An evaluation of the effectiveness of a videotape programme on interobserver reliability in outcome assessment for ankylosing spondylitis

Bellamy N., Anjema C., Dhanoa D., Joglekar A., Mills G.C., Nesrallah G., Smith C., Ucar C., Hill J. and Campbell J. (1999) An evaluation of the effectiveness of a videotape programme on interobserver reliability in outcome assessment for ankylosing spondylitis. Inflammopharmacology, 7 2: 107-l17. doi:10.1007/BF02918386


Author Bellamy N.
Anjema C.
Dhanoa D.
Joglekar A.
Mills G.C.
Nesrallah G.
Smith C.
Ucar C.
Hill J.
Campbell J.
Title An evaluation of the effectiveness of a videotape programme on interobserver reliability in outcome assessment for ankylosing spondylitis
Journal name Inflammopharmacology   Check publisher's open access policy
ISSN 0925-4692
Publication date 1999-01-01
Sub-type Article (original research)
DOI 10.1007/BF02918386
Open Access Status Not yet assessed
Volume 7
Issue 2
Start page 107
End page l17
Total pages -106
Subject 2403 Immunology
3004 Pharmacology
Abstract A study was designed to assess the effects of a standardized instructional videotape on training senior medical students to acceptable levels of reliability in performing several commonly used observer dependent outcome measures in patients with osteoarthritis (OA).

During a single day, six third-year medical students independently examined six patients with OA in predetermined order using a Latin Square design, before and after viewing a standardized videotape demonstrating 13 examination techniques. Reliability coefficients were calculated based on variance components of the analysis of variance (ANOVA) table.

Preslandardization reliability coefficients were <0.80 for seven measures. Coefficients for the performance of knee goniometry were uniformly low. Following the intervention, all but four reliability coefficients were >/= 0.93.

For many measures, high levels of interobserver agreement were noted prior to viewing the instructional videotape. This may represent the success of undergraduate clinical skills training programmes, or it may be the result of having reviewed an illustrated instructional text just prior to the initial patient examinations. The notable exception was knee goniometry. Despite apparent familiarity with the technique, prestandardization reliability coefficients were very low. However, following the intervention, all coefficients improved dramatically, two-thirds achieving very high levels. These data suggest that skills development in senior medical students is not uniform and that, while reliability is high for many, the assessment of knee range of movement can be improved by viewing an instructional videotape.
Keyword Ankylosing spondylitis
Clinical trials
Outcome measurement
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: Scopus Import - Archived
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 1 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 28 Jun 2016, 12:53:35 EST by System User