Reliability of Telepsychiatry Assessments: Subjective versus Observational Ratings
| Autor: | Beth A. Reboussin, Deirdre Johnston, W. Vaughn McCall, Beverly N. Jones |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Geriatrics
050103 clinical psychology Telemedicine medicine.medical_specialty 020205 medical informatics 05 social sciences Telepsychiatry 02 engineering and technology Mental health Test (assessment) Psychiatry and Mental health Brief Psychiatric Rating Scale 0202 electrical engineering electronic engineering information engineering medicine 0501 psychology and cognitive sciences Observational study Neurology (clinical) Geriatrics and Gerontology Psychology Psychiatry Reliability (statistics) |
| Zdroj: | Journal of Geriatric Psychiatry and Neurology. 14:66-71 |
| ISSN: | 1552-5708 0891-9887 |
| DOI: | 10.1177/089198870101400204 |
| Popis: | Geriatric patients in underserved areas could benefit from the use of telecommunications to expand access to mental health services. It is important to determine the clinical limitations of using videoconferencing for psychiatric assess ments, particularly in the elderly. The goal of this study was to test the hypothesis that videoconferencing ratings based on visual observations of behavior would be less reliable than ratings based on patients' verbal reports of symptoms. Videoconferencing assessments of 30 geriatric patients using low-bandwidth (ISDN) equipment were compared to gold standard face-to-face assessments. The Brief Psychiatric Rating Scale (BPRS) was dichotomized into subjective items based on patients' verbal reports and observational items based on visual ratings of behavior. Reliability of the BPRS subjective items was consistently higher than for the observational items. Future studies should emphasize the accuracy of telemedicine ratings that require visual observation of behavior, which is crucial to clinical assessment of psychogeriatric conditions. ( J Geriatr Psychiatry Neurol 2001; 14:66-71). |
| Databáze: | OpenAIRE |
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