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Children's type A interview: interrater, test-retest reliability, and interviewer effect.

T A Gerace, J C Smith

    Journal of Chronic Diseases
    |January 1, 1985
    PubMed
    Summary
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    The Miami Structured Interview--1 shows acceptable interrater and test-retest reliability for assessing Type A behavior in adolescents. However, standardization is crucial due to observed rater bias and interviewer effects.

    Area of Science:

    • Psychological assessment
    • Behavioral science
    • Child and adolescent psychology

    Background:

    • Type A behavior is a significant factor in cardiovascular health.
    • Assessing Type A behavior in young populations requires reliable tools.
    • The Miami Structured Interview--1 was developed for this purpose.

    Purpose of the Study:

    • To evaluate the interrater and test-retest reliability of the Miami Structured Interview--1.
    • To examine the influence of different interviewers on the assessment of Type A behavior.
    • To determine the suitability of the interview for longitudinal studies.

    Main Methods:

    • The Miami Structured Interview--1 was administered to adolescent groups in the US and Greece.
    • Interrater reliability was assessed using Cohen's kappa statistic on a dichotomous scale (A vs. not A) and a five-point scale.

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  • Test-retest reliability was measured within a 10-minute interval.

    • Main Results:

    • Interrater agreements ranged from 73% to 88% on the A vs. not A scale, with kappa values indicating moderate to substantial agreement.
    • Exact agreements on the five-point scale were lower, ranging from 42% to 48%, with weighted kappa values suggesting moderate agreement.
    • Test-retest reliability was high, with 91% agreement (k = 0.82) on the A vs. not A scale.
    • Rater bias and interviewer effects were observed, impacting the consistency of assessments.

    Conclusions:

    • The Miami Structured Interview--1 demonstrates acceptable interrater and test-retest reliability for assessing Type A behavior in adolescents.
    • The tool is susceptible to rater bias and interviewer variability, necessitating standardized administration protocols.
    • Findings support its use in longitudinal research, provided consistent application is ensured.