Using Cognitive Interviews to Enhance Measurement in Empirical Bioethics: Developing a Measure of the Preventive Misconception in Biomedical HIV Prevention Trials.

TitleUsing Cognitive Interviews to Enhance Measurement in Empirical Bioethics: Developing a Measure of the Preventive Misconception in Biomedical HIV Prevention Trials.
Publication TypeJournal Article
Year of Publication2016
AuthorsSugarman J, Seils DM, J Watson-Ormond K, Weinfurt KP
JournalAJOB Empir Bioeth
Volume7
Issue1
Pagination17-23
Date Published2016
ISSN2329-4515
Abstract

BACKGROUND: We describe our use of cognitive interviews in developing a measure of "preventive misconception" to demonstrate the importance of this approach to researchers developing surveys in empirical bioethics. The preventive misconception involves research participants' false beliefs about a prevention trial, including beliefs that the interventions being tested will certainly be effective.

METHODS: We developed and refined a measure of the preventive misconception using qualitative interviews that focused on cognitive testing of proposed survey items with HIV prevention trial participants.

RESULTS: Two main problems emerged during initial interviews. First, the phrase "reduce your risk," used to elicit beliefs about risk reduction from the use of study medications, was interpreted as relating to a reduction of risky behaviors. Second, the phrase "participating in this study," intended to elicit beliefs about trial group assignment, was interpreted as relating to personal behavior changes associated with study participation. Additional interviews using a revised measure were no longer problematic in these ways, and participants felt the response options were appropriate for conveying their answers.

CONCLUSIONS: These findings underscore the importance of cognitive testing in developing surveys for empirical bioethics.

DOI10.1080/23294515.2015.1037967
Alternate JournalAJOB Empir Bioeth
PubMed ID27747258
PubMed Central IDPMC5063236
Grant ListP30 AI087714 / AI / NIAID NIH HHS / United States
U01 AI068636 / AI / NIAID NIH HHS / United States
UM1 AI068619 / AI / NIAID NIH HHS / United States
UM1 AI068613 / AI / NIAID NIH HHS / United States
R21 MH092253 / MH / NIMH NIH HHS / United States
UM1 AI068617 / AI / NIAID NIH HHS / United States