Nordness Philip D, Epstein Michael H
Department of Special Education and Communication Disorders, University of Nebraska, Lincoln, Nebraska 68583, USA.
Ment Health Serv Res. 2003 Jun;5(2):89-96. doi: 10.1023/a:1023229411114.
The push to rapidly implement the wraparound approach for families of children with serious emotional disturbance (SED) has resulted in a number of service models that may or may not be in accordance with its theoretical foundation. Given the number of wraparound programs being implemented nationwide, the need to develop instruments that can measure the fidelity of wraparound services in a reliable manner should not be ignored. The purpose of this study was to examine the interobserver agreement of the Wraparound Observation Form--Second Version (WOF-2), an observation system designed to assess the fidelity of wraparound services. Observations were conducted across 30 family planning meetings where wraparound services were provided. The mean percentage agreement across the 48 items was 96.7% (range 83.3-100%) and the average kappa statistic was 0.886 (range = 0.318-1.0). On the basis of these results, the WOF-2 appears to be a reliable instrument for assessing the delivery of wraparound services.
迅速为患有严重情绪障碍（SED）儿童的家庭推行全方位服务模式，已催生出多种服务模式，这些模式可能符合也可能不符合其理论基础。鉴于全国范围内正在实施的全方位服务项目数量众多，开发能够可靠测量全方位服务忠诚度的工具的需求不容忽视。本研究的目的是检验《全方位观察表第二版》（WOF-2）的观察者间一致性，这是一个旨在评估全方位服务忠诚度的观察系统。观察在30次提供全方位服务的家庭规划会议上进行。48个项目的平均一致率为96.7%（范围83.3%-100%），平均kappa统计量为0.886（范围=0.318-1.0）。基于这些结果，WOF-2似乎是评估全方位服务提供情况的可靠工具。
