TY - JOUR
T1 - The ECLW Collaborative Study II
T2 - Patient Registration Form (PRF) instrument, training and reliability
AU - Lobo, Antonio
AU - Huyse, Frits J.
AU - Herzog, Thomas
AU - Malt, Ulrik F.
AU - Opmeer, Brent C.
AU - Van Moffaert, Myriam
AU - Tienari, Pekka
AU - Sakkas, Paul
AU - Cardoso, Graça
AU - Lopes, Raul Guimaraes
AU - Rigatelli, Marco
AU - Crespo, Maria Dolores
AU - Mayou, Richard
AU - Creed, Francis
AU - Razavi, Darius
AU - Loldrup, Dorte
AU - Bech, Per
AU - Guillibert, Edmond
AU - Marx, Guy
AU - Stein, Barbara
AU - Wirsching, Michael
AU - Fava, Giovanni
AU - Hengeveld, Michiel W.
AU - Refne, Inge
AU - Radanov, Bogdan
AU - Swiss, Roger Zumbrunnen
AU - Person, Torny
AU - Lloyd, Geoff
AU - Rijssenbeek, Andree J.M.M.
AU - Koopmans, Gerrit
AU - Strain, James J.
AU - Hammer, Jeffrey S.
AU - Lyons, John S.
AU - Goldberg, David
AU - Van Der Brink, Wim
AU - Koeter, Maarten
AU - Smith, Graeme
N1 - Funding Information:
Department of Psychotherapy and Psychosomatic Medicine, Alberts Ludwigs University, Freiburg, Germany. § Department of Psychosomatic and Behavioral Medicine, University of Oslo, The National Hospital, Oslo, Norway. ¶ ECLW Coordination Center, Free University Hospital, Amsterdam, The Netherlands. 'This study is initiated by the European Consultation/Liaison Workgroup for General Hospital Psychiatry and Psychosomatics (ECLW) grant supported by the European Community 4th Medical and Health Research Program COMAC--Health Service Research (Grant number: MR4*-340-NL) under the title: "The Effectiveness of Mental Health Service Delivery in the General Hospital". In Germany grant support has been provided by Robert Bosch Stiftung (Grant number: 1-1.5.1030.0075.0) and in the Netherlands the National Fund for Mental Health Research (Grant number: 90.3594). Additional support has been provided by the Norwegian Research Council for Science and the Humanities (NAVF), the Spanish Fondo de Investigaci6n Sanitaria (Grant # 92/0886E), Upjohn International Medical Sciences Liaison and Pfizer International.
PY - 1996/2
Y1 - 1996/2
N2 - This paper describes the development and testing of the Patient Registration Form (PRF), a standardized instrument for the description of patients seen by consultation-liaison (C-L) psychiatrists and psychosomatists in general hospitals, the referral patterns, the C-L interventions and their outcomes. The PRF study is part of a large multi-centre, European investigation on the effectiveness of mental health service delivery, conducted by the European C-L Workgroup for General Hospital Psychiatry and Psychosomatics (ECLW) and performed in the framework of the of the E.C. 4th Medical and Health Research Program. The final version of the PRF consists of 68 items. It was developed by the Program Management Group (PMG) and National Coordinators (NC) after long preparatory studies to assure both face and content validity and pilot testing. Two hundred and twenty consultants, who required 40 hours of training and came from 14 different European countries and 90 different sites, participated in the final reliability study. The PRF was tested in 13 written case histories. A 'gold standard' for the correct answers in each item was decided by 'consensus ratings' of the PMG and a subsequent 80% agreement by the NCs. A high standard (average kappa (κ) ≥ 0.70; at least 2/3 of the PRF items, κ ≥ 0.70) was required for the rater to be considered as 'reliable' (RR). The consultants considered the PRF both 'feasible' and 'acceptable' and 93.2% of them fulfilled the RR criteria. The calculated rater-'gold standard' reliability was satisfactory: only four PRF items were identified with low agreement coefficients and no biases were observed cross-nationally in the ratings. Given the implications of misclassification for evaluating C-L effectiveness and services, these results are important and the achievement unprecedented.
AB - This paper describes the development and testing of the Patient Registration Form (PRF), a standardized instrument for the description of patients seen by consultation-liaison (C-L) psychiatrists and psychosomatists in general hospitals, the referral patterns, the C-L interventions and their outcomes. The PRF study is part of a large multi-centre, European investigation on the effectiveness of mental health service delivery, conducted by the European C-L Workgroup for General Hospital Psychiatry and Psychosomatics (ECLW) and performed in the framework of the of the E.C. 4th Medical and Health Research Program. The final version of the PRF consists of 68 items. It was developed by the Program Management Group (PMG) and National Coordinators (NC) after long preparatory studies to assure both face and content validity and pilot testing. Two hundred and twenty consultants, who required 40 hours of training and came from 14 different European countries and 90 different sites, participated in the final reliability study. The PRF was tested in 13 written case histories. A 'gold standard' for the correct answers in each item was decided by 'consensus ratings' of the PMG and a subsequent 80% agreement by the NCs. A high standard (average kappa (κ) ≥ 0.70; at least 2/3 of the PRF items, κ ≥ 0.70) was required for the rater to be considered as 'reliable' (RR). The consultants considered the PRF both 'feasible' and 'acceptable' and 93.2% of them fulfilled the RR criteria. The calculated rater-'gold standard' reliability was satisfactory: only four PRF items were identified with low agreement coefficients and no biases were observed cross-nationally in the ratings. Given the implications of misclassification for evaluating C-L effectiveness and services, these results are important and the achievement unprecedented.
KW - Clinical database
KW - Consultation-liaison
KW - European hospitals
KW - Health services research
KW - Reliability
KW - Standardized assessment
UR - http://www.scopus.com/inward/record.url?scp=0029923224&partnerID=8YFLogxK
U2 - 10.1016/0022-3999(94)00007-7
DO - 10.1016/0022-3999(94)00007-7
M3 - Article
C2 - 8778397
AN - SCOPUS:0029923224
SN - 0022-3999
VL - 40
SP - 143
EP - 156
JO - Journal of Psychosomatic Research
JF - Journal of Psychosomatic Research
IS - 2
ER -