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Preliminary development of a rapid assessment of supervision scale for young children

Jim Anderst1, M Denise Dowd, Patricia Schnitzer

  • 1Section on Child Abuse and Neglect, Children’s Mercy Hospital, University of Missouri Kansas City School of Medicine, Kansas City, Missouri 64108, USA. jdanderst@cmh.edu

Pediatrics
|May 9, 2012
PubMed

Insights

A new tool, the Rapid Assessment of Supervision Scale (RASS), was developed to quickly evaluate child supervision. The RASS shows moderate to strong agreement among raters, aiding clinical assessment.

Area of Science:

  • Child Health
  • Pediatric Care
  • Clinical Assessment Tools

Background:

  • Variability in healthcare necessitates standardized evaluation tools.
  • Assessing the adequacy of child supervision is crucial for child welfare.
  • Existing tools may lack clinical orientation or rapid assessment capabilities.

Purpose of the Study:

  • To develop a clinically oriented evaluation tool for rapid assessment of child supervision adequacy.
  • To create the Rapid Assessment of Supervision Scale (RASS).

Main Methods:

  • A modified Delphi survey with child abuse experts identified key supervision characteristics.
  • The RASS was designed using standardized definitions and Delphi survey results.
  • Four medical professionals evaluated 139 real case scenarios using the RASS to assess reliability and feasibility.

Main Results:

  • The RASS incorporates 9 expert-identified supervision characteristics with standardized definitions and a scoring system.
  • Interrater reliability for mean RASS scores (ICC=0.63) and overall supervision classification (ICC=0.59) demonstrated moderate to strong agreement.
  • Intrarater reliability showed moderate to high correlation for mean RASS scores (0.50-0.83).

Conclusions:

  • The Rapid Assessment of Supervision Scale (RASS) is an efficient tool for evaluating child supervision.
  • The RASS demonstrated moderate to substantial interrater agreement in a pilot study.
  • Further development of the RASS could enhance its utility for clinicians and researchers in supervision evaluation.
Abstract

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