (beide waarin daar nie `n tolk gebruik was nie, sowel as die waarin daar `n tolk gebruik was) suggereer dat die gebrek aan tolkdienste dikwels die doel van psigiatriese onderhoud ondermyn. Dit komvoor dat in die psigiatriese onderhoude, waarin daar nie tolk gebruik was nie, die pasiënte dit baie moeilik gevind het om met die dokters in Engels te kommunkeer. Dit is waarskynlik omdat hulle nie oor die nodige taalvaardighede beskik om hulleself ten volle in Engels uit te druk nie. Dit kom wel voor dat in sommige gevalle gedurende die psigiatriese onderhoude, waarin die dokters en pasiënte d.m.v.`n tolk gekommunikeer het, het die gebruik van `n tolk `n positiewe impak gehad. Die probleem is egter dat in baie gevalle het dit geblyk het die gebruik van tolke `n ongewenste impak gehad. Een van die belangrikste voorbeelde hiervan is dat die tolke se weergawes van die pasiënte se woorde, dit dikwels laat voorkom asof pasiënte nie juis veel insig in hulle psigiatriese versteurings gehad het nie. Wanneer daar egter gekyk word na die pasiënte se oorspronklike weergawes is dit duidelik dat sommige pasiënte wel insig gehad het. Die bevindinge suggereer hoofsaaklik dat die gebrek aan offisieel en opgeleide tolkdienste onregverdig is teenoor die pasiënte, ad hoc tolke, en die dokters. Dit dra ook by tot `n gesondsheids-sisteem waarin isiXhosa-sprekende pasiënt uitgebeeld word as afhanklik, tot `n groot mate magteloos en sonder `n sê.

Thesis (Ph. D. (Social Work)) --University of Limpopo, 2018 / Child sexual abuse is a serious social and health issue that affects people worldwide. A variety of professions is trying to address this problem. It has numerous consequences, such as psychological, physical, social and emotional effects. An integral part of fighting child sexual abuse is disclosure. Forensic social work has been introduced in South Africa recently to facilitate the disclosure of child sexual abuse. This study aimed at evaluating the effectiveness of interviewing techniques with the Black child during forensic social work assessments in a South African perspective. The ecosystems theory was used in this research study to zoom into the nature of child sexual abuse and the environmental systems in South Africa that may affect the effectiveness of the interviewing techniques during forensic assessments with Black children. The study employed qualitative and evaluation designs. Non-probability sampling and probability sampling methods aided triangulation. Stratified random sampling, purposive sampling and convenient sampling techniques were followed to select fourteen (14) forensic social workers in South Africa. Out of these forensic social workers, thirteen (13) were females and one (1) was a male. Data were collected by means of a literature review and semi-structured in-depth interviews guided by an interview schedule with open-ended questions. The collected data were analysed thematically with the help of the Nvivo programme. The study revealed that rape is the most common sexual offence against Black children that forensic social workers across South Africa address. For the purpose of this research, rape is defined in accordance with the Criminal Law (Sexual Offences and Related Matters) Amendment Act 32 of 2007. Other sexual offences such as sexual assault, sexual grooming, and sexual exploitation/labour are barely reported because some South African communities regard them as minor things or taboos that could be addressed within families. As a result, they are not given the same recognition as rape in South Africa. Forensic social workers therefore have fewer such cases. The study also revealed that child pornography or exposing children to explicit sexual materials takes place more in urban areas than in rural areas, and as a result, it is not assessed among Black children in rural areas. This study further reveals that the disclosure of child sexual abuse is a process where children only disclose to someone whom they trust. In this regard, the environment where children are raised contributes to the disclosure of child sexual abuse. In rural areas, child xiv sexual abuse is mostly disclosed accidentally. Children from urban areas disclose more deliberately. Findings point to factors such as fear of the perpetrator, relationship with the perpetrator, boundaries of culture, the environmental setting, fear of embarrassment and shame, age of the child, language competency, poverty and the South African justice system as factors that play a role in disclosure of child sexual abuse during forensic social work assessments. In the facilitation of the disclosure of child sexual abuse, there is a variety of dynamics that professionals should be watchful of that may influence the disclosure rate. Personal characteristics of the child and the interviewer may affect disclosure of child sexual abuse during forensic interviews. For forensic social workers to ensure the protection of children and the conviction of perpetrators in child sexual abuse cases, they have to conduct skilful forensic interviews. There are specific interviewing techniques that aid disclosure. Some of these techniques appear to be very effective at eliciting detailed and accurate disclosures. Research reveals that in South Africa, cultural background, developmental level, language barriers and the manner of questioning children have an impact in the effectiveness of interviewing techniques during the assessments of allegations of child sexual abuse. Techniques should be contextualized in terms of cultural backgrounds and one should consider developmental level (age in particular), types of questions and language of the child, especially for Blacks. Once again, the disclosure of sexual abuse is a process with definable phases and characteristics. Many children find it difficult to talk about their sexual abuse experiences. It is therefore imperative that forensic social workers have an understanding of the diagonal process of disclosure when conducting forensic assessments. Forensic social workers have to be watchful of varied dynamics that are likely to affect the disclosure rate. The findings reveal that personal characteristics of the child and the interviewer, communication skills, blind assessments and informed allegation interviews have an impact on making the interviewing techniques effective during the disclosure of child sexual abuse. As a result, the study recommends that the forensic social worker should come to the developmental level of the child, speak the language of the child or use interpreters for the child to understand, and follow blind assessments interviews as opposed to informed allegation interviews. However, informed allegations interviews are recommended when assessing children below the age of four (4) years.

Purpose: To assess dental students and pediatric dental residents’ knowledge and attitudes towards motivational interviewing and evaluate the efficacy of a pediatric-focused brief motivational interviewing training program. Methods: A total of 66 participants were enrolled; 35% were third year dental students, 46% were fourth year dental students and 18% were pediatric dental residents. Participants completed three questionnaires: the first before the training, the second immediately after the training and the third approximately 3.5 months after the training. Results: A significant increase in correct responses was found for 4 of the 5 questions assessing participants’ knowledge. Participants were satisfied with the training (94%) and were interested in further training (89%). Participants believed patients and their parents would benefit from the intervention (97%). Conclusions: The pediatric-focused BMI training program is a valuable addition to pre-doctoral and residency curricula by preparing students and residents to employ this beneficial technique.

The effectiveness of Motivational Enhancement Therapy (MET), a brief four session form of Motivational Interviewing (MI), provided by diabetes health practitioners at a hospital-based clinic, in improving diabetes outcome and self-management of Type 1 and Type 2 diabetes was evaluated using quasi-experimental designs (i.e., non-random control group and multiple baseline designs). Study 1 evaluated if MET provided by Diabetes Nurse Educators (DNEs) was effective in improving diabetes outcome (i.e., blood glucose and lipids) and diabetes self-management, and compared its effectiveness to the current standard treatment which comprised Patient Education (PE). Study 2 evaluated if the results of Study 1 could be generalised to Dietitians providing the intervention. Study 3 evaluated the effects of MI training and post-training supervised practice on practitioner and patient behaviour. Specific hypotheses (Studies 1-2) were that MI would lead to improved diabetes outcome through improved diabetes self-management, and would be more effective than PE. Further, training in MI plus supervised practice was predicted to lead to Nurse Educators behaving in ways consistent with MI and as a result the participants would exhibit less resistance and increased change talk than participants receiving PE (Study 3). The results suggest that MET was well received by the participants, and contributed to improved diabetes outcome (e.g., lowered blood glucose) and diabetes self-management (e.g., self-monitoring of blood glucose and dietary compliance), and may have been more effective than PE, although high variability made conclusions uncertain. Evidence of generalisation across participants, intervention staff, and outcomes is provided. Additionally, evidence is provided that with two days training plus supervised practice the DNE were able to practice MET to at least a beginning level of competency in MI and that as a result the participants behaved in ways consistent with MI theory (i.e., showed less resistance and increased change talk).

The rapid telescoping of the need to communicate cross-culturally in an ever widening range of contexts sets the basic circumstances for this study. Private and public sector interviewing become more important as cultural and cross-cultural factors emerge in coventuring enterprises. Standard interviewing programs and procedures do not usually focus on cross-cultural variables. A model is necessary through which to orchestrate the interview in a generic form and into which substantive illustrations for cross-cultural interviews can be placed. The Cube model designed by Dr. T. Frank Saunders, in his Double Think book, was adapted to this purpose and provides a comprehensive and exhaustive format for this study. The advent of CD ROM, high storage and easy retrieval computer technology, makes the design presented here an effective and efficient system for the collection and collation of demographic and ethnographic data. The Cube model and procedures set forth in this study should facilitate the data collection and development of an interview manual for cross-cultural interviewing.

Motivation can foster engagement in the Vocational Rehabilitation (VR) program leading to benefits that can potentially result in sustainable employment. The purpose of this study was to examine the impact of Motivational Interviewing using the Motivation Curriculum for Vocation Rehabilitation Consumers (MCRC) on stages of change, self-determination, functional disability limitations awareness and life satisfaction on minority and non-minority VR clients with disabilities that had open cases with The Florida Division of Vocational Rehabilitation. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2019. / FAU Electronic Theses and Dissertations Collection

Graduation date: 1951