Core 3- Functional Outcome and Symptom Assessments

核心 3 - 功能结果和症状评估

• 批准号: 8705591
• 负责人: JOSEPH VENTURA
• 金额: $ 15.57万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-19 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8705591
• 关键词: Activities of Daily Living; Aftercare; Certification; Chronic; Chronic Schizophrenia; Clinical; Consensus; Consultations; DSM-IV; Device or Instrument Development; Diagnosis; Diagnostic; Doctor of Philosophy; Eligibility Determination; Emotions; Ensure; Goals; Gold; Instruction; Interview; Interviewer; Libraries; Life; Manuals; Measures; Mental disorders; Methods; Neurocognition; Outcome; Patients; Performance; Phase; Prevention Research; Procedures; Process; Psychiatric Diagnosis; Psychologist; Research; SCAP2 gene; Sampling; Schizophrenia; Services; Severities; Specificity; Structure; Symptoms; Syndrome; Training; Update; Validity and Reliability; Videotape; base; design; experience; functional outcomes; improved; insight; instrument; meetings; method development; prevent; programs; quality assurance; remediation; screening; skills

PROJECT SUIVIMARY (See instructions): CORE 3: FUNCTIONAL OUTCOME AND SYMPTOM ASSESSMENT The primary goal of this Core (FOSAC) is to provide specialized training and quality assurance procedtires for assessing functional outcome, insight, diagnosis, and psychiatric symptoms to projects and cores within the Center. FOSAC will train raters to assess patients across 3 phases of illness in the Prodromal Project, the Aftercare Core, and the Chronic Core. FOSAC will be responsible for establishing and maintaining high levels of interrater reliability, preventing rater drift, and improving the reliability and validity of Center measures. To accomplish these goals, FOSAC will: 1) maintain well-standardized, and comprehensive training and quality assurance methods for assessing functional outcome, insight, prodromal signs, diagnosis of DSM-IV disorders, and psychiatric symptoms, 2) maintain reliability standards and criteria for certification of raters who use assessment instruments such as the CAF, MODSAS, GSRFS, SUMD-R, SCID-I, SCID-II, SIPS, BPRS, SANS, and SAPS, 3) ensure high levels of interrater reliability for trainers who will be conducting assessment procedures, and 4) expand FOSAC training videotape library to include updated training interviews. Phase 1 of training requires the rating of a minimum of 6 training videotapes and having interrater reliability calculated using the accompanying "Gold Standard" consensus ratings. For categorical ratings, a minimum overall kappa is required of .80 (kappa sensitivity of .80 and kappa specificity of .80). For dimensional ratings, the trainee is required to achieve a minimum Interdass Correlation Coefficient (ICC) of .80. These requirements must be met before progressing to Phase 2 which requires thatthe rater conduct 4 "live" assessments for each measure. In Phase 2, the FOSAC will formally evaluate the interviewer's ability to conduct the interview. If the requirements arenotmet, the trainee will be required to attend remediation sessions before "graduating" to Phase 2. All raters will enter Phase 3, a QA Program aimed at preventing rater "drift" FOSAC will collaborate with other Cores for Clinical Samples and Projects around research questions such as instrument development, method development, and improving interrater reliability.

SUIVIMARY 项目（参见说明）： 核心 3：功能结果和症状评估 该核心 (FOSAC) 的主要目标是 提供专门的培训和质量保证程序来评估功能结果、洞察力、 诊断和精神症状到中心内的项目和核心。 FOSAC 将培训评估员进行评估 患者处于前驱项目、后期护理核心和慢性核心的三个疾病阶段。中非合作论坛将 负责建立和维持高水平的评估者间可靠性，防止评估者漂移，以及 提高中心措施的可靠性和有效性。为了实现这些目标，FOSAC 将：1) 维持 用于评估功能结果的标准化、全面的培训和质量保证方法， 洞察力、前驱体征、DSM-IV 疾病的诊断和精神症状，2) 保持可靠性 使用 CAF、MODSAS 等评估工具的评估者认证标准和准则 GSRFS、SUMD-R、SCID-I、SCID-II、SIPS、BPRS、SANS 和 SAPS，3) 确保高水平的仪器间可靠性 将进行评估程序的培训师，以及 4) 将 FOSAC 培训录像带库扩展至 包括更新的培训访谈。培训第一阶段要求至少 6 次培训的评级 录像带并具有使用随附的“黄金标准”共识计算的人际可靠性 评级。对于分类评级，最低总体 kappa 需要为 0.80（kappa 灵敏度为 0.80，kappa 特异性为 0.80)。对于尺寸评级，学员需要达到最小的类间相关性 系数 (ICC) 为 0.80。在进入第二阶段之前必须满足这些要求，第二阶段要求 评估者对每项措施进行 4 次“实时”评估。在第二阶段，FOSAC 将正式评估 面试官进行面试的能力。如果不符合要求，学员将被要求 在“毕业”到第 2 阶段之前参加补救会议。所有评估者都将进入第 3 阶段，这是一个 QA 计划，旨在 防止评估者“漂移” FOSAC 将与其他临床样本和项目核心合作 研究问题，例如仪器开发、方法开发和提高仪器间可靠性。