Making the most of information-gathering interviews with children

Effects of the narrative elaboration technique and open-ended rapport on accuracy of children's recall according to age

Introduction

This study explored the impacts of the narrative elaboration technique (NET) and open-ended rapport building on younger (n = 30, ages 5-6) and older (n = 30, ages 7-8) children's free recall and suggestibility.

Methods

Children were randomly assigned to either a NET condition or an open-ended rapport condition after engaging in a photo-taking play session with an experimenter. Then, a novel interviewer asked them about the play session. The effects of the experimental conditions on children's free recall and suggestibility were examined according to children's age groups.

Results

Results revealed that open-ended rapport played a more significant positive role in young children's free recall and suggestibility when compared to NET. No significant differences were observed in the effects of NET and open-ended rapport on older children's memory performance.

Discussion

Practical guidance is provided in terms of prioritizing open-ended rapport over NET to maximize young children's spontaneous and accurate recall.

Open-ended initial invitations are particularly helpful in eliciting forensically relevant information from child witnesses

BACKGROUND

Open-ended prompting is an essential tool for interviewers to elicit evidentiary information from children reporting abuse. To date, no research has examined whether different types of open-ended prompts elicit details with differing levels of forensic relevance.

OBJECTIVE

To examine interviewers' use of three open-ended prompt subtypes (initial invitations, breadth prompts, and depth prompts) and compare the forensic relevance of the information elicited by each.

PARTICIPANTS AND SETTING

Transcripts of field interviews conducted by 53 police interviewers with children aged 6- to 16-years alleging abuse were examined.

METHODS

In each transcript, initial invitations, breadth prompts, and depth prompts were identified, and the child's response was parsed into clauses. Clauses were classified according to their forensic relevance: essential to the charge (i.e., a key point of proof or element of the offence), relevant to the offending (i.e., what occurred before, during, or after an incident but not an essential detail), context (i.e., background information), irrelevant to the charge, no information provided, or repeated information already provided earlier.

RESULTS

Interviewers posed fewer initial invitations than breadth and depth prompts, p < .001, ηp2 = 0.58. Initial invitations elicited higher proportions of essential and relevant clauses than breadth and depth prompts; depth prompts further elicited higher proportions of essential clauses than breadth prompts, ps ≤ 0.001. We found few effects of children's age.

CONCLUSIONS

Initial invitations are a particularly useful subtype of open-ended prompt for interviewers to elicit details that are legislatively essential for prosecution of crimes from children of all ages.

Factors influencing the perceived credibility of children alleging physical abuse

Adults' assessments of the credibility of children's reports are affected by factors including the frequency of abuse, reporting delays and the child's age. The present study examined whether similar factors affect the perceived credibility of children reporting physical abuse, which is more common than sexual abuse. Two hundred and eight mock jurors read a simulated transcript of a child reporting physical abuse to police and made credibility ratings. Within each transcript, abuse frequency (once, repeated), reporting timing (recent, delayed), police question type (open, closed) and child age (6 or 10 years) were manipulated. The child was considered more credible when the abuse was only experienced once and reported shortly after it occurred, and when prompted with open questions. The child's age did not affect credibility judgments. Current findings support recommendations to prioritise open questions with children and provide evidence for extension of the benefits of open questions to children's credibility.

CORE-Kids: a protocol for the development of a core outcome set for childhood fractures

INTRODUCTION

Limb fractures in children are common yet there are few trials that compare treatments for these injuries. There is significant heterogeneity in the outcomes reported in the paediatric orthopaedic literature, which limits the ability to compare study results and draw firm conclusions. The aim of the CORE-Kids Study is to develop a core outcome set for use in research studies of childhood limb fractures. A core outcome set will provide a minimum set of outcomes to be measured in all trials to minimise the heterogeneity of outcomes reported and minimise reporting bias. A core outcome set ensures that outcomes are reported that are relevant to families as well as clinicians. The core outcome set will include additional upper and lower limb modules.

METHODS

The development of the core outcome set will require four phases to evaluate:What are the outcomes that are relevant to professionals?What are the outcomes that are relevant to families?What are the most important of these outcomes?Which outcomes should be included in the core outcome set?This will be completed through a systematic review of trials to identify the outcomes domains that are relevant to trialists. A series of semi-structured interviews will be completed with families to identify the outcome domains that are relevant to families. These outcome domains will be used in a three-round Delphi Study to analyse the importance of these outcome domains to a range of stakeholders including parents, clinicians and researchers. Following this, the core outcome set will be decided at a consensus meeting.

ETHICS AND DISSEMINATION

Ethical approval has been awarded HRA/REC IRAS number 262503. Date of approval 06/08/2019. Dissemination will be through scientific literature and international societies.

TRIAL REGISTRATION

Core Outcome Measures in Effectiveness Trials Initiative, registration number: 1274. Date of registration 13/12/2018.

PROSPERO REGISTRATION NUMBER

CRD42018106605.

Police Interviewers' Perceptions of Child Credibility in Forensic Investigations

During investigative interviews, police practice can influence key aspects of child credibility, namely the accuracy, competency, reliability, and truthfulness of their testimony. To date, police interviewers' perceptions of how best to assess child credibility at interview, and how practice impacts upon credibility, have been overlooked. We conducted a qualitative study that examined data from focus groups with 16 English police officers who regularly interview children. The focus group transcripts were analysed using thematic analysis, and four main themes were identified - the 4Es: eliciting information, evaluating credibility, empowering the interviewee, and a high-quality end product. Within these themes, police officers acknowledged some responsibility for the perceived credibility of child victims. Poor interviewing practice could decrease the accuracy of the information elicited and cross-examined in court. Registered intermediaries could empower child interviewees and increase their competency. A lack of reliability contributed to evaluating credibility, but this relationship was not straightforward. Finally, obtaining the most truthful account from child victims was not always possible, because there are many barriers to overcome. Our findings suggest the need for a continued focus on interview protocols that facilitate disclosure from child victims and a review of the professional relationship between those who interview children and prosecutors.

Searching for Truth: The Forensic Interviewer's Use of an Assessment Approach While Conducting Child Sexual Abuse Interviews

This study examined the assessment approach interviewers use while conducting interviews to assess truth as narratives are gathered in children's disclosure statements by examining 100 forensic interviews completed at a Children's Advocacy Center. A descriptive review was used to examine the steps engaged by interviewers as they followed a protocol and content analysis was used to identify interviewers' questioning strategies as they assessed children's disclosure narratives during interviews. Findings indicate that interviewers apply a protocol in order to support advancing to a phase of eliciting details in children's narratives. Questioning strategies included using a variety of question types to progress from general to specific, incorporating interview aids sparingly as necessary, and integrating multidisciplinary team feedback. Findings suggest that an assessment approach is inherent to the process of actively conducting a forensic interview. Rather than assessment beginning strictly upon completion of children's narratives, this paper describes how interviewers incorporate an assessment framework throughout interviewing.

The meaning of personal diaries to children and families in the paediatric intensive care unit: A qualitative study

OBJECTIVE

To explore children's' and families' experiences of using intensive care diaries after discharge and the role of diaries in the process of recovering from a stay in the paediatric intensive care unit.

DESIGN AND SETTING

Qualitative, exploratory design. Data collection consisted of semi-structured interviews with five children and their families, conducted four to six months after discharge from the intensive care unit. Inclusion criteria were children and their families, with a stay for more than three days who had a diary written for them. Data were analysed using thematic analysis FINDINGS: Three main themes emerged: (i) value to the entire family, (ii) creating memories, (iii) the importance of pictures.

CONCLUSION

Diaries were used after discharge as a support for both children and families and played a role in making the paediatric intensive care experience meaningful by providing explanations and coherence. The findings suggest that a diary can serve as a catalyst for the coping process of the family unit. Findings also confirm how the children's memories are characterised by a sense of unreality. The diary could thus help fill in some of the missing picture to support the children in understanding their story.

Promoting participation in healthcare situations for children with JIA: a grounded theory study

Children's right to participate in their own healthcare has increasingly become highlighted in national and international research as well as in government regulations. Nevertheless, children's participation in healthcare is unsatisfactorily applied in praxis. There is a growing body of research regarding children's participation, but research from the children's own perspective is scarce. The aim of this study was thus to explore the experiences and preferences for participation in healthcare situations among children with juvenile idiopathic arthritis (JIA) as a foundation for creating strategies to promote their participation in pediatric healthcare. Twenty children, aged 8 to 17 years, with JIA were interviewed individually and in focus groups. In order to increase the children's opportunities to express their own experiences, different interview techniques were used, such as draw-and-tell and role play with dolls. The analysis was conducted with a constructivist grounded theory. The result explores children's perspective of influencing processes promoting their participation in healthcare situations. The core category that emerged was, "Releasing fear and uncertainty opens up for confidence and participation," and the categories related to the core category are, "surrounded by a sense of security and comfort," and "strengthened and supported to become involved." In conclusion, the knowledge gained in this study offers new insights from the perspective of children themselves, and can constitute a valuable contribution to the understanding of necessary conditions for the development of specific interventions that promote participation among children in healthcare situations.

Epidemiological approaches to measure childhood stress

The prevalence of childhood stress has repeatedly been shown to be high, with 'parental separation' and 'being bullied at school' as the most frequently reported stressors in the child's everyday life. This is quite alarming as children are most vulnerable to the adverse psychological and physiological health consequences of chronic stress exposure. Despite growing research interest in this field over the last years, literature falls short in providing an overview of methods to adequately assess stress in elementary school children (6-12 years old). This review describes questionnaires and interviews, as well as laboratory measurements of cortisol in biological samples (serum, urine, saliva and hair) as stress assessment methods in children, with the emphasis on epidemiological research settings. Major characteristics, strengths and limitations of these methods are established, examples of child-specific stressor questionnaires and interviews are provided and specific recommendations with respect to epidemiological research are formulated. In addition, hair cortisol as a potential biomarker for chronic stress (in children) is discussed more thoroughly. This review is meant to serve as a preliminary guide for health researchers new to this research area by reflecting on theoretical and methodological aspects in childhood stress assessment.

False rumors and true belief: memory processes underlying children's errant reports of rumored events

Previous research has shown that overhearing an errant rumor--either from an adult or from peers--about an earlier experience can lead children to make detailed false reports. This study investigates the extent to which such accounts are driven by changes in children's memory representations or merely social demands that encourage the reporting of rumored information. This was accomplished by (a) using a warning manipulation that eliminated social pressures to report an earlier heard rumor and (b) examining the qualitative characteristics of children's false narratives of a rumored-but-nonexperienced event. Findings indicated that overheard rumors can induce sensory and contextual characteristics in memory that can lead children to develop genuine false beliefs in seeing rumored-but-nonexperienced occurrences. Such constructive tendencies were especially likely among 3- and 4-year-olds (relative to 5- and 6-year-olds) and when rumors were picked up from peers during natural social interactions (relative to when they were planted by an adult).