Test-retest reliability of retrospective self-reports in three populations of alcohol abusers

The reliability of alcohol abusers' retrospective self-reports was evaluated using a time-line follow-back interview technique. Independent groups of male subjects were interviewed in three different treatment settings (outpatient,n=12; inpatient,n=12; residential,n=12) on two separate occasions to assess the test-retest reliability of their self-reports of daily drinking and related events occurring 1 year prior to treatment. Correlational and scatterplot analyses generally showed a high correlation and low discrepancy between the two sets of interview responses for all groups. However, since some population differences were found in the reliability of reports for some variables, further research is needed to delineate the conditions under which reliable and valid retrospective self-reports can be obtained from different populations of alcohol abusers.This research was supported, in part, by Grant No. AA07072 from the National Institute on Alcohol Abuse and Alcoholism to Vanderbilt University.     

Telemedicine in Primary Health: The Virtual Doctor Project Zambia

Physician-researchers are bound by professional obligations stemming from both the role of the physician and the role of the researcher. Currently, the dominant models for understanding the relationship between physician-researchers' clinical duties and research duties fit into three categories: the similarity position, the difference position and the middle ground. The law may be said to offer a fourth "model" that is independent from these three categories. These models frame the expectations placed upon physician-researchers by colleagues, regulators, patients and research participants. This paper examines the extent to which the data from semi-structured interviews with 30 physician-researchers at three major pediatric hospitals in Canada reflect these traditional models. It seeks to determine the extent to which existing models align with the described lived experience of the pediatric physician-researchers interviewed. Ultimately, we find that although some physician-researchers make references to something like the weak version of the similarity position, the pediatric-researchers interviewed in this study did not describe their dual roles in a way that tightly mirrors any of the existing theoretical frameworks. We thus conclude that either physician-researchers are in need of better training regarding the nature of the accountability relationships that flow from their dual roles or that models setting out these roles and relationships must be altered to better reflect what we can reasonably expect of physician-researchers in a real-world environment.