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Updated: Aug 14, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[A global scale for assessment of the family environment]
H C Steinhausen1, E Wolgensinger
1Zentrum für Kinder- und Jugendpsychiatrie, Universität Zürich. steinh@kjpd.unizh.ch
Objectives:
Reliability of the Global Family Environment Scale (GFES) which has been developed in Australia and translated into German.
Method:
Comparison of ratings and reliability of written case vignettes by international raters and clinicians of the own institution. Assessment of interrater-reliability of clinical cases before and after group trainings with introduction of the manual and discussion of written case vignettes.
Results:
The ratings of seven training case vignettes were rather similar by clinicians from Zurich and in an international study by the Australian authors. In the same way interrater agreements were similar in the two studies and satisfying. In the present study a single training session in comparison to reading the manual did not result in higher interrater agreement.
Conclusions:
The existing psychometric properties and the availability of a translation represent important prerequisites for the applicability of the GFES in the German-speaking countries.
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