Departmentof Psychiatry, University of Texas Health Science Center, San Antonio, TX 78229-3900, USA.
Psychiatr Serv. 2011 May;62(5):558-60. doi: 10.1176/ps.62.5.pss6205_0558.
Given psychiatry's need to implement measurement-based care, the study examined whether direct-care staff could reliably administer brief positive and negative symptom instruments to track symptom changes and inform clinical decision making.
Raters (82 case managers) were assessed at baseline. Training was provided for individuals not meeting reliability criteria. These individuals were reassessed to determine the effect of training. In addition, rater drift was assessed for raters judged to be reliable at baseline.
Seventy-seven percent of direct-care staff met criteria for reliability either at baseline or after they received additional training.
A majority of direct-care staff can be trained to reliability on brief scales of positive and negative symptoms that can be used to guide clinical decision making.
鉴于精神病学需要实施基于测量的护理，本研究探讨了直接护理人员是否能够可靠地使用简短的阳性和阴性症状量表来跟踪症状变化并为临床决策提供信息。
在基线时对评定者（82 名个案经理）进行评估。对不符合可靠性标准的个人提供培训。对这些人进行重新评估，以确定培训的效果。此外，对被认为在基线时可靠的评定者进行评定者漂移评估。
77%的直接护理人员在基线时或在接受额外培训后达到了可靠性标准。
大多数直接护理人员可以接受培训，以达到简短阳性和阴性症状量表的可靠性标准，这些量表可用于指导临床决策。
