Kochi Gillberg Neuropsychiatry Centre, Kochi Treatment and Welfare Center, Kochi, Japan.
Chuo-Nishi Public Health and Welfare Office, Kochi Prefectural Government, Kochi, Japan.
Acta Paediatr. 2024 Feb;113(2):267-275. doi: 10.1111/apa.17001. Epub 2023 Oct 16.
This study aimed to explore whether the supervision of community public health nurses (PHNs) and nursery school teachers (NSTs) by a specialist, familiar with Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations (ESSENCE), improved the agreement of ESSENCE-Questionnaire (ESSENCE-Q) scoring, across raters.
A PHN, two NSTs, and a speech-language pathologist (SLP), familiar with ESSENCE, independently assessed 32 children. The ESSENCE-Q results were divided into the first (child 1-18) and second groups (the 19th child and the following children). Changes in score discrepancies were analysed for ESSENCE-Q cutoff scores and total ESSENCE-Q scores across raters. The SLP scores were used as a reference to evaluate sensitivity and specificity.
The total ESSENCE-Q scores of the PHN and NSTs showed higher concordance in the second group (p < 0.05). Comparisons of the differences between the PHN/NSTs and SLP in total ESSENCE-Q scores showed a significantly smaller difference in the NSTs' scores in the second group (p < 0.05).
The findings suggest that specialist supervision may lead to a better agreement between PHN and NSTs regarding ESSENCE-Q scores.
本研究旨在探讨由熟悉早期症状诱发神经发育临床检查（ESSENCE）的专家对社区公共卫生护士（PHN）和幼儿园教师（NST）进行监督是否能提高 ESSENCE 问卷（ESSENCE-Q）评分在不同评分者之间的一致性。
一位 PHN、两位 NST 和一位熟悉 ESSENCE 的言语治疗师（SLP）对 32 名儿童进行了独立评估。ESSENCE-Q 结果分为第一组（第 1-18 位儿童）和第二组（第 19 位儿童和之后的儿童）。分析了 ESSENCE-Q 临界值评分和总 ESSENCE-Q 评分在不同评分者之间的评分差异变化。以 SLP 评分为参考，评估了敏感性和特异性。
PHN 和 NST 的总 ESSENCE-Q 评分在第二组中的一致性更高（p<0.05）。比较 PHN/NST 和 SLP 在总 ESSENCE-Q 评分上的差异，发现第二组 NST 评分的差异显著较小（p<0.05）。
研究结果表明，专家监督可能会提高 PHN 和 NST 之间在 ESSENCE-Q 评分方面的一致性。
