Baca-García E, Díaz-Sastre C, Rico F, Sáiz Ruiz J
Servicio de Psiquiatría, Hospital Ramón y Cajal, Universidad de Alcalá, Madrid.
Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1998 Nov-Dec;26(6):358-62.
Interater agreement is a main aspect in the planning and conducting a clinical trial. The objective of this study is to show the application of assessing levels of interexaminer's agreement when multiple ratings are made on a single subject as an efficient method of evaluating the interater's reliability in planning a multicenter clinical trial.
39 psychiatrist assessed videotape of a patient with depression. The use of any reliability statistics is failed in the analysis of multiple independent ratings of a single subject since we used the methodology proposed by Cichetti et al. This method is able to identify raters whose ratings differ significantly from the average ratings and is sensitive for different levels of agreement.
Interarter agreement was between good and excellent. The raters show an adequate agreement in total and items scores.
The design proposed permits evaluate the interater agreement in an efficient way (only in one session).
评估者间一致性是规划和开展临床试验的一个主要方面。本研究的目的是展示当对单个受试者进行多次评分时，评估检查者间一致性水平作为在规划多中心临床试验中评估评估者可靠性的一种有效方法的应用。
39名精神科医生评估了一名抑郁症患者的录像带。由于我们使用了Cichetti等人提出的方法，在对单个受试者的多个独立评分进行分析时未使用任何可靠性统计方法。该方法能够识别评分与平均评分有显著差异的评估者，并且对不同水平的一致性敏感。
评估者间一致性良好至优秀。评估者在总分和项目得分上显示出足够的一致性。
所提出的设计允许以一种有效的方式（仅在一次会议中）评估评估者间一致性。
