Inter- and Intrarater Reliability of the Gap–Kalamazoo Communication Skills Assessment Form Among Occupational Therapy Interns.

Importance: Effective communication skills (CS) are essential for occupational therapists. The Gap–Kalamazoo Communication Skills Assessment Form (GKCSAF) is a standard tool for assessing the CS of medical residents. However, the interrater reliability for the nine CS domain scores ranges from poor...

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Publicado en:American Journal of Occupational Therapy Vol. 78; no. 4; pp. 1 - 11
Autores principales: Chen, Tzu-Ting, Wang, Yi-Ching, Wu, Tzu-Yi, Chen, Chyi-Rong, Cheng, Chung-Yin, Hsueh, I-Ping, Wang, San-Ping, Hsieh, Ching-Lin
Formato: equations & formulas research tables/charts Journal Article
Publicado: American Occupational Therapy Association Jul/Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2024
      vid: 78
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2024.050386
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        atl: Inter- and Intrarater Reliability of the Gap–Kalamazoo Communication Skills Assessment Form Among Occupational Therapy Interns.
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          Chen, Tzu-Ting
          Wang, Yi-Ching
          Wu, Tzu-Yi
          Chen, Chyi-Rong
          Cheng, Chung-Yin
          Hsueh, I-Ping
          Wang, San-Ping
          Hsieh, Ching-Lin
        affil: Tzu-Ting Chen, MS, is Occupational Therapist, Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan, and PhD Candidate, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
      sug:
        subj:
          Checklists
          Interrater Reliability
          Intrarater Reliability
          Occupational Therapy
          Interns and Residents
          Competency Assessment
          Communication Skills Evaluation
          Professional-Patient Relations
          Human
          Male
          Female
          Adult
          Mental Disorders Rehabilitation
          Interviews
          Descriptive Statistics
          Confidence Intervals
          Kruskal-Wallis Test
          One-Way Analysis of Variance
          Post Hoc Analysis
          Data Analysis Software
          Coefficient alpha
          Face Validity
          Reproducibility of Results
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: Importance: Effective communication skills (CS) are essential for occupational therapists. The Gap–Kalamazoo Communication Skills Assessment Form (GKCSAF) is a standard tool for assessing the CS of medical residents. However, the interrater reliability for the nine CS domain scores ranges from poor to good. The intrarater reliability remains unclear. Objective: To examine the inter- and intrarater reliability of the GKCSAF's nine domain scores and total score among occupational therapy interns. Design: Repeated assessments with the GKCSAF. Setting: Medical center psychiatry department. Participants: Twenty-five interns and 49 clients with mental illness, recruited from August 2020 to December 2021. Outcomes and Measures: The transcripts of 50 evaluation interviews between clients and interns were used. Three independent raters assessed each transcript twice, at least 3 mo apart. Results: The GKCSAF demonstrated poor interrater reliability for the nine domain scores (weighted κ =.08–.30) and the total score (intraclass correlation coefficient [ICC] =.22, 95% confidence interval [CI] [.10,.35]). The GKCSAF showed poor to intermediate intrarater reliability for the nine domain scores (weighted κ =.27–.73) and fair reliability for the total score (ICC =.69, 95% CI [.60,.77]). Conclusions and Relevance: The GKCSAF demonstrates poor interrater reliability and poor to intermediate intrarater reliability for the nine domain scores. However, it demonstrates fair intrarater reliability in assessing the overall CS performance of occupational therapy interns. Significant variations were observed when different raters assessed the same interns' CS, indicating inconsistencies in ratings. Consequently, it is advisable to conservatively interpret the CS ratings obtained with the GKCSAF. Plain-Language Summary: It is essential for occupational therapists to effectively communicate with clients. The Gap–Kalamazoo Communication Skills Assessment Form (GKCSAF) is a standard tool that is used to assess the communication skills of medical residents. The study authors used the GKCSAF with occupational therapy interns in a medical center psychiatry department to assess how effectively they interviewed clients with mental illness. This study aids occupational therapy personnel in the interpretation of GKCSAF results. The study findings also highlight the importance of developing reliable and standardized measures to assess communications skills in the field of occupational therapy. The authors used the Gap–Kalamazoo Communication Skills Assessment Form with occupational therapy interns in a medical center psychiatry department to assess how effectively they interviewed clients with mental illness.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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