Scruggs R R, Daniel S J, Larkin A, Stoltz R F
J Dent Hyg. 1989 Mar-Apr;63(3):125-9.
The purpose of this pilot study was to investigate the use of specific criteria and examiner calibration on the reliability of inexperienced examiners on dental sealant evaluations. Dental (N = 8) and dental hygiene (N = 8) students participated as examiners. The study objectives were to identify differences in calibrated and non-calibrated examiners, examiners calibrated by an expert or non-expert, and reliability between dental and dental hygiene student examiners. A criterion-referenced evaluation form was used to evaluate dental sealant end product on 20 teeth, twice by each examiner. Eight of 16 examiners participated in a one-hour calibration session between evaluations. The session consisted of a discussion of operational definitions, the evaluation procedure for dental sealants, and use of the criterion-referenced form. Intra- and interexaminer reliabilities were measured. There were no statistically significant differences (p less than .05) in intraexaminer reliability. Although calibration produced no significant increase in interexaminer reliability, the post-training reliability scores for the group calibrated by an expert decreased, and scores for the group calibrated by a non-expert increased. No significant difference was found in reliability between dental and dental hygiene student examiners.
这项初步研究的目的是调查使用特定标准和考官校准对缺乏经验的考官进行牙齿窝沟封闭评估可靠性的影响。牙科专业学生（N = 8）和口腔卫生专业学生（N = 8）作为考官参与研究。研究目标是确定经过校准和未经校准的考官之间、由专家或非专家校准的考官之间以及牙科和口腔卫生专业学生考官之间的可靠性差异。使用一份标准参照评估表对20颗牙齿上的牙齿窝沟封闭最终产品进行评估，每位考官评估两次。16名考官中有8名在两次评估之间参加了为期一小时的校准课程。该课程包括对操作定义、牙齿窝沟封闭评估程序以及标准参照表的使用进行讨论。测量了考官内部和考官之间的可靠性。考官内部可靠性没有统计学上的显著差异（p小于0.05）。虽然校准并没有显著提高考官之间的可靠性，但由专家校准的组训练后的可靠性得分下降，由非专家校准的组得分上升。牙科和口腔卫生专业学生考官之间的可靠性没有发现显著差异。
