Feasibility and preliminary validity evidence for remote video-based assessment of clinicians in a global health setting

PloS One
Katherine A SmithPeter A Meaney

Abstract

Serious childhood illnesses (SCI), defined as severe pneumonia, severe dehydration, sepsis, and severe malaria, remain major contributors to amenable child mortality worldwide. Inadequate recognition and treatment of SCI are factors that impact child mortality in Botswana. Skills assessments of providers caring for SCI have not been validated in low and middle-income countries. To establish preliminary inter-rater reliability, validity evidence, and feasibility for an assessment of providers who care for SCI using simulated patients and remote video capture in community clinic settings in Botswana. This was a pilot study. Four scenarios were developed via a modified Delphi technique and implemented at primary care clinics in Kweneng, Botswana. Sessions were video captured and independently reviewed. Response process and internal structure analysis utilized intra-class correlation (ICC) and Fleiss' Kappa. A structured log was utilized for feasibility of remote video capture. Eleven subjects participated. Scenarios of Lower Airway Obstruction (ICC = 0.925, 95%CI 0.695-0.998) and Hypovolemic Shock from Severe Dehydration (ICC = 0.892, 95%CI 0.596-0.997) produced excellent ICC among raters while Lower Respiratory Tract Infection (L...Continue Reading

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Citations

Aug 31, 2020·Disability and Rehabilitation. Assistive Technology·Satria ArdianuariMark Schmeler

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Software Mentioned

IRR
SimCapture
B Line
AWS Cloud
SimCapture UltraPortable
SimCapture Virtual Centralization Server
R

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