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Is there a substitute for Structured Interview assessments of type A behaviour?

B A O'Looney, C M Harding, J R Eiser

    The British Journal of Medical Psychology
    |December 1, 1985
    PubMed
    Summary

    This study found no reliable self-report questionnaire to predict Type A behavior categorization using the Structured Interview (SI). Current methods are insufficient for replacing the SI in coronary heart disease risk assessment.

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    Area of Science:

    • Behavioral Medicine
    • Cardiovascular Health
    • Psychometrics

    Background:

    • Type A behavior is a potential risk factor for coronary heart disease.
    • The Structured Interview (SI) is a primary method for assessing Type A behavior.
    • Alternative, self-report measures are sought for efficiency.

    Purpose of the Study:

    • To evaluate the efficacy of self-report questionnaires in predicting Type A behavior.
    • To determine if Jenkins Activity Survey and Framingham Scale can substitute the SI.
    • To assess the role of lifestyle factors in Type A behavior prediction.

    Main Methods:

    • Discriminant analyses were performed on responses from 93 British males.
    • Data included Jenkins Activity Survey, Framingham Scale, smoking, alcohol, and obesity.

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  • Classification functions were tested on an additional 36 subjects.

    • Main Results:

    • No self-report method reliably predicted Type A behavior categorization compared to the SI.
    • Classification agreements above 50% were insufficient for robust prediction.
    • Lifestyle factors did not provide a reliable alternative prediction.

    Conclusions:

    • Self-report questionnaires are not currently a viable substitute for the SI in Type A behavior assessment.
    • Further research is needed to develop accurate, efficient assessment tools.
    • The findings have implications for coronary heart disease risk assessment strategies.