Matthew James Kerry

Investigating predictive power of agency and communion for interprofessional learner outcomes: A before–after study

ABSTRACT As interprofessional education (IPE) continues to be instituted, much attention has been paid to training-intervention effectiveness. Less attention has been paid to the selection side of the IPE model; however, efficient delivery is necessary to sustain the development of IPE. This short report investigates the “two big social cognitions” (agency and communion) as individual-difference predictors of attitude change and knowledge acquisition. A 3-week before–after observational design with survey methodology was conducted in a pre-licensure IPE setting (n = 82). Results indicated significant interactions of agency and communion in predicting learner outcomes. Our findings should stimulate future IPE researchers to identify additional, selection-relevant design factors (e.g., individual differences) that may enhance comparative-effectiveness of IPE.

An Experimental Evaluation of Competing Age-Predictions of Future Time Perspective between Workplace and Retirement Domains

Future time perspective (FTP) is defined as “perceptions of the future as being limited or open-ended” (Lang and Carstensen, 2002; p. 125). The construct figures prominently in both workplace and retirement domains, but the age-predictions are competing: Workplace research predicts decreasing FTP age-change, in contrast, retirement scholars predict increasing FTP age-change. For the first time, these competing predictions are pitted in an experimental manipulation of subjective life expectancy (SLE). A sample of N = 207 older adults (age 45–60) working full-time (>30-h/week) were randomly assigned to SLE questions framed as either ‘Live-to’ or ‘Die-by’ to evaluate competing predictions for FTP. Results indicate general support for decreasing age-change in FTP, indicated by independent-sample t-tests showing lower FTP in the ‘Die-by’ framing condition. Further general-linear model analyses were conducted to test for interaction effects of retirement planning with experimental framings on FTP and intended retirement; While retirement planning buffered FTP’s decrease, simple-effects also revealed that retirement planning increased intentions for sooner retirement, but lack of planning increased intentions for later retirement. Discussion centers on practical implications of our findings and consequences validity evidence in future empirical research of FTP in both workplace and retirement domains.

Quantitative methods in interprofessional education research: some critical reflections and ideas to improving rigor

Although quantitative research on interprofessional education (IPE) is proliferating, the accelerating growth in this empirical work does not necessarily imply a stronger evidence base. The contrast between more empiricism and little-improved evidence is perplexing. On the one hand, quantitative research output has accelerated with little signs of slowing down. On the other hand, best-evidence syntheses have been limited to descriptive summaries, in part, due to the varietal methodologies across IPE studies (e.g. Reeves et al., 2016; Reeves, Palaganas, & Zierler, 2017). As Costanza (2015) noted recently, “in many ways, poor research methodology is the reason... research to date fails to show the impact of IPE” (p.35). Moreover, the methodological under-achievement of IPE may have been borne by early untended calls to focus IPE’s empiricism (Reeves, 2010). This editorial provides an overview of the common quantitative study designs for IPE and addresses some implications for their analytic approaches. Subsequently, the editorial turns toward the prevailing measurement paradigm employed in IPE—classical test theory (CTT). Specifically, the editorial discusses key limitations of CTT for IPE research and suggests how the adoption of modern psychometrics in IPE research – namely, item response theory (IRT) can remedy CTT’s limitations using substantive examples from IPE’s empirical literature.

Assessment of the Readiness for Interprofessional Learning Scale (RIPLS): An item response theory analysis

ABSTRACT This short report aims to bring evidence from modern psychometric methods to bear on a popularly deployed questionnaire in interprofessional education (IPE) assessment. Specifically, three interrelated problems raised against the Readiness for Interprofessional Learning Scale (RIPLS) are examined in a study with 280 medical and nursing student participants. Firstly, findings support RIPLS overall reliability, but fail to support subscale reliabilities. Secondly, findings indicate a strong, general factor underlying the RIPLS that supports unidimensional interpretations. Thirdly, findings support the RIPLS potential sensitivity to changes with appropriate lower ranges for our pre-training student sample. Recommendations for refinement to the RIPLS include: use of more appropriate reliability indices; factor generalizability; and a subset of items. More generally, refinement is possible, whereas RIPLS disuse or continued misuse with problematic scales is likely to hinder progress in the field of IPE.

Chop and Change: A Commentary and Demonstration of Classical vs. Modern Measurement Models for Interpreting Latent-Stability of Occupational-Future Time Perspective

This commentary article was initially motivated by an empirical paper published in the journal of Work, Aging, and Retirement that reported support for stability (non-decreasing) future time perspectives (FTP) over two repeated-measurements. That is, empirical evidence supporting the temporal stability of an adapted measure (occupational-FTP [O-FTP]) serves as guiding framework for demonstrating limitations of classical test theory (CTT) and modern psychometrics’ (IRT) enabling extension for stronger substantive inferences from response data. The focal authors’ quantitative attention to study design and statistical analysis is commendable. In this commentary, I aim to complement their efforts from a measurement perspective. This is accomplished through four sections. In the first section, I summarize some well-known limitations to CTT measurement models for assessing change. Then, I briefly introduce item response theory (IRT) as an alternative test theory. In the second section, Chop, I review the empirical evidence for FTP and O-FTP’s latent-factor structure. Then, I bring evidence from modern psychometric methods to bear on O-FTP, specifically, a model-comparisons approach was adopted for comparing relative fit of 1-factor, 2-factor, and bifactor solutions in cross-sectional data (N = 511). Findings supported retention of the bifactor solution. In the third section, Change, I extend the bifactor model to two-wave FTP data over approximately 2 years (N = 620) as an instructive application for assessing temporal stability. The fourth section concludes with a brief discussion of substantive implications and meaningful interpretation of (O)-FTP scores over time.

Empirical Tryout of a New Statistic for Detecting Temporally Inconsistent Responders

Statistical screening of self-report data is often advised to support the quality of analyzed responses – For example, reduction of insufficient effort responding (IER). One recently introduced index based on Mahalanobis’s D for detecting outliers in cross-sectional designs replaces centered scores with difference scores between repeated-measure items: Termed person temporal consistency (D2ptc). Although the adapted D2ptc index demonstrated usefulness in simulation datasets, it has not been applied to empirical data. The current study addresses D2ptc’s low uptake by critically appraising its performance across three empirical applications. Independent samples were selected to represent a range of scenarios commonly encountered by organizational researchers. First, in Sample 1, a repeat-measure of future time perspective (FTP) inexperienced working adults (age >40-years; n = 620) indicated that temporal inconsistency was significantly related to respondent age and item reverse-scoring. Second, in repeat-measure of team efficacy aggregations, D2ptc successfully detected team-level inconsistency across repeat-performance cycles. Thirdly, the usefulness of the D2ptc was examined in an experimental study dataset of subjective life expectancy indicated significantly more stable responding in experimental conditions compared to controls. The empirical findings support D2ptc’s flexible and useful application to distinct study designs. Discussion centers on current limitations and further extensions that may be of value to psychologists screening self-report data for strengthening response quality and meaningfulness of inferences from repeated-measures self-reports. Taken together, the findings support the usefulness of the newly devised statistic for detecting IER and other extreme response patterns.

Psychological Antecedents of Retirement Planning: A Systematic Review

As workforce aging continues through the next decade, the number of persons who will retire from long-held jobs and careers will increase. In recent years, researchers across disciplines of psychology have focused attention on the impact of the retirement process on post-retirement adjustment and well-being. The objective of the current review is twofold. The first goal is to review the literature on retirement planning with attention to past conceptualizations and current theoretical specifications. Second, empirical work investigating the psychological antecedents of retirement planning is reviewed. The primary conclusion reached from this review is that, conceptually, retirement planning continues to be poorly delineated and, thereby, narrowly investigated. Empirically, cognitive antecedents of retirement planning continue to figure prominently in both workplace and retirement researches. The boundary conditions of retirement planning, as well as alternative mechanisms for adult wellbeing, are discussed. Specifically, retirement plannings meaning amidst increasing job mobility and longer life expectancies are identified as two complementary areas for future empirical integration of work–retirement research domains.

Mindfulness fostering of interprofessional simulation training for collaborative practice

Introduction The setting demands imposed by performing in new, interdisciplinary cultures is common for modern healthcare workers. Both health science students and evidence-based workers are required to operate in professional cultures that differ from their own. As health organisations have placed increasing value on mindfulness for improving performance outcomes, so too have educational administrators embraced common, mindful competencies for improving training for improved patient outcomes. The training of future clinicians for diversified care. teams and patient populations has become known as interprofessional education (IPE). Although the goals for IPE suggest that individual differences in trait mindfulness may serve an important determinant for training effectiveness, it has gone unstudied in extant simulation training research. MethodsTo fill this gap, in this paper, we examine trait mindfulness’ predictive power for training outcomes across two IPE cohort samples using two, prospective observational designs. Results Study 1’s Findings supported trait mindfulness’ prediction of perceived teamwork behaviours in training simulations between medical and nursing students (n=136). In study 2’s expanded sample to five health professions (n=232), findings extended trait mindfulness’ prediction of team efficacy and skill transfer, assessed 1 month after training. Conclusion A final, follow-up assessment 16 months later extended mindfulness’ predictive validity to knowledge retention and teamwork attitudes. We discuss the theoretical and practical implication of our findings for advancing mindfulness research and IPE effectiveness assessment.

Speaking up in defence of teamwork training towards patient safety: a response

Editor – In their paper ‘Are we at risk of groupthink in our approach to teamwork interventions in health care?’, Kaba et al. critique team training specifically and collaboration in general, which we view as overly critical and simplistic. Based on empirical evidence, we seek to clarify that the crucial question is not about whether collaboration is effective, but, rather, concerns how teams can effectively work together to provide quality health care.