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Related Concept Videos

Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
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Related Experiment Videos

Training and Maintaining System-Wide Reliability in Outcome Management.

Melanie A Barwick1, Diana J Urajnik2, Julia E Moore3

  • 1Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8 Canada.

Journal of Child and Family Studies
|January 18, 2014
PubMed
Summary

Reliable training methods for the Child and Adolescent Functional Assessment Scale (CAFAS) are crucial. Both external and internal technical assistance approaches ensured high practitioner reliability, supporting CAFAS as a key outcome management tool.

Keywords:
CAFASOutcome managementRater driftRater reliabilityTrain-the-trainer

Related Experiment Videos

Area of Science:

  • Child and Adolescent Psychology
  • Healthcare Management
  • Behavioral Health Services

Background:

  • The Child and Adolescent Functional Assessment Scale (CAFAS) is vital for outcome management and monitoring evidence-based practices in systems of care.
  • Reliability training and rater drift assessment are critical for effective service decision-making.

Purpose of the Study:

  • To assess the reliability of two Child and Adolescent Functional Assessment Scale (CAFAS) training approaches: external technical assistance and internal technical assistance.
  • To evaluate the long-term reliability and potential rater drift associated with each training method.

Main Methods:

  • A comparative study involving 315 practitioners trained via external technical assistance and 140 practitioners trained via internal technical assistance.
  • Reliability was assessed for both training groups, with 1- and 3-year follow-ups to monitor for rater drift.

Main Results:

  • Both external and internal technical assistance approaches yielded high initial reliabilities for practitioners using the Child and Adolescent Functional Assessment Scale (CAFAS) (ranging from .909 to .997).
  • Some rater drift was observed on several scales at the 1- and 3-year follow-up points.

Conclusions:

  • High and consistent reliabilities over time and across training methods support the Child and Adolescent Functional Assessment Scale (CAFAS) as a reliable tool.
  • These findings have significant implications for training behavioral health practitioners and maintaining the integrity of the CAFAS in systems of care.