ABSTRACT
The Decision component of the Activation-Decision-Construction-Action-Theory (ADCAT) utilizes a cost-benefit formula to explain the cognitive, motivational and social processes involved in deception. Three prior studies suggest that ADCAT can be used to predict adults' future deceptive behavior; however, no study has assessed the potential relevance of ADCAT with children. The present study is the first to date to examine whether this cost-benefit formula can predict children's hypothetical decisions to tell three types of lies, and whether there are specific developmental factors that need to be considered. The results indicate that the cost-benefit formula was only effective for predicting children's hypothetical lies for self-gain at no cost to another (Self-No Cost lies) and lies for others when there was a personal cost (Other-Cost to Self). More specifically, expected value of telling the truth was related to lower willingness to tell hypothetical Self-No Cost and Other-Cost to Self lies. On the other hand, the expected value of lying was not related to children's hypothetical decisions to tell Self-No Cost, Self-Cost to Other or Other-Cost to Self lies. Children's inhibitory control and theory of mind were significant covariates for some of the ADCAT predictor variables and children's hypothetical truth and lying behaviors. Altogether, these findings indicate that the effectiveness of the ADCAT cost-benefit formula for predicting children's lying behavior is affected by developmental factors and the type of lie being analyzed.
Subject(s)
Deception , Motivation , Adult , Child , Child Behavior , HumansABSTRACT
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.
ABSTRACT
Background.. Intensive glycemic control confers increased risk of hypoglycemia and little benefit among older individuals with diabetes. The aim of this quality improvement project was to reduce the number of patients treated to A1C levels that might confer greater risk than benefit (i.e., potential overtreatment) in the VA New England Healthcare System. Methods.. A provider report and clinical reminder were created to identify potentially overtreated patients and prompt clinicians to consider treatment de-intensification. Potentially overtreated patients were defined as those on insulin or a sulfonylurea whose most recent A1C was <7.0% and who were >74 years of age or diagnosed with dementia or cognitive impairment. The numbers of patients screened and whose treatment was de-intensified using the clinical reminder were counted from January to December 2014. The number of high-risk veterans at baseline was compared with that 6 and 18 months after implementation using t tests. Results.. A total of 2,830 patients were screened using the clinical reminder; 9.6% had their glycemic treatment de-intensified. Among the 261 patients reporting hypoglycemia, 37% had their treatment de-intensified. Higher percentages of patients had treatment de-intensified when reported symptoms were more severe. The monthly average in the high-risk cohort declined from baseline by 18% at 6 months and by 22% at 18 months (both P <0.005). Conclusions.. A clinical reminder helps clinicians identify and reduce the number of potentially overtreated patients. The large number of screened patients whose treatment was not de-intensified suggests that a clinical reminder should be combined with provider education, national guidelines, and performance measures aligned in the interest of reducing potential overtreatment.
