95 results on '"Mckelvie S"'
Search Results
2. Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu
- Author
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McKelvie, S, Stocker, R, Manwo, M-M, Manwo, A, Sala, T, Leodoro, B, Thach, T, Fisher, J, McKelvie, S, Stocker, R, Manwo, M-M, Manwo, A, Sala, T, Leodoro, B, Thach, T, and Fisher, J
- Abstract
BACKGROUND: We aimed to describe the association between ni-Vanuatu women's experiences of violence perpetrated by their intimate partner (IPV) during pregnancy, and health outcomes, including self-reported general health, antenatal care attendance, psychological distress and suicidal thoughts/behaviours. METHODS: A cross-sectional survey of a consecutive cohort of women attending the antenatal clinic at Northern Provincial Hospital, Vanuatu from May to July 2019. Psychological, physical and sexual IPV were measured using the WHO Violence Against Women Instrument. Psychological distress was measured using the 20-item WHO Self-Reporting Questionnaire. Data were collected in confidential individual interviews with a trained local interviewer. Logistic regression models were used to investigate the relationship between IPV and health outcomes while controlling for confounding variables. FINDINGS: 192 women contributed data, among whom 188 answered the questions about IPV. Of these, 80 women had experienced any form of IPV during the current pregnancy. Women who experienced IPV were more likely than those who did not to report poorer general health (aOR:2.97, 95%CI:1•42-6•22), higher levels of psychological distress (aOR:4.77, 95%CI:2•02-11.24) and suicidal thoughts (aOR:3•78, 95%CI:1•71-8.33) and/or behaviours (aOR:1.98, 95%CI:0•69-5.64) in the previous four weeks. Late antenatal attendance was widespread, but not related to IPV. INTERPRETATION: IPV perpetrated against women who are pregnant is a serious public health problem in Vanuatu and is related to worse antenatal physical and psychological health. FUNDING: JF is supported by the Finkel Professorial Fellowship, funded by the Finkel Family Foundation; TT is supported by a Monash Strategic Bridging Fellowship. Monash University provided a student research grant to SMcK. Soroptimist International Gippsland provided a grant to fund small gifts for the participants.
- Published
- 2021
3. Post‐treatment residual thrombus increases the risk of recurrent deep vein thrombosis and mortality
- Author
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YOUNG, L., OCKELFORD, P., MILNE, D., ROLFE‐VYSON, V., MCKELVIE, S., and HARPER, P.
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- 2006
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4. “Motherhood is like a roller coaster… lots of ups, then downs, something chaotic… “; UK & Israeli women’s experiences of motherhood 6-12 months postpartum
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Shloim, N., primary, Lans, O., additional, Brown, M., additional, Mckelvie, S., additional, Cohen, S., additional, and Cahill, J., additional
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- 2019
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5. G80 Meeting the needs of children and their carers following sexual abuse: evaluating experience and outcomes associated with a new service delivery
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Goddard, A, primary, Khadr, S, additional, Hargreaves, D, additional, Wellings, K, additional, and McKelvie, S, additional
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- 2019
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6. Preparing the workforce for frailty, an education intervention for allied health professionals and community nurses in primary and community healthcare
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McKelvie, S., primary, Broad, A., additional, Matthew, H., additional, and Bolton, S., additional
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- 2019
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7. "Motherhood is like a roller coaster... lots of ups, then downs, something chaotic... "; UK & Israeli women's experiences of motherhood 6-12 months postpartum.
- Author
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Shloim, N., Lans, O., Brown, M., Mckelvie, S., Cohen, S., and Cahill, J.
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BODY image ,INTERVIEWING ,MOTHERHOOD ,PUERPERIUM ,SATISFACTION ,QUALITATIVE research ,WELL-being ,THEMATIC analysis ,ATTITUDES of mothers - Abstract
Background: The motherhood myth has been associated with perceptions of idealised motherhood which makes it difficult for women to express related struggles or distress. This is a second follow-up study focusing on the experiences of mothers from the United Kingdom (UK) and Israel. Methods: Forty-one women were interviewed about their experience of motherhood, body-image, feeding and well-being. Interviews were analysed thematically. Data were driven by the following questions: 1. how do Israeli and UK women experience motherhood 6–12 months postpartum? 2. Are these experiences associated with body satisfaction and well-being? 3. Whether perceptions of motherhood remained stable or changed from early (<6 months) to 12 months postpartum. Results: Three meta-themes were derived from the data relating to motherhood as ideal, good enough or burdened. Such experiences were associated with body acceptance and well-being. The ideal mother was associated with lack of preoccupation with body image whereas the good enough mother aspired to reclaim her mind and her old body. Our findings suggested that the burdened mothers' struggles in relating to motherhood often correlated to a negative body image. Israeli women perceived motherhood as ideal in the early and later postpartum whereas UK mothers continued to relate to their motherhood as ideal 6–12 months postpartum. Conclusions: Perceptions of motherhood varied between Israeli and UK mothers suggesting a diversity positively associated with culture and country. Encouraging mothers to openly share their perceptions of motherhood could lead to improvements in maternal well-being and more positive interactions with the newborn. [ABSTRACT FROM AUTHOR]
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- 2020
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8. Antibiotic prescribing for the older adult: beliefs and practices in primary care
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Hayward, G N, primary, Moore, A, additional, Mckelvie, S, additional, Lasserson, D S, additional, and Croxson, C, additional
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- 2018
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9. Improving the rehabilitation of older people after emergency hospital admission
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McKelvie, S., primary, Hall, A.M., additional, Richmond, H.R., additional, Finnegan, S., additional, and Lasserson, D., additional
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- 2018
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10. Lateral Reversal and Facial Recognition Memory: Are Right-Lookers Special?
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McKelvie, S. J., Ellis, Hadyn D., editor, Jeeves, Malcolm A., editor, Newcombe, Freda, editor, and Young, Andy, editor
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- 1986
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11. Rehabilitation for older people after emergency hospital admission: a systematic review
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McKelvie, S., primary, Hall, A., additional, Richmond, H., additional, Finnegan, S., additional, and Lasserson, D., additional
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- 2017
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12. Antibiotic prescribing for the older adult: beliefs and practices in primary care.
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Hayward, G N, Moore, A, Mckelvie, S, Lasserson, D S, and Croxson, C
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DISEASES in older people ,MEDICAL care for older people ,MORTALITY ,ANTIBIOTICS ,DIAGNOSIS - Abstract
Background: Older adults suffer high morbidity and mortality following serious infections, and hospital admissions with these conditions are increasingly common. Antibiotic prescribing in the older adult population, especially in long-term care facilities, has been argued to be inappropriately high. In order to develop the evidence base and provide support to GPs in achieving antimicrobial stewardship in older adults it is important to understand their attitudes and beliefs toward antibiotic prescribing in this population.Objectives: To understand the attitudes and beliefs held by GPs regarding antibiotic prescribing in older adults.Methods: Semi-structured qualitative interviews were conducted with 28 GPs working in the UK. Data analysis followed a modified framework approach.Results: GPs described antibiotic prescribing in older adults as differing from prescribing in other age groups in a number of ways, including prescribing broad-spectrum, longer and earlier antibiotics in this population. There were also rationales for situations where antibiotics were prescribed despite there being no clear diagnosis of infection. Trials of antibiotics were used both as diagnostic aids and in an attempt to avoid admission. The risks of antibiotics were understood, but in some cases restrictions on antibiotic use were thought to hamper optimal management of infection in this age group.Conclusions: Diagnosing serious infections in older adults is challenging and antibiotic prescribing practices reflect this challenge, but also reflect an absence of clear guidance or evidence. Research that can fill the gaps in the evidence base is required in order to support GPs with their critical antimicrobial stewardship role in this population. [ABSTRACT FROM AUTHOR]- Published
- 2019
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13. Abstract PR437
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Hawthorne, C., primary, Schraag, S., additional, Suttcliffe, N., additional, McKelvie, S., additional, Shaw, M., additional, and Chandran, M., additional
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- 2016
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14. Stylised facts for New Zealand business cycles: A post-1987 perspective
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McKelvie, S., Hall, Viv B., McKelvie, S., and Hall, Viv B.
- Abstract
Key features of NZ business cycles were established for the period 1966q4 to 1990q1 by Kim, Buckle and Hall (1994) (KBH), but the conduct of fiscal, monetary and labour market policy and the behaviour of New Zealand's economy have changed considerably since then. Our results for the period 1987q2 to 2010q4 show a reduction in volatility and a rise in persistence for both the real economy and for price and monetary variables. Government sector, open economy, monetary and labour market results differ from those advanced in KBH. Overall, we establish a more credible set of benchmark regularities, to help underpin the construction and use of contemporary NZ macroeconomic models.
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- 2012
15. Assessing Cost Effectiveness of Environmental Control Measures
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Powell, S. M., additional, McKelvie, S., additional, Blanchard, J. R., additional, and Payne, M., additional
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- 2000
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16. A nitrogen-based model of plankton dynamics in the oceanic mixed layer
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Fasham, M. J. R., primary, Ducklow, H. W., additional, and McKelvie, S. M., additional
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- 1990
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17. Mind--and Body--of the Marathoner.
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McKelvie, S. J., Valliant, P. M., and Asu, M. E.
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This article discusses a survey that was conducted to discover what physical and psychological factors contribute to marathon race time. Mentioned variables include training mileage, age and experience, locus of control, competitive anxiety, and repression-sensitization. The original study was published in the article "Physical training and personality factors as predictors of marathon time and training injury," in the 1985 publication of "Perceptual and Motor Skills."
- Published
- 1985
18. Extraversion and attitude towards capital punishment
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MCKELVIE, S
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- 1982
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19. Personality and belief in Capital Punishment: a replication and extension
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MCKELVIE, S
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- 1983
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20. A critical analysis of UK media characterisations of Long Covid in children and young people.
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Connor C, Kranert M, Mckelvie S, Clutterbuck D, McFarland S, and Alwan NA
- Abstract
Long Covid is the continuation or development of symptoms related to a SARSCoV2 infection. Those with Long Covid may face epistemic injustice, where they are unjustifiably viewed as unreliable evaluators of their own illness experiences. Media articles both reflect and influence perception and subsequently how people regard children and young people (CYP) with Long Covid, and may contribute to epistemic injustice. We aimed to explore how the UK media characterises Long Covid in CYP through examining three key actor groups: parents, healthcare professionals, and CYP with Long Covid, through the lens of epistemic injustice. A systematic search strategy resulted in the inclusion of 103 UK media articles. We used an adapted corpus-assisted Critical Discourse Analysis in tandem with thematic analysis. Specifically, we utilised search terms to locate concordances of key actor groups. In the corpus, parents highlighted minimisation of Long Covid, barriers to care, and experiences of personal attacks. Mothers were presented as also having Long Covid. Fathers were unmentioned. Healthcare professionals emphasised the rarity of Long Covid in CYP, avoided pathologising Long Covid, and overemphasised psychological components. CYP were rarely consulted in media articles but were presented as formerly very able. Manifestations of Long Covid in CYP were validated or invalidated in relation to adults. Media characterisations contributed to epistemic injustice. The disempowering portrayal of parents promotes stigma and barriers to care. Healthcare professionals' narratives often contributed to negative healthcare experiences and enacted testimonial injustice, where CYP and parents' credibility was diminished due to unfair identity prejudice, in their invalidation of Long Covid. Media characterisations reveal and maintain a lack of societal framework for understanding Long Covid in CYP. The findings of this study illustrate the discursive practices employed by journalists that contribute to experiences of epistemic injustice. Based on our findings, we propose recommendations for journalists., Competing Interests: The authors have read the journal’s policy and have the following competing interests: Sammie Mcfarland is the founder and CEO of Long Covid Kids. Nisreen A. Alwan is a Long Covid Kids Charity Champion, a scientific advisor to the Long Covid Support Charity, and has contributed in an advisory capacity to WHO and the EU Commission’s Expert Panel on effective ways of investing in health meetings in relation to post-COVID-19 condition. Nisreen A. Alwan is also co-investigator on the NIHR-funded STIMULATE ICP study. Sara Mckelvie is funded by NIHR Clinical Lectureship CL-2021-26-001. This does not alter our adherence to PLOS ONE policies on sharing data and materials., (Copyright: © 2024 Connor et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2024
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21. Clinical Validation of the Covariates Pharmacokinetic Model for Propofol in an Adult Population.
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Hawthorne C, Shaw M, Campbell R, Sutcliffe N, McKelvie S, and Schraag S
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- Adult, Humans, Male, Female, Anesthetics, Intravenous pharmacokinetics, Infusions, Intravenous, Models, Biological, Propofol
- Abstract
Background and Objective: Pharmacokinetic or pharmacokinetic-pharmacodynamic models have been instrumental in facilitating the clinical use of propofol in target-controlled infusion systems in anaesthetic practice. There has been debate over which model should be recommended for practice. The covariates model is an updated pharmacokinetic model for propofol. The aim of this study was to prospectively validate this model in an adult population., Methods: Twenty-nine patients were included, with a range of ages to assess model performance in younger and older individuals. Subjects received propofol through a target-controlled infusion device programmed with the covariates model. Subjects were randomised to one of two increasing/decreasing regimes of propofol plasma target concentrations between 2 and 5 μg.mL
-1 . After the start of the infusion, arterial and venous blood samples were drawn at pre-specified timepoints between 1.5 and 20 min and between 1.5 and 45 min, respectively. Predictive performance was assessed using established methodology., Results: The model achieved a bias of 9 (- 45 to 82) and precision of 24 (9-82) for arterial samples and bias of - 8 (- 64 to 70) and precision of 23 (9-70) for venous samples. Predicted concentrations tended to be higher than the measured concentrations in female individuals but lower in male individuals. There was no clear systematic difference in the bias between younger and older patients., Conclusions: The covariates propofol pharmacokinetic model achieved an acceptable level of predictive performance, as assessed by both arterial and venous sampling, for use in target-controlled infusion in clinical practice., Clinical Trial Registration: NCT01492712 (15 December, 2011)., (© 2022. The Author(s).)- Published
- 2022
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22. Prevalence, Patterns, and Determinants of Intimate Partner Violence Experienced by Women Who Are Pregnant in Sanma Province, Vanuatu.
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McKelvie S, Leodoro B, Sala T, Tran T, and Fisher J
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- Adult, Child, Cross-Sectional Studies, Female, Humans, Pregnancy, Prevalence, Risk Factors, Vanuatu, Intimate Partner Violence psychology, Pregnant People psychology
- Abstract
Violence perpetrated by an intimate partner (IPV) is an important human rights and public health problem worldwide and when experienced during pregnancy is of special concern due to the harmful impact on maternal and child health. Women living in Vanuatu, and especially Sanma Province, experience high rates of IPV, however little is known about their experiences of violence when pregnant. The aim was to describe the prevalence, patterns and determinants of IPV among women who are pregnant in Sanma Province, Vanuatu. A cross-sectional survey was used. All healthy adult women attending Northern Provincial Hospital antenatal clinic from late May to late July 2019 were eligible and invited to participate. Psychological, physical and sexual IPV and controlling behaviours were assessed with a modified version of the World Health Organization Violence Against Women Instrument administered as an individual interview. Descriptive statistics were used to analyse prevalence and patterns of IPV and logistic regression models to identify determinants. Of 214 women who expressed interest in participating, 192 women contributed data. Overall 64.2% of women had experienced any IPV during their lifetime and 42.2% had experienced IPV during their current pregnancy. Experience of co-occurrence of violence types was common, and it was more common for IPV to continue than to cease during pregnancy. Factors which increased likelihood of experiencing IPV included being employed, occupying a lower socioeconomic position, having a partner who was unemployed or used alcohol or illicit substances at least once a week. IPV, in all its forms, is a common problem faced by women who are pregnant and living in Vanuatu.
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- 2022
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23. Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu.
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McKelvie S, Stocker R, Manwo MM, Manwo A, Sala T, Leodoro B, Tran T, and Fisher J
- Abstract
Background: We aimed to describe the association between ni-Vanuatu women's experiences of violence perpetrated by their intimate partner (IPV) during pregnancy, and health outcomes, including self-reported general health, antenatal care attendance, psychological distress and suicidal thoughts/behaviours., Methods: A cross-sectional survey of a consecutive cohort of women attending the antenatal clinic at Northern Provincial Hospital, Vanuatu from May to July 2019. Psychological, physical and sexual IPV were measured using the WHO Violence Against Women Instrument. Psychological distress was measured using the 20-item WHO Self-Reporting Questionnaire. Data were collected in confidential individual interviews with a trained local interviewer. Logistic regression models were used to investigate the relationship between IPV and health outcomes while controlling for confounding variables., Findings: 192 women contributed data, among whom 188 answered the questions about IPV. Of these, 80 women had experienced any form of IPV during the current pregnancy. Women who experienced IPV were more likely than those who did not to report poorer general health (aOR:2.97, 95%CI:1•42-6•22), higher levels of psychological distress (aOR:4.77, 95%CI:2•02-11.24) and suicidal thoughts (aOR:3•78, 95%CI:1•71-8.33) and/or behaviours (aOR:1.98, 95%CI:0•69-5.64) in the previous four weeks. Late antenatal attendance was widespread, but not related to IPV., Interpretation: IPV perpetrated against women who are pregnant is a serious public health problem in Vanuatu and is related to worse antenatal physical and psychological health., Funding: JF is supported by the Finkel Professorial Fellowship, funded by the Finkel Family Foundation; TT is supported by a Monash Strategic Bridging Fellowship. Monash University provided a student research grant to SMcK. Soroptimist International Gippsland provided a grant to fund small gifts for the participants., Competing Interests: The authors declare that there are no competing interests., (© 2021 The Author(s). Published by Elsevier Ltd.)
- Published
- 2021
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24. Urgent assessment and ongoing care for infection in community-dwelling older people: a qualitative study of patient experience.
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Moore A, McKelvie S, Glogowska M, Lasserson DS, and Hayward G
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- Aged, Aged, 80 and over, Caregivers, Humans, Patient Outcome Assessment, Qualitative Research, General Practitioners, Independent Living
- Abstract
Objectives: To explore the experience of infection from the perspective of community-dwelling older people, including access and preferences for place of care., Design: Qualitative interview study, carried out between March 2017 and August 2018., Setting: Ambulatory care units in Oxfordshire, UK., Participants: Adults >70 years with a clinical diagnosis of infection., Methods: Semistructured interviews based on a flexible topic guide. Participants were given the option to be interviewed with their caregiver. Thematic analysis was facilitated by NVivo V.11., Results: Participants described encountering several barriers when accessing an urgent healthcare assessment which were hard to negotiate when they felt unwell. They valued home comforts and independence if they received care for their infection at home, though were worried about burdening their family. Most talked about hospital admission being a necessity in the context of more severe illness. Perceived advantages included monitoring, availability of treatments and investigations. However, some recognised that admission put them at risk of a hospital-acquired infection. Ambulatory care was felt to be convenient if local, but daily transport was challenging., Conclusions: Providers may need to think about protocols and targeted advice that could improve access for older people to urgent healthcare when they feel unwell. General practitioners making decisions about place of care may need to better communicate risks associated with the available options and think about balancing convenience with facilities for care., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2021
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25. The Convergent Validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS).
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Broad A, Carter B, Mckelvie S, and Hewitt J
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Background: Different scales are being used to measure frailty. This study examined the convergent validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS). Method: The cross-sectional study recruited patients from three regional community nursing teams in the South East of England. The CFS was rated at recruitment, and the eFI was extracted from electronic health records (EHRs). A McNemar test of paired data was used to compare discordant pairs between the eFI and the CFS, and an exact McNemar Odds Ratio (OR) was calculated. Findings: Of 265 eligible patients consented, 150 (57%) were female, with a mean age of 85.6 years (SD = 7.8), and 78% were 80 years and older. Using the CFS, 68% were estimated to be moderate to severely frail, compared to 91% using the eFI. The eFI recorded a greater degree of frailty than the CFS (OR = 5.43, 95%CI 3.05 to 10.40; p < 0.001). This increased to 7.8 times more likely in men, and 9.5 times in those aged over 80 years. Conclusions: This study found that the eFI overestimates the frailty status of community dwelling older people. Overestimating frailty may impact on the demand of resources required for further management and treatment of those identified as being frail.
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- 2020
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26. Research priorities in advanced heart failure: James Lind alliance priority setting partnership.
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Taylor CJ, Huntley AL, Burden J, Gadoud A, Gronlund T, Jones NR, Wicks E, McKelvie S, Byatt K, Lehman R, King A, Mumford B, Feder G, Mant J, Hobbs R, and Johnson R
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- Adult, Aged, Aged, 80 and over, Caregivers, Consensus, Cooperative Behavior, Female, Health Personnel, Heart Failure diagnosis, Heart Failure physiopathology, Humans, Male, Middle Aged, Patients, Health Priorities, Heart Failure therapy, Research Design, Stakeholder Participation
- Abstract
Objective: To determine research priorities in advanced heart failure (HF) for patients, carers and healthcare professionals., Methods: Priority setting partnership using the systematic James Lind Alliance method for ranking and setting research priorities. An initial open survey of patients, carers and healthcare professionals identified respondents' questions, which were categorised to produce a list of summary research questions; questions already answered in existing literature were removed. In a second survey of patients, carers and healthcare professionals, respondents ranked the summary research questions in order of priority. The top 25 unanswered research priorities were then considered at a face-to-face workshop using nominal group technique to agree on a 'top 10'., Results: 192 respondents submitted 489 responses each containing one or more research uncertainty. Out-of-scope questions (35) were removed, and collating the responses produced 80 summary questions. Questions already answered in the literature (15) were removed. In the second survey, 65 questions were ranked by 128 respondents. The top 10 priorities were developed at a consensus meeting of stakeholders and included a focus on quality of life, psychological support, the impact on carers, role of the charity sector and managing prognostic uncertainty. Ranked priorities by physicians and patients were remarkably divergent., Conclusions: Engaging stakeholders in setting research priorities led to a novel set of research questions that might not have otherwise been considered. These priorities can be used by researchers and funders to direct future research towards the areas which matter most to people living with advanced HF., Competing Interests: Competing interests: CT reports personal fees from Novartis and Vifor and non-financial support from Roche outside the submitted work. RL reports personal fees from Yale University Open Data Access Project, outside the submitted work. KB reports other from Animal Free Research UK, and other funding from Wye Valley NHS Trust, outside the submitted work. JM reports personal fees from Bristol Myers Squibb, outside the submitted work. RH reports personal fees from Novartis, outside the submitted work., (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2020
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27. Infection in older adults: a qualitative study of patient experience.
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Moore A, McKelvie S, Glogowska M, Lasserson D, and Hayward G
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- Aged, Hospitalization, Humans, Patient Outcome Assessment, Qualitative Research, Caregivers, Health Personnel
- Abstract
Background: Infection is common in older adults. Serious infection has a high mortality rate and is associated with unplanned hospital admissions. Little is known about the factors that prompt older patients to seek medical advice when they may have an infection., Aim: To explore the symptoms of infection from the perspective of older adults, and when and why older patients seek healthcare advice for a possible infection., Design and Setting: A qualitative interview study among adults aged ≥70 years with a clinical diagnosis of infection recruited from ambulatory care units in Oxford, UK., Method: Interviews were semi-structured and based on a flexible topic guide. Participants were given the option to be interviewed with their carer. Thematic analysis was facilitated using NVivo (version 11)., Results: A total of 28 participants (22 patients and six carers) took part. Patients (aged 70-92 years) had experienced a range of different infections. Several early non-specific symptoms were described (fever, feeling unwell, lethargy, vomiting, pain, and confusion/delirium). Internally minimising symptoms was common and participants with historical experience of infection tended to be better able to interpret their symptoms. Factors influencing seeking healthcare advice included prompts from family, specific or intolerable symptoms, symptom duration, and being unable to manage with self-care. For some, not wanting to be a burden affected their desire to seek help., Conclusion: Tailored advice to older adults highlighting early symptoms of infection may be beneficial. Knowing whether patients have had previous experience of infection may help healthcare professionals in assessing older patients with possible infection., (© British Journal of General Practice 2020.)
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- 2020
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28. General practitioners' attitudes and decision making regarding admission for older adults with infection: a UK qualitative interview study.
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Moore A, Croxson C, McKelvie S, Lasserson D, and Hayward G
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- Aged, Female, Humans, Interviews as Topic, Male, Primary Health Care, Qualitative Research, Social Support, United Kingdom, Attitude of Health Personnel, Decision Making, Shared, General Practitioners psychology, Hospitalization, Infections therapy, Practice Patterns, Physicians'
- Abstract
Background: The world has an ageing population. Infection is common in older adults; serious infection has a high mortality rate and is associated with unplanned admissions. In the UK, general practitioners (GPs) must identify which older patients require admission to hospital and provide appropriate care and support for those staying at home., Objectives: To explore attitudes of UK GPs towards referring older patients with suspected infection to hospital, how they weigh up the decision to admit against the alternatives and how alternatives to admission could be made more effective.Methods. Qualitative study using semi-structured interviews. GPs were purposively sampled from across the UK to achieve maximum variation in terms of GP role, experience and practice population. Interview transcripts were coded and analysed using a modified framework approach., Results: GPs' key influences on decision making were grouped into patient, GP and system factors. Patient factors included clinical factors, social factors and shared decision making. GP factors included gut instinct, risk management and acknowledging an associated personal emotional burden. System factors involved weighing up the pressure on secondary care beds against increasing GP workload. GPs described that finding an alternative to admission could be more time consuming, complex to arrange or were restricted by lack of capacity., Conclusion: GPs need to be empowered to make safe decisions about place of care for older adults with suspected infection. This may mean developing strategies to support decision making as well as improving the ease of access to, and capacity of, any alternatives to admission., (© The Author(s) 2018. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
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- 2019
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29. Challenges and strategies for general practitioners diagnosing serious infections in older adults: a UK qualitative interview study.
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McKelvie S, Moore A, Croxson C, Lasserson DS, and Hayward GN
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- Aged, Antimicrobial Stewardship, Female, Hospitalization, Humans, Male, Practice Patterns, Physicians', Prognosis, Qualitative Research, Severity of Illness Index, United Kingdom, Clinical Competence, Clinical Decision-Making, General Practitioners, Infections diagnosis
- Abstract
Background: Serious infections in older people are associated with unplanned hospital admissions and high mortality. Recognising the presence of a serious infection and making an accurate diagnosis are important challenges for General Practice. This study aimed to explore the issues UK GPs face when diagnosing serious infections in older patients., Methods: Qualitative study using semi-structured interviews. 28 GPs from 27 practices were purposively sampled from across the UK to achieve maximum variation in terms of GP role, experience and practice population. Interviews began by asking participants to describe recent or memorable cases where they had assessed older patients with suspected serious infections. Additional questions from the topic guide were used to explore the challenges further. Interview transcripts were coded and analysed using a modified framework approach., Results: Diagnosing serious infection in older adults was perceived to be challenging by participating GPs and the diagnosis was often uncertain. Contributing factors included patient complexity, atypical presentations, as well as a lack of knowledge of patients due to a loss in continuity. Diagnostic challenges were present at each stage of the patient assessment. Scoring systems were mainly used as communication tools. Investigations were sometimes used to resolve diagnostic uncertainty, but availability and speed of result limited their practical use. Clear safety-net plans shared with patients and their families helped GPs manage ongoing uncertainty., Conclusions: Diagnostic challenges are present throughout the assessment of an older adult with a serious infection in primary care. Supporting GPs to provide continuity of care may improve the recognition and developing point of care testing for use in community settings may reduce diagnostic uncertainty.
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- 2019
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30. Teaching Psychology Research Methodology Across the Curriculum to Promote Undergraduate Publication: An Eight-Course Structure and Two Helpful Practices.
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McKelvie S and Standing LG
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- 2018
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31. Forming impressions from English and French first names: is there an in-group effect in Québec?
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Heuvelink C, McKelvie S, and Drumheller A
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- Adolescent, Adult, Analysis of Variance, Cross-Cultural Comparison, Female, Humans, Linguistics, Male, Quebec, Students psychology, Young Adult, Ethnicity psychology, Language, Names, Social Identification
- Abstract
Using the Name Connotation Profile, English Canadian and French Canadian university students rated their impressions of people with English or French first names. Both the English and French students formed a more favorable impression of people who had names from their own linguistic group. These results are consistent with social identity theory, according to which people define themselves in part by groups to which they belong, with the contact hypothesis, according to which people feel more positively towards those with whom they have interacted more, and perhaps with the mere exposure effect, according to which liking for an object increases with the frequency with which it is presented.
- Published
- 2012
- Full Text
- View/download PDF
32. Students' reports of athletic involvement as predictors of drinking: a pilot study.
- Author
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Higgs SR, McKelvie SJ, and Standing LG
- Subjects
- Adult, Alcohol Drinking epidemiology, Female, Health Surveys, Humans, Male, Pilot Projects, Sex Factors, Smoking epidemiology, Smoking psychology, Students statistics & numerical data, Alcohol Drinking psychology, Self Disclosure, Sports psychology, Students psychology
- Abstract
54 undergraduates' reports indicated that the amount of alcohol consumed per week did not differ among university athletes, intramural athletes, and non-athletes, but it was positively related to male gender and to reported smoking.
- Published
- 2001
- Full Text
- View/download PDF
33. Factors affecting subjective estimates of magnitude: when is 9 > 221?
- Author
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McKelvie SJ
- Subjects
- Humans, Individuality, Set, Psychology, Attention, Judgment, Problem Solving
- Abstract
112 undergraduates separately judged the size of the numbers 9 then 221 or 221 then 9 on a 10-point scale or on a continuous line that were both anchored only at the extremes by "very, very small" and "very, very large." Replicating the 1999 Birnbaum study, 9 was given a higher rating than 221 when the numbers were judged first by different people on the numerical scale. However, 9 was given a similar or smaller rating than 221 in the other conditions. The results are discussed in terms of context effects.
- Published
- 2001
- Full Text
- View/download PDF
34. Effects of free and forced retrieval instructions on false recall and recognition.
- Author
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McKelvie SJ
- Subjects
- Adult, Humans, Vocabulary, Mental Recall, Recognition, Psychology
- Abstract
One hundred undergraduates heard 6 lists of 14 words that were each associated with 1 of 6 central concepts not on the lists (the DRMRS procedure). The participants were instructed to recall as many words as possible (free retrieval) or to fill all 14 spaces (forced retrieval) and were subsequently given a recognition test. False recall and recognition of the critical central concepts were higher with forced than with free retrieval instructions, but correct recall and recognition were not affected. Confidence was lower for false than for correct recall and recognition. Confidence was also lower with forced than with free retrieval instructions for false recall but not for false recognition. The DRMRS procedure easily elicited false memories, but confidence judgments helped more in detecting them in recall than in recognition. Theoretical and applied implications are discussed.
- Published
- 2001
- Full Text
- View/download PDF
35. Extraversion and the rebound effect after thought suppression.
- Author
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Bourdon N, McKelvie SJ, and Stout D
- Subjects
- Humans, Personality Inventory, Extraversion, Psychological, Thinking
- Abstract
83 participants thought about a white bear before or after trying to suppress the idea. There was no rebound effect (more expression of white-bear thoughts after than before suppression) for either introverts or extraverts.
- Published
- 2001
- Full Text
- View/download PDF
36. Visual imagery in recognition and source memory for audiotape and text.
- Author
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McKelvie SJ and Eberman C
- Subjects
- Adult, Female, Humans, Male, Auditory Perception, Imagination, Memory physiology, Recognition, Psychology
- Abstract
80 participants heard an audiotape of a crime, read an account with both correct and new information, then took recognition and source memory tests. While listening and reading, participants attended carefully, and half also formed visual images of the events. Imagery instructions had no effects, but recognition memory was better for material from the text only than from the audiotape only, whereas source memory was better for audiotape than for text. These results replicate previous findings for film and audiotape.
- Published
- 2001
- Full Text
- View/download PDF
37. The availability heuristic with famous names: a replication.
- Author
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McKelvie SJ and Drumheller A
- Subjects
- Female, Humans, Male, Random Allocation, Recognition, Psychology, Famous Persons, Judgment, Names
- Abstract
In two experiments, 195 Canadian undergraduates initially judged a list of 25 names (12 famous men and 13 nonfamous women or 12 famous women and 13 nonfamous men) for familiarity. Contrary to previous research, subsequent estimates of the perceived number of men's and women's names were not higher when the names were famous than nonfamous. When the estimated differences were compared to the true difference (-1), famous names were judged more numerous than nonfamous names, but the size of the effect (d = 0.34) was smaller than in previous research. Reasons for these findings are discussed.
- Published
- 2001
- Full Text
- View/download PDF
38. Parental imagery vividness: gender differences and relationships to emotional closeness.
- Author
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McKelvie SJ
- Subjects
- Adolescent, Adult, Female, Humans, Male, Psychometrics, Sex Factors, Surveys and Questionnaires standards, Emotions, Imagination, Parent-Child Relations
- Abstract
This research was an investigation of the vividness with which individuals see their parents in different situations. In 3 studies, the Vividness of Visual Imagery for Parents Questionnaire (VVIPQ; S. J. McKelvie, 1998a) was completed by university undergraduates (201 women, 167 men). Visual imagery of mothers was reported to be more vivid than that of fathers, but only by the female students. For intact families, the female students also reported more imagery of mothers than of fathers, whereas the male students reported more vivid imagery of fathers than of mothers. However, for divorced or separated families in which individuals spent more time with their mothers, both men and women rated their mothers more vividly than their fathers. More vivid imagery was positively related to reported emotional closeness to parents and to more vivid imagery for general scenes. VVIPQ scores were associated with social desirability but were not related to measures of response leniency or general intelligence. Split-half reliability of the VVIPQ was very good, and both test-retest and alternate-format reliability were acceptable. The correlational evidence supports the construct validity of the VVIPQ, which is a promising tool for studying parental imagery.
- Published
- 2000
39. Effects of bogus feedback on intelligence test performance.
- Author
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Rousseau FL and McKelvie SJ
- Subjects
- Adolescent, Child, Feedback physiology, Female, Humans, Male, Random Allocation, Intelligence, Intelligence Tests
- Abstract
French-Canadian high school students (N = 196) completed different forms of the Wonderlic Personnel Test (WPT; E. F. Wonderlic, 1983) on two occasions. Before the second test, they received negative or positive bogus feedback about their initial performance. Most students (n = 158) were informed that the WPT measured intelligence, and the instruction was issued before either the first (n = 42) or the second test (n = 116). In the latter case, WPT validity either was not mentioned (n = 36) or was described as high or low (ns = 39 and 41, respectively). WPT performance improved on the second test, but it was not related to feedback in any of the instruction conditions. Reasons for these results and their practical implications are discussed.
- Published
- 2000
- Full Text
- View/download PDF
40. Split-half reliability of two facial imagery questionnaires.
- Author
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McKelvie SJ
- Subjects
- Humans, Psychometrics, Reproducibility of Results, Surveys and Questionnaires, Face, Form Perception, Imagination, Memory
- Abstract
Nine estimates of split-half reliability were calculated for two self-report facial imagery questionnaires. The mean values of .78 and .70 were judged to be only marginally acceptable. This may partly account for the previously reported weak relationship between the facial imagery and face recognition-memory performance.
- Published
- 1998
- Full Text
- View/download PDF
41. Endotracheal suctioning.
- Author
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McKelvie S
- Subjects
- Adolescent, Adult, Aged, Child, Child, Preschool, Humans, Infant, Middle Aged, Oxygen Inhalation Therapy methods, Oxygen Inhalation Therapy nursing, Practice Guidelines as Topic, Sodium Chloride therapeutic use, Suction instrumentation, Suction methods, Critical Care methods, Intubation, Intratracheal nursing, Suction nursing
- Abstract
Endotracheal suction is one of the most common procedures carried out in an intensive care unit. Review of the evidence reveals that both manual hyperinflation and the instillation of saline are not effective and are potentially harmful. The frequency of suctioning, catheter-size, suction pressure and open versus closed systems are discussed. Recommendations for practice are outlined.
- Published
- 1998
42. Perception of faces with and without spectacles.
- Author
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McKelvie SJ
- Subjects
- Esthetics, Female, Humans, Male, Social Perception, Eyeglasses, Face, Form Perception, Stereotyping
- Abstract
For 20 faces, 85 subjects selected either a distinctive feature or a distinctive trait. For faces with spectacles, the eyes were judged to be most prominent, and the people were judged to be dull and intelligent. Results are discussed in terms of the physical attractiveness stereotype.
- Published
- 1997
- Full Text
- View/download PDF
43. The availability heuristic: effects of fame and gender on the estimated frequency of male and female names.
- Author
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McKelvie SJ
- Subjects
- Adult, Analysis of Variance, Effect Modifier, Epidemiologic, Female, Humans, Male, Universities, Famous Persons, Judgment, Names, Prejudice, Sex, Students psychology
- Abstract
In two experiments, Canadian undergraduates heard a list of 13 male names and 13 female names; then they estimated how many male and female names there seemed to be. In Experiment 1, the list consisted of 26 famous names or 26 nonfamous names. Both male and female participants gave similar estimates for the number of male and female names, contradicting hypotheses of a bias toward males or toward one's own gender. In Experiment 2, where the list contained names of famous men and nonfamous women or names of famous women and nonfamous men, participants gave higher estimates for the gender that was famous (effect size d = 0.78). This result confirmed Tversky and Kahneman's (1973) fame availability effect and showed it to be moderate to large in size.
- Published
- 1997
- Full Text
- View/download PDF
44. Effect of face context on recognition memory for voices.
- Author
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Armstrong HA and McKelvie SJ
- Subjects
- Adult, Female, Humans, Male, Random Allocation, Face, Memory, Speech Perception, Voice
- Abstract
Participants heard 10 voices and were given a 2-alternative recognition-memory test. Accuracy was higher when testing was intentional rather than incidental and when faces accompanying the original voices were re-presented during the test. Some support was found for an attention-allocation model, which predicted poorest performance with incidental testing and faces not reinstated. Reported confidence was higher for correct than for incorrect decisions, but more confident participants were not more accurate.
- Published
- 1996
- Full Text
- View/download PDF
45. Encoding operations and recognition memory for faces.
- Author
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McKelvie SJ
- Subjects
- Humans, Random Allocation, Visual Perception, Face, Memory, Mental Recall
- Abstract
Two experiments examined the effects of encoding operations on forced-choice recognition memory for upright and inverted photographs of faces. In Experiment 1, with distractors closely matched to targets, performance was better on upright than on inverted faces, but was unaffected by whether subjects judged faces for distinctive features, distinctive traits or distinctive expressions. In Experiment 2, where distractors were either absent or weakly matched to distractors, accuracy was again higher on upright than on inverted faces, and was similar for the three encoding operations on upright faces. In contrast, it was poorer for distinctive expression judgments than for distinctive feature or for distinctive trait judgments on inverted faces. These results support Winograd's (1981) claim that distinctive feature and distinctive trait judgments both lead to the isolation of distinctive features. However, it was argued that distinctive expression judgments led to configural processing that was disrupted by inversion.
- Published
- 1995
- Full Text
- View/download PDF
46. Emotional expression in upside-down faces: evidence for configurational and componential processing.
- Author
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McKelvie SJ
- Subjects
- Adult, Female, Humans, Male, Affect, Attention, Discrimination Learning, Facial Expression, Orientation, Pattern Recognition, Visual
- Abstract
In two experiments, a total of 126 subjects judged the seven emotional expressions of Ekman & Friesen's (1976) pictures of facial affect presented upright or inverted. Inversion reduced accuracy for sad, fear, anger and disgust, and sad was identified as neutral. However, happy was identified almost perfectly on upright and inverted faces, and both anger and disgust were identified significantly often on inverted faces. In addition, the classic confusions between surprise and fear and between disgust and anger occurred on both upright and inverted faces. It is argued that expressions are difficult to identify on inverted faces when they are based on configural information. However, accurate performance on inverted faces and similar confusions on upright and inverted faces are due to componential processing.
- Published
- 1995
- Full Text
- View/download PDF
47. Effects of "parental filter" on reported vividness of imagery.
- Author
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McKelvie SJ
- Subjects
- Female, Humans, Male, Parent-Child Relations, Sex Factors, Eidetic Imagery, Fathers psychology, Mothers psychology
- Abstract
127 undergraduates (66 women, 61 men) completed experimental forms of Ahsen's Adapted Vividness of Visual Imagery Questionnaire (AA-VVIQ) in which the 16 items of Marks' Vividness of Visual Imagery Questionnaire (VVIQ) are rated separately with either mother or father in mind. When the two ratings were made side-by-side for each item and those for the father filter were given first, there was some evidence of dimmer father- than mother-filtered imagery for women. However, this effect did not appear when the mother-filtered ratings were given first, when all items were rated under one parental filter before being rated with the other, or when the filter instruction was given only before the first four items (which refer to a relative or friend). These results do not support claims that reported imagery is generally dimmer under the father than under the mother filter, but it was suggested that dimmer father- than mother-filtered imagery for women may be an order effect or may appear when raters freely compare their images under the two filters. Because scores were highly correlated (rs > .80) across filters, it was concluded that the choice of a parent for the first four items of Marks' VVIQ does not jeopardize the use of the inventory as a research instrument to classify people as good or poor visualizers.
- Published
- 1994
- Full Text
- View/download PDF
48. Is memory for head orientation based on a left-looking schema?
- Author
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McKelvie SJ
- Subjects
- Adult, Analysis of Variance, Cues, Female, Humans, Male, Pattern Recognition, Visual, Photography, Psychological Theory, Social Behavior, Time Factors, Face, Memory physiology, Posture
- Abstract
Research has shown that people misremember right-looking heads on coins as facing to the left, suggesting a general memory schema that favors left-lookers. This hypothesis was investigated in a study of 241 subjects in three experiments who were shown photographs of faces looking to the left, to the right, or at the observer and were later asked to identify whether each one had subsequently been left-right reversed. Also, in Experiments 2 and 3, respectively, initial judgments of liking and of orientation were obtained. Unexpectedly, orientation memory accuracy was lower after a 5-s exposure than after a 1-s exposure, and after initial judgments of lateral orientation than after judgments of liking. Although the difference between left- and right-lookers was significant in only 2 of 14 comparisons, aggregated data showed that identification accuracy was generally higher for left-lookers, with a mean effect size of 0.16. Although small, this difference is consistent with the hypothesis of a left-looking schema for heads.
- Published
- 1994
- Full Text
- View/download PDF
49. Effects of colored separate and interactive pictures on cued recall.
- Author
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McKelvie SJ, Sano EK, and Stout D
- Subjects
- Adolescent, Adult, Analysis of Variance, Color, Female, Humans, Male, Psychological Tests, Cues, Mental Recall, Paired-Associate Learning
- Abstract
Participants (N = 509) were tested for backward cued recall of concrete noun pairs illustrated with pictures. Recall was considerably higher when a picture showed an interactive relationship than when the two items were drawn separately. However, with separate pictures in which the stimulus drawing appeared in a color that bore a direct relationship to the response object or when both drawings shared a color that was not related to the response object, recall was higher than with uncolored drawings. Performance was even better when the shared color was associated with the response object, although it remained below that with uncolored interactive pictures. The positive effects of shared colors did not occur with interactive pictures, but recall improved further when the response color appeared either in the stimulus or response portions of the combined drawing. It is concluded that cued recall is mediated by common elements and that the effects are additive, at least with separate pictures.
- Published
- 1994
- Full Text
- View/download PDF
50. The Vividness of Visual Imagery Questionnaire as a predictor of facial recognition memory performance.
- Author
-
McKelvie SJ
- Subjects
- Adult, Discrimination Learning, Female, Humans, Individuality, Male, Imagination, Mental Recall, Orientation, Pattern Recognition, Visual
- Abstract
After viewing 27 upright photographs of faces, 94 subjects took a forced-choice recognition memory test in which the pairs were shown either upright (N = 54) or inverted (N = 40), then completed Marks' (1973) Vividness of Visual Imagery Questionnaire (VVIQ). Although groups of 12 good and 12 poor visualizers representing the lower and upper 30 per cent of VVIQ scores were less accurate, slower to respond and less confident for inverted than upright faces, VVIQ status did not interact with the effect of inversion. However, good visualizers were more confident than poor visualizers, and VVIQ scores themselves were lower (indicating more vivid reports) in the upright than in the inverted condition. It was also found that VVIQ scores were lower for more than for less confident subjects, but only for those who were less accurate. These results contradict the hypothesis that the VVIQ reflects holistic processing, but support the hypothesis that it is contaminated by an instrument factor. It is suggested that studies with the VVIQ should be designed to avoid cueing effects of the criterion task, and that the VVIQ should be accompanied by a test of general processing capacity to identify subjects whose responses might be contaminated by confidence.
- Published
- 1994
- Full Text
- View/download PDF
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