PANSS Rater Training Using Internet and Videoconference

使用互联网和视频会议进行 PANSS 评级员培训

• 批准号: 7053281
• 负责人: KENNETH A KOBAK
• 金额: $ 9.3万
• 依托单位: MEDAVANTE, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-03-01 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7053281
• 关键词: DVD /CD ROM; Internet; clinical research; educational resource design /development; human subject; interview; schizophrenia; telecommunications; training aid

DESCRIPTION (provided by applicant): The long term objective of the project is to improve inter-rater reliability in schizophrenia assessment by developing training tools using new technologies that enable the widespread dissemination of a high quality, standardized rater training on the PANSS. Such a program will have great utility in multicenter clinical trials, where raters are often at diverse sites, and making inter-rater reliability across sites difficult to achieve. Training conducted at start-up meetings have proved ineffective in this regard. The specific objectives during phase I project are to 1) develop a prototype of a interactive training tutorial on the administration and scoring of the PANSS, delivered on both CD-ROM and a secure Internet website; 2) develop pre- and post-tests to evaluate the efficacy of the tutorial in improving trainees' conceptual knowledge; 3) evaluate the feasibility of applied, clinical training (i.e., live observation of trainees conducting PANSS interviews) through the use of videoconference technology; 4) evaluate the feasibility and user satisfaction of both components in order to improve final design for phase II. The training program will be pilot testing on a group of 12 raters. Following completion of the CD-ROM tutorial, each trainee will interview {via videoconference) two standardized patients who are at a remote location with the trainer, who will provide live observation and feedback in real time. Pre- and post-test measures of both didactic knowledge and clinical skills will be obtained. Technical issues, such as problems with the maintenance or quality of the video link, or difficulties site staff have in using the equipment, will be evaluated. Training on applied skills is critically important, and is virtually overlooked in current rater training designs. Recent research by our group has shown that poorly conducted interviews had significantly greater placebo response than interviews that were conducted well. Our previous studies on the use of this training paradigm (CD-ROM plus live applied training) has been shown to be successful in the areas of both depression and autism assessment.

描述（由申请人提供）：该项目的长期目标是通过使用新技术开发培训工具来提高精神分裂症评估中评估者间的可靠性，从而能够在 PANSS 上广泛传播高质量、标准化的评估者培训。这样的程序在多中心临床试验中将具有很大的实用性，在多中心临床试验中，评估者通常位于不同的地点，并且很难实现跨地点评估者间的可靠性。事实证明，在启动会议上进行的培训在这方面是无效的。第一阶段项目的具体目标是 1) 开发关于 PANSS 管理和评分的交互式培训教程原型，以 CD-ROM 和安全互联网网站形式提供； 2) 开展事前和事后测试，以评估教程在提高学员概念知识方面的有效性； 3) 通过使用视频会议技术评估应用临床培训（即现场观察学员进行 PANSS 访谈）的可行性； 4) 评估两个组件的可行性和用户满意度，以改进第二阶段的最终设计。该培训计划将对 12 名评估员进行试点测试。完成 CD-ROM 教程后，每位学员将（通过视频会议）采访两名标准化患者，他们与培训师处于远程位置，培训师将提供实时观察和反馈。将获得教学知识和临床技能的测试前和测试后测量。将评估技术问题，例如视频链路的维护或质量问题，或现场工作人员在使用设备时遇到的困难。应用技能培训至关重要，但在当前的评估者培训设计中实际上被忽视了。我们小组最近的研究表明，进行得不好的访谈比进行得好的访谈具有更大的安慰剂反应。我们之前关于使用这种培训模式（CD-ROM 加现场应用培训）的研究已被证明在抑郁症和自闭症评估领域取得了成功。