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首页> 外文期刊>Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry >Performance Assessment of Pharmacotherapy: Results from a Content Validity Survey of the Psychopharmacotherapy-Structured Clinical Observation (P-SCO) Tool
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Performance Assessment of Pharmacotherapy: Results from a Content Validity Survey of the Psychopharmacotherapy-Structured Clinical Observation (P-SCO) Tool

机译：药物治疗的性能评估：精神疗法临床观察（P-SCO）工具的内容有效性调查结果

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Objective The Psychopharmacotherapy-Structured Clinical Observation (P-SCO) tool is designed to assess performance of a medication management visit and to enhance feedback. Prior research indicated that the P-SCO was feasible to implement in a resident clinic and generated behaviorally specific, high-quality feedback. This research also highlighted problems with some of the instrument’s items. This study seeks to improve the items. Methods The authors initially revised the P-SCO items based on the problems identified by a prior study. Next, these items were iteratively modified by experts in clinical pharmacotherapy and educational assessment. Forty-five items emerged. Finally, faculty attending an annual department education retreat rated each item on its relevance (4-point scale) and provided comments on how the item might be revised. For final inclusion, an item must have met a quantitative threshold (i.e., content validity index equal to or greater than 0.8 and the lower end of the asymmetric confidence interval equal to or greater than 3.0) and received comments that were supportive. Results Forty-one of the 45 items had strong quantitative support. However, the comments endorsed lumping a number of items in order to decrease overlap between items and to shorten the instrument. This process resulted in the further elimination of 15 items. Conclusions The revised 26-item P-SCO builds upon prior evidence of feasibility and utility and now possesses additional evidence of content validity. The use of the tool should enhance feedback and improve the capacity of educational programs to assess performance.
机译：目的旨在临床观测（P-SCO）工具旨在评估药物管理访问的性能并增强反馈。现有研究表明，P-SCO可在居民诊所实施并产生行为具体，高质量的反馈。该研究还强调了一些仪器项目的​​问题。本研究旨在改善项目。方法作者最初根据先前研究标识的问题修改了P-SCO项目。接下来，这些物品被临床药物治疗和教育评估专家迭代地修改。出现了四十五件物品。最后，参加年度课程教育的教师撤退了每个项目的相关性（4分尺度），并就如何修订了该项目的意见。为了最终包含，项目必须满足定量阈值（即，内容有效性指数等于或大于0.8，并且不对称置信区间的下端等于或大于3.0），并接受支持性的评论。结果45项中的45项具有很强的定量支持。然而，评论签名了许多物品，以减少物品之间的重叠并缩短仪器。该过程导致进一步消除15项。结论经修订的26项P-SCO在现有可行性和效用的证据时建立，现在拥有内容有效性的额外证据。使用该工具应增强反馈并提高教育计划评估性能的能力。

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