Department of Psychiatry, University of California, San Francisco, 401 Parnassus, San Francisco, CA 94143, USA.
Psychiatr Serv. 2011 Jan;62(1):90-2. doi: 10.1176/ps.62.1.pss6201_0090.
The authors developed and evaluated a tool for assessing competency in violence risk assessment and management.
The Competency Assessment Instrument for Violence Risk (CAI-V) was based on the literature on violence risk assessment, which was complemented by feedback from faculty focus groups. In an objective structured clinical examination, 31 faculty observers used the CAI-V to rate the performance of 31 learners' (26 psychiatry residents and five psychology interns) risk assessments of standardized (simulated) patients. In an interrater reliability study, six faculty members rated video-recorded risk assessments.
The CAI-V had good internal consistency reliability (α=.93). Senior learners performed better on the CAI-V than junior learners, supporting the instrument's concurrent validity. Interrater reliability was good (intraclass correlation coefficient=.93). Participants reported that the CAI-V provided a helpful structure for feedback and supervision.
The results supported the potential of this new approach for appraising competency in violence risk assessment and management.
作者开发并评估了一种用于评估暴力风险评估和管理能力的工具。
基于暴力风险评估文献，同时结合教师焦点小组的反馈，制定了《暴力风险评估能力评估工具》（CAI-V）。在一项客观结构化临床考试中，31 名教师观察员使用 CAI-V 对 31 名学习者（26 名精神科住院医师和 5 名心理学实习生）对标准化（模拟）患者的风险评估进行评分。在一项评分者间信度研究中，6 名教师对视频记录的风险评估进行评分。
CAI-V 具有良好的内部一致性信度（α=.93）。高级学习者在 CAI-V 上的表现优于初级学习者，支持了该工具的同时效度。评分者间信度良好（组内相关系数=.93）。参与者报告称，CAI-V 为反馈和监督提供了有益的结构。
结果支持这种评估暴力风险评估和管理能力的新方法的潜力。
