Fidelity scales demonstrate whether practices are delivered as intended. Typically, these assessments conducted by independent raters, which can be expensive and difficult to resource in large systems. We piloted an intermediary organization could (1) train programs conduct a self-assessment using established reliable valid measure, the Dual Diagnosis Capability Mental Health Treatment (DDCMHT)...

INTRODUCTION Over the years, performance assessment (PA) has been widely employed in medical education, Objective Structured Clinical Examination (OSCE) being an excellent example. Typically, performance assessment involves multiple raters, and therefore, consistency among the scores provided by the auditors is a precondition to ensure the accuracy of the assessment. Inter-rater agreement and i...

BACKGROUND AND PURPOSE Stroke remains primarily a clinical diagnosis, with information obtained from history and examination determining further management. We aimed to measure inter-rater reliability for the clinical assessment of stroke, with emphasis on items of history, timing of symptom onset, and diagnosis of stroke or mimic. We explored reasons for poor reliability. METHODS The study w...

BACKGROUND Between 75 and 89% of residents living in long-term care facilities have limited mobility. Nurses as well as other licensed and unlicensed personnel directly involved in resident care are in a key position to promote and maintain the mobility of care-dependent persons. This requires a certain level of competence. Kinaesthetics is a training concept used to increase nursing staff's in...

The study was conducted on a group of 12 lay counsellors and 12 professionals in order to compare the empathy of the two groups. The lay counsellors underwent six months, biweekly training and the professionals were senior students belonging to mental health professions. A 15 minutes simulated interview with an acting client was recorded and three 2 minute segments were coded, randomnized and r...

This study investigated police officers' performance on five selected arrest and self-defence skills that are regularly used in the line of duty. In Experiment 1 a 5-point scale to measure skill performance was developed and tested with 14 police instructors. Results showed that the new scale has satisfactory inter-rater reliability and good intra-rater reliability. In Experiment 2, the externa...

Since 1994, the University of Michigan Diabetes Research and Training Center proposed an instrument to measure neuropathies not yet adapted to use in Brazil. Then, this study aimed to adapt cross-culturally the Michigan Neuropathy Screening Instrument (MNSI) into Brazilian Portuguese, verifying its reliability. Thirty diabetic patients were initially evaluated with the adapted version after com...

OBJECTIVE To assess the intra-rater and inter-rater reliability for measuring femoral anteversion angle (FAA) by a radiographic method using three-dimensional computed tomography reconstruction (3D-CT). METHODS The study included 82 children who presented with intoeing gait. 3D-CT data taken between 2006 and 2014 were retrospectively reviewed. FAA was measured by 3D-CT. FAA is defined as the ...