| Interrater reliability for the Four Habits Coding Scheme as part of a randomized controlled trial. | |
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MedLine Citation:
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PMID: 20685066 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe the process for developing interrater reliability (IRR) for the Four Habits Coding Scheme (4HCS) for a heterogeneous material as part of a randomized controlled trial. METHODS: Videotapes from 497 hospital encounters involving 71 doctors from most clinical specialties were collected. Four experienced psychology students were trained as raters. We calculated Pearson's r and the intraclass correlation (ICC) on the total score across consecutive samples of twenty videos, and Pearson's r on single videos across items in the initial coding phase. RESULTS: After 18h of training and one rating session, the total score Pearson's r and ICC exceeded .70 for all pairs of raters. Across items within single videos, the Pearson's r was never below 0.60 after the first 50 videos. At item and habit level Pearson's r remained unsatisfactory for some rater pairs mostly due to low variance on some items. CONCLUSION: Based on the evaluation of the effect of communication skills training via a total score, IRR was satisfactory for the 4HCS as applied to heterogeneous material. However, good reliability at item level was difficult to achieve. PRACTICE IMPLICATIONS: 4HCS may be used as an outcome measure for clinical communication skills in randomized controlled trials. |
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Authors:
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Bård Fossli Jensen; Pål Gulbrandsen; Jurate Saltyte Benth; Fredrik A Dahl; Edward Krupat; Arnstein Finset |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2010-08-03 |
Journal Detail:
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Title: Patient education and counseling Volume: 80 ISSN: 1873-5134 ISO Abbreviation: Patient Educ Couns Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-17 Completed Date: 2010-12-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
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Languages: eng Pagination: 405-9 Citation Subset: N |
Copyright Information:
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Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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HØKH, Research Centre, Akershus University Hospital, Lørenskog, Norway. b.f.jensen@medisin.uio.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Clinical Coding / standards* Communication* Cross-Over Studies Female Habits* Hospitals, General Humans Infant Infant, Newborn Male Middle Aged Norway Observer Variation Physician's Role / psychology Physician-Patient Relations* Professional Competence / standards* Questionnaires Reproducibility of Results Videotape Recording Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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