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Published on: June 12, 2019
The INTERMED Japanese version: inter-rater reliability and internal consistency.
Yasuhiro Kishi1, Maki Matsuki, Hidetoshi Mizushima
1Department of Psychiatry, Saitama Medical Center, Saitama Medical University, Kawagoe-shi, Saitama, Japan. yk1228@gmail.com
The Japanese version of the INTERMED screening tool demonstrates high reliability and consistency for assessing patients. This tool is useful for proactive biopsychosocial care in Japan.
Area of Science:
- Psychiatry
- Health Services Research
Background:
- The INTERMED is a tool for assessing biopsychosocial needs.
- Its utility in Japan requires validation.
Purpose of the Study:
- To establish the inter-rater reliability and internal consistency of the Japanese version of the INTERMED.
- To assess the utility of the INTERMED in the Japanese healthcare context.
Main Methods:
- Patients from psychiatric and palliative care services were independently scored using the INTERMED by raters.
- Statistical analyses included intraclass correlation coefficient and Cronbach's alpha.
Main Results:
- The Japanese INTERMED showed high inter-rater reliability (ICC=0.98) and internal consistency (α=0.89).
- All four domains (biological, psychological, social, healthcare) were positively correlated.
- A cutoff score of 20/21 yielded a kappa coefficient of 0.79.
Conclusions:
- The INTERMED-Japanese version is a reliable and consistent tool for biopsychosocial screening.
- It is a useful and practical tool for the current Japanese healthcare system.
- Further research should explore its utility in improving care for patients with complex needs across various Japanese medical settings.
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