Core 3- Functional Outcome and Symptom Assessments

项目随附资料（见说明）： 核心3：功能结局和症状评估本核心（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， 诊断，和精神症状的项目和中心内的核心。FOSAC将培训评分员评估 在前驱项目、善后核心和慢性核心的3个疾病阶段的患者。FOSAC将 负责建立和维持高水平的评分员间可靠性，防止评分员漂移，以及 提高中心测量的信度和效度。为了实现这些目标，FOSAC将：1）保持 用于评估功能结果的标准化和全面的培训和质量保证方法， 洞察力，前驱症状，DSM-IV疾病的诊断和精神症状，2）保持可靠性 使用评估工具（如CAF，MODSAS， GSRFS、SUMD-R、SCID-I、SCID-II、SIPS、BPRS、SANS和SAPS，3）确保 将进行评估程序的培训员，以及4）扩大FOSAC培训录像库， 包括最新的培训面试。培训的第一阶段要求至少6次培训的评级 录像带，并使用附带的“黄金标准”共识计算评分者间的可靠性 评级.对于分类评级，要求最小总体Kappa值为.80（Kappa敏感度为.80，Kappa 0.80的特异性）。对于尺寸等级，要求受训者达到最低Interdass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 评分员对每个指标进行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，受训者将被要求 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3阶段，这是一个旨在 FOSAC将与其他临床样本和项目核心合作， 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.