Gerace T A, Smith J C
J Chronic Dis. 1985;38(9):781-91. doi: 10.1016/0021-9681(85)90121-3.
The Miami Structured Interview--1 was developed to assess Type A behavior in preadolescents and adolescents in the United States and Greece. This report describes the interrater and test-retest reliability of the Miami Structured Interview--1, and the effect of different interviewers on the assessment process. Interrater agreements on the A vs not A scale were 73% for Greek American (k = 0.49, p less than 0.01, n = 88), 80% for Mixed American (k = 0.61, p less than 0.01, n = 69), and 88% for Native Greek interviews (k = 0.76, p less than 0.01, n = 65). Exact agreements on a five-point scale were 48% (weighted k = 0.73, p less than 0.01), 42% (weighted k = 0.70, p less than 0.01), and 48% (weighted k = 0.80, p less than 0.01), respectively. Although levels of agreement were all greater than chance, rater bias was observed. Test-retest administrations within 10 min showed 91% agreement (k = 0.82, p less than 0.01) on the A vs not A scale. Analyses suggest interviewers can affect the assessment of Type A behavior. These findings indicate the Miami Structured Interview--1 can (1) reach acceptable levels of interrater reliability, (2) is susceptible to rater bias, (3) has sufficient test-retest reliability for use in longitudinal studies, and (4) must be presented in a standardized way before ratings from interviews conducted by different interviewers can be combined or compared. The strengths and limitations of the Miami Structured Interview-1 are discussed.
迈阿密结构化访谈-1旨在评估美国和希腊的青春期前和青少年的A型行为。本报告描述了迈阿密结构化访谈-1的评分者间信度和重测信度，以及不同访谈者对评估过程的影响。在希腊裔美国人中，A与非A量表上的评分者间一致性为73%（卡方值=0.49，p<0.01，n=88）；在混血美国人中为80%（卡方值=0.61，p<0.01，n=69）；在希腊本土访谈中为88%（卡方值=0.76，p<0.01，n=65）。在五点量表上的完全一致性分别为48%（加权卡方值=0.73，p<0.01）、42%（加权卡方值=0.70，p<0.01）和48%（加权卡方值=0.80，p<0.01）。尽管一致性水平均高于随机水平，但观察到了评分者偏差。在10分钟内进行的重测显示，A与非A量表上的一致性为91%（卡方值=0.82，p<0.01）。分析表明，访谈者会影响A型行为的评估。这些发现表明，迈阿密结构化访谈-1能够（1）达到可接受的评分者间信度水平，（2）易受评分者偏差影响，（3）具有足够的重测信度可用于纵向研究，（4）在将不同访谈者进行的访谈评分进行合并或比较之前，必须以标准化方式呈现。文中还讨论了迈阿密结构化访谈-1的优势和局限性。
