Kathleen Gathercoal

Does survey format influence self-disclosure on sensitive question items?

Although there are advantages for use of internet based survey research over other formats, there remains in question whether survey mode influences the data measurement equivalency. While most research exploring survey format finds little or no difference in measurement equivalency, the interaction of sensitive topics and survey modality is not fully understood. Additionally, research suggests gender differences in item response on sensitive topics. The present study examined archival data from a college health survey using both online and paper-pencil survey formats. The interaction was evaluated between gender, survey format, and item sensitivity level. Results indicate that question topic sensitivity has a large effect on missing data, and survey format has a moderate effect. These findings have necessary implications for survey design and outcome interpretations.

The Efficacy of a Brief Behavioral Health Intervention for Managing High Utilization of ED Services by Chronic Pain Patients

INTRODUCTION Patients with chronic pain continue to seek medical care from emergency departments nationwide despite the fact that an emergency department is a less-than-optimal environment for meeting their specific and specialized needs. As the scientific community has gained a more sophisticated understanding of the mechanisms that contribute to the development and maintenance of chronic pain, the central role of psychological factors have emerged. Therefore, an ED-based, behavioral health intervention for chronic pain patients is needed to better serve this population and to help hospitals provide cost effective treatment at the appropriate level of care. METHODS The setting was a 40-bed, acute-care hospital with a 15-bed emergency department seeing 16,500 patients annually. All participants were chronic pain patients utilizing the emergency department for pain management. This study was a program evaluation utilizing a quasi-experimental, retrospective, pre-test/post-test, split-plot design. RESULTS A repeated measures analysis of variance (ANOVA) was used to compare high-utilizers (>4 emergency department visits in 6 months) to low utilizers in total ED visits 6 months before and after the intervention. The low utilizers mean ED visits remained stable before and after the intervention while the high utilizers showed a decrease in ED utilization. This differential response between groups was statistically significant (P < .05). DISCUSSION This study suggests that an ED-based behavioral health consultation may be useful for reducing high utilization of ED services by some chronic pain patients, particularly those who consume the most services.

No evidence for ethnic and racial bias in the Tryout Edition of the Merrill-Palmer Scale-Revised.

This research examined a revised version of the Merrill-Palmer Scale, a test of childhood development, to assess the cultural validity of items, i.e., Differential Item Functioning. Archival data were used to determine the Differential Item Functioning of items for 245 African-American, Euro-American, and Hispanic children, ages 3–6 years. Subjects were gathered from all four regions of the United States. Potential bias was examined through the use of partial correlations. Statistical analyses suggest that the Tryout Edition of the Merrill-Palmer Scale–Revised was not systematically biased toward any of the three racial groups examined.

A Gratitude Intervention in a Christian Church Community

This field experiment examined the effects of a gratefulness intervention in the context of a Christian church congregation. Two Christian congregations with comparable demographic and socio-economic characteristics were enrolled and assigned to the experimental and comparison conditions. The gratitude intervention was developed collaboratively with church leaders. Though within-subject effects were found for psychological well-being, spiritual well-being, life satisfaction, positive and negative affect, daily spiritual experiences, and favorable views of psychology and interdisciplinary collaboration, the comparison group showed similar increases to the intervention group. Thus, the effects of the gratitude intervention were supported within but not across groups. No significant changes occurred on measures of interpersonal engagement. This research represents the first quasi-experiment to study a gratitude intervention within a faith congregation. In spite of methodological limitations, it highlights the potential benefit of gratitude interventions designed in collaboration with clergy.