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Development of a screening program for tardive dyskinesia: feasibility issues.
Nursing Research
|May 1, 1983
Summary
This study validated a screening method for tardive dyskinesia, finding it reliable and acceptable for patients. Thirty percent of screened individuals showed minimal symptoms, indicating a need for effective screening tools.
Area of Science:
- Psychiatry
- Neurology
- Clinical Screening
Background:
- Tardive dyskinesia is a significant concern in psychiatric aftercare.
- Developing valid and reliable screening methods is crucial for early detection and management.
Purpose of the Study:
- To establish the validity and reliability of a novel screening procedure for tardive dyskinesia.
- To assess the acceptability of the screening procedure among patients.
- To characterize patients with scores indicating minimal to severe tardive dyskinesia symptoms.
Main Methods:
- A feasibility study involving 60 patients across four psychiatric aftercare facilities.
- Development and implementation of a 12-hour rater training program.
- Utilized the Abnormal Involuntary Movement Scale (AIMS) for screening.
Main Results:
- Achieved high interrater reliability for the AIMS total score (r=.90, p<.01).
- Maintained screening validity with 80% agreement between nurse raters and a study expert.
- Identified that 30% of the screened population exhibited scores above minimal tardive dyskinesia symptoms.
- The screening program was found to be acceptable to the patient subjects.
Conclusions:
- The developed screening procedure is a valid and reliable method for detecting tardive dyskinesia.
- The training program for raters is effective and applicable across various clinical settings.
- A significant proportion of patients in aftercare facilities may present with tardive dyskinesia symptoms, highlighting the importance of systematic screening.