Training raters to assess adult ADHD: reliability of ratings.
Training raters to assess adult ADHD: reliability of ratings.
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DOI：
10.1177/1087054705277168
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发表时间：
2005-02-01
影响因子：
3
通讯作者：
Biederman, Joseph
中科院分区：
文献类型：
--
作者：
Adler, Lenard A;Spencer, Thomas;Biederman, Joseph
成人ADHD评级的标准化很重要，因为他们有不同的症状表现。作者研究了在ADHD成人中进行的托莫西汀大规模试验中评定者标准化的一致性和可靠性。在启动一项大型31中心托莫西汀试验之前，对91名评定者进行了关于使用兴奋剂的ADHD评定量表（ADHDRS-IV-Inv）的培训。评定者之间对总分的一致性通过两种方式建立：（a）Kappa系数（每个项目的评定者一致性与具有相同逐项评分的评定者百分比）和（B）组内相关系数（可靠性）。对于ADHDRS-IV-Inv，评定者一致性为中等，通过Cronbach α测量的可靠性为实质性。数据表明，临床医生可以接受培训，使用ADHDRS-IV-Inv可靠地评估成人ADHD。
The standardization of ADHD ratings in adults is important given their differing symptom presentation. The authors investigated the agreement and reliability of rater standardization in a large-scale trial of atomoxetine in adults with ADHD. Training of 91 raters for the investigator-administered ADHD Rating Scale (ADHDRS-IV-Inv) occurred prior to initiation of a large, 31-site atomoxetine trial. Agreement between raters on total scores was established in two ways: (a) by Kappa coefficient (rater agreement for each item with the percentage of raters that had identical item-by-item scores) and (b) intraclass correlation coefficients (reliability). For the ADHDRS-IV-Inv, rater agreement was moderate, and reliability, as measured by Cronbach's alpha, was substantial. The data indicate that clinicians can be trained to reliably evaluate ADHD in adults using the ADHDRS-IV-Inv.