Assessing psychotropic medication side effects among children. A reliability study.
Assessing psychotropic medication side effects among children. A reliability study.
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DOI：
10.1111/j.1744-6171.1991.tb00509.x
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发表时间：
1991-10-01
期刊：
影响因子：
--
通讯作者：
Freeman, L
中科院分区：
文献类型：
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作者：
Garvey, C A;Gross, D;Freeman, L
剂量记录治疗紧急症状量表(DOTES)是一种用于衡量精神药物副作用的存在和强度的分级量表。评估其可靠性的研究尚未发表。这项初步研究的目的是(1)制定培训评分员使用DOTE的方案，(2)评估评分员之间的一致性，3)检查评分员之间存在分歧的原因，以澄清培训程序和症状定义，以及(4)进一步完善该工具，以便在临床和研究环境中使用。五名护士接受了培训，使用DOTES来评估特定药物副作用的存在或存在以及强度。培训结束后，评分员1、2和3观看了护士采访一名13岁儿童的录像带，并完成了DOTES评分量表。在确认为存在的9个症状中，有6个症状的强度是一致的(67%)，在确认为不存在的19个症状中，有17个是一致的(89%)。对护士4和护士5的评分进行了过程跟踪，以得出他们用来确定其评分的标准。过程追踪的结果被用来识别导致评分者之间存在分歧的模棱两可的地方，以便改进培训方案和面试。
The Dosage Record Treatment Emergent Symptom Scale (DOTES) is a rating scale for measuring the presence and intensity of psychotropic medication side effects. Studies to evaluate its reliability have not been published. The purposes of this pilot study are to (1) develop a protocol for training raters to use the DOTES, (2) assess inter-rater agreement, 3) examine the reasons for disagreement among raters to clarify training procedures and symptom definitions, and (4) further refine this instrument for use in clinical and research settings. Five nurses were trained to use the DOTES to rate the absence or presence and intensity of specific medication side effects. After training, Raters 1, 2, and 3 watched a videotape of a nurse interviewing a 13-year-old child and completed the DOTES rating scale. There was agreement on the intensities of 6 (67%) of the 9 symptoms identified as present and agreement on 17 (89%) of the 19 symptoms identified as absent. Process tracings were conducted on the ratings of Nurses 4 and 5 to elicit the criteria they used to determine their ratings. The results of the process tracings were used to identify ambiguities that led to disagreement among raters so that the training protocol and interview could be improved.