Prospective Diagnosis of the Initial Prodrome for Schizophrenia Based on the Structured Interview for Prodromal Syndromes: Preliminary Evidence of Interrater Reliability and Predictive Validity

2002 ◽  
Vol 159 (5) ◽  
pp. 863-865 ◽  
Author(s):  
Tandy J. Miller ◽  
Thomas H. McGlashan ◽  
Joanna Lifshey Rosen ◽  
Lubna Somjee ◽  
Philip J. Markovich ◽  
...  
2017 ◽  
Vol 2017 ◽  
pp. 1-9
Author(s):  
Satu Rauta ◽  
Sanna Salanterä ◽  
Tero Vahlberg ◽  
Kristiina Junttila

Patient classification systems generate information for staff allocation based on a patient’s care needs. This study aims to test further the instrument for assessing nursing intensity (NI) in perioperative settings. Nine operating departments from five university hospitals were involved. The perioperative nurses gathered data from patients (N=876) representing different fields of surgery. Reliability was tested by parallel classifications (n=144). Also, the users’ (n=40) opinions were surveyed. The results support the predictive validity and interrater reliability of the instrument. The nurses considered the instrument feasible to use. The patients’ low ASA class did not automatically signify low NI; however, high ASA class was more frequently associated with high intraoperative NI. Intraoperative NI indicated the length of the postanaesthesia care and the type of the follow-up unit. Parallel classifications ensured the homogenous use of the instrument. The use of the instrument is recommended.


2003 ◽  
Vol 25 (4) ◽  
pp. 212-219 ◽  
Author(s):  
Blanca Guevara Werlang ◽  
Neury José Botega

OBJECTIVE: To investigate the applicability and the interrater reliability of a Semi-Structured Interview for psychological autopsy in cases of suicide. METHOD: The Semi-Structured Interview for Psychological Autopsy (SSIPA) proposed in this paper consists of four modules which evaluate key-topics associated to suicide. In order to evaluate the instrument's applicability, a sample formed by 42 subjects related to 21 suicide cases was used. The interviews were tape-recorded first and then transcribed. The related material as well as the police inquiry data were presented to four judges. Evaluation of information has been performed with the help of a four-module formulary for decision making: precipitants and/or stressors, motivation, lethality, and intentionality. Data processing, whenever possible, has been accomplished using kappa statistics. When kappa statistic was not applicable, concordance percentage has been used. RESULTS: The SSIPA is applicable because it provides information containing a significant degree of agreement between evaluators, found in one hundred and twenty measurements of judgements made by four judges. There has been significant statistical agreement between the judges in three modules (precipitants and/or stressors, motivation, and intentionality) of the model for decision, except in one step of each module, which did not interfere in the final agreement on the present evaluation. In the lethality evaluation module, there has been a 100% agreement between judges. The judgement made by the raters on the four modules have allowed to reach a final agreement regarding the death mode as suicide. CONCLUSION: The results of this study show that it is possible to use a semi-structured instrument for psychological autopsy in cases of suicide, when the interviewees are relatives who accepted to provide information.


2008 ◽  
Vol 192 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Janet B. W. Williams ◽  
Kenneth A. Kobak

BackgroundThe Montgomery-Åsberg Depression Rating Scale (MADRS) is often used in clinical trials to select patients and to assess treatment efficacy. The scale was originally published without suggested questions for clinicians to use in gathering the information necessary to rate the items. Structured and semi-structured interview guides have been found to improve reliability with other scales.AimsTo describe the development and test-retest reliability of a structured interview guide for the MADRS (SIGMA).MethodA total of 162 test-retest interviews were conducted by 81 rater pairs. Each patient was interviewed twice, once by each rater conducting an independent interview.ResultsThe intraclass correlation for total score between raters using the SIGMA was r = 0.93, P < 0.0001. All ten items had good to excellent interrater reliability.ConclusionsUse of the SIGMA can result in high reliability of MADRS scores in evaluating patients with depression.


2019 ◽  
Vol 29 (1) ◽  
pp. 47-56
Author(s):  
Stephen A. Evans ◽  
David Young ◽  
Paul A. Tiffin

2007 ◽  
Vol 191 (S51) ◽  
pp. s23-s30 ◽  
Author(s):  
C. M. C. Brett ◽  
E. P. Peters ◽  
L. C. Johns ◽  
P. Tabraham ◽  
L. R. Valmaggia ◽  
...  

BackgroundCognitive models of psychosis suggest that whether anomalous experiences lead to clinically relevant psychotic symptoms depends on how they are appraised, the context in which they occur and the individual's emotional responseAimsTo develop and validate a semi-structured interview (the Appraisals of Anomalous Experiences Interview; AANEX) to assess (a) anomalous experiences and (b) appraisal, contextual and response variablesMethodFollowing initial piloting, construct validity was tested via cross-sectional comparison of data from clinical and non-clinical samples with anomalous experiences. Interrater reliability was also assessedResultsScores from AANEX measuring appraisals, responses and social support differentiated the clinical and nonclinical groups. Interrater reliability was satisfactory for 65 of the 71 items. Six items were subsequently amendedConclusionsThe AANEX is avalid multidimensional instrument that provides a detailed assessment of psychotic-like experiences and subjective variables relevant to the development of a need for clinical care


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