International Applications of Computer-based Testing and Interpretation

The computer has been used to administer, score and interpret psychological tests in a number of countries throughout the world. This paper traces early work in the United States, Great Britain and continental Europe and reviews the current international status of computer-assisted psychological testing. Several problems with transporting existing computer-based psychological testing technology across languages and cultures are discussed.
Les ordinateurs sont utilisés pour administrer, noter et interpréter les tests psychologiques dans un certain nombre de pays du monde entier. Cet article évoque les travaux réalisés aux Etats-Unis, en Grande Bretagne et en Europe Occidentale, et passe en revue les données du courant international en la matière. Plusieurs problèmes technologiques sont soulevés par la diffusion de ces tests, notamment sur les plans du langage et de la culture.     

Effects of Social Demand on Reports of Self-Monitored Blood Glucose in Adolescents with Type 1 Diabetes Mellitus

The purpose of this study was to test the hypothesis that social demand could substantially affect reports of self-monitored blood glucose (BG) in adolescents with insulin-dependent diabetes mellitus. Of 34 patients initially enrolled in the study, 10 were excluded because they did not bring any BG records with them to an outpatient clinic appointment. The remaining 24 patients were randomly assigned to either a low or high social demand condition that provided instructions for monitoring of BG for the week following the appointment. The subjects' BG records were quantified to provide frequency of measurement and mean reported BG for the week prior to and after the clinic visit. Five subjects did not return their BG records for the week following the intervention. The analyses were therefore based on the 19 subjects from whom complete records were obtained. The 12 subjects in the low social demand group and 7 subjects in the high social demand group were equivalent with regard to age, duration of diabetes, socioeconomic status, and glycosylated hemoglobin. Frequency of BG measurement was similar in both groups during both weeks. The mean BG value reported in the week prior to intervention was similar for the groups. However, analyses of the post-intervention BGs revealed that subjects in the low-demand group reported significantly higher BGs compared to pre-intervention and to subjects in the high-demand group. These findings suggest that self-monitoring and reporting of BG is a social behavior that is affected by the demand characteristics of the interpersonal patient-health provider relationship. Because optimal treatment planning for individuals with diabetes requires accurate BG records, care must be taken to interpret them in light of the social demand characteristics associated with clinical assessment.