Core 3- Functional Outcome and Symptom Assessments

项目SuIVIMARY(请参阅说明)： 核心3：功能结果和症状评估此核心(FOSAC)的主要目标是 提供专门的培训和质量保证程序，以评估功能结果、洞察力、 向中心内的项目和核心提供诊断和精神症状。FOSAC将培训评级员进行评估 在前驱项目、后续护理核心和慢性核心中的三个疾病阶段的患者。FOSAC将 负责建立和维护高水平的评核人之间的可靠性，防止评核人漂移，以及 提高中心测量的信度和效度。为实现这些目标，FOSAC将：1)保持 评估功能结果的标准化、全面的培训和质量保证方法； 自知力、前驱症状、DSM-IV障碍的诊断和精神症状，2)保持可靠性 使用CAF、MODSAS等评估工具的评分员的认证标准和标准 GSRFS、SUMD-R、SCID-I、SCID-II、SIP、BPR、SAN和SAPS，3)确保高水平的评委间可靠性 将进行评估程序的培训员，以及4)将FOSAC培训录像带资料库扩大到 包括最新的培训面谈。培训的第一阶段需要至少6个培训评级 录像带和评价员之间的可靠性计算使用随附的“黄金标准”共识 收视率。对于分类评级，最低总体kappa要求为.80(kappa敏感度为.80和kappa 80的特异度)。对于维度评级，受训者需要达到最小的Interdass相关性 系数(ICC)为.80。在进入阶段2之前，必须满足这些要求，该阶段要求 评分者对每项指标进行4次“实时”评估。在第二阶段，论坛将正式评估 面试官进行面试的能力。如果不符合要求，受训人员将被要求 在“毕业”到第二阶段之前参加补救课程。所有评分员将进入第三阶段，这是一项旨在 防止评分者“漂移”FOSAC将与临床样本和项目的其他核心合作 研究问题，如仪器开发，方法开发，提高评分员的可靠性。

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.