The development, validity and reliability of a multimodality objective structured clinical examination in psychiatry
The development, validity and reliability of a multimodality objective structured clinical examination in psychiatry
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DOI：
10.1111/j.1365-2929.2005.02091.x
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发表时间：
2005-03-01
影响因子：
6
通讯作者：
Raven, P
中科院分区：
文献类型：
--
作者：
Walters, K;Osborn, D;Raven, P
为了评估的发展，有效性和可靠性的多模态客观结构化的临床检查（欧安组织）在本科精神病学，整合互动的面对面和电话的历史和沟通技巧stations，录像带精神状态检查和面向问题的书面station.METHODS欧安组织的发展有限的预算。本研究以128名学生为被试，对4个15-18测站的学生自评量表的信度和效度进行了研究。由一组临床医生和欧安组织参与者的反馈对面部和内容效度进行了评估。进行了与顾问临床“公司等级”的相关性分析。采用概化理论评估评分者间信度和内部一致性（站间信度）。结果OSCE的实施是可行的，并且具有高水平的高感知面子和内容效度。咨询公司的评分与互动站的评分中度相关，而与书面和视频站的评分相关性较差。总体可靠性是中度到良好的，与G系数在0.55-0.68的范围内为4 OSCEs.CONCLUSIONS集成到一个欧安组织在精神病学的模式的范围似乎代表了一个可行的，一般有效和可靠的方法，在有限的预算检查。不同类型的电台似乎有不同的优缺点，有助于将互动和书面内容纳入欧安组织的格式。
OBJECTIVES To evaluate the development, validity and reliability of a multimodality objective structured clinical examination (OSCE) in undergraduate psychiatry, integrating interactive face-to-face and telephone history taking and communication skills stations, videotape mental state examinations and problem-oriented written stations.METHODS The development of the OSCE on a restricted budget is described. This study evaluates the validity and reliability of 4 15-18-station OSCEs for 128 students over 1 year. Face and content validity were assessed by a panel of clinicians and from feedback from OSCE participants. Correlations with consultant clinical 'firm grades' were performed. Interrater reliability and internal consistency (interstation reliability) were assessed using generalisability theory.RESULTS The OSCE was feasible to conduct and had a high level of high perceived face and content validity. Consultant firm grades correlated moderately with scores on interactive stations and poorly with written and video stations. Overall reliability was moderate to good, with G-coefficients in the range 0.55-0.68 for the 4 OSCEs.CONCLUSIONS Integrating a range of modalities into an OSCE in psychiatry appears to represent a feasible, generally valid and reliable method of examination on a restricted budget. Different types of stations appear to have different advantages and disadvantages, supporting the integration of both interactive and written components into the OSCE format.