The validity and reliability of the affective competency score to evaluate death disclosure using standardized patients

Journal of Palliative Medicine
Tammie E QuestJonathan J Ratcliff

Abstract

To explore the validity and reliability of the affective competency score (ACS), compared to a global rating measure to predict overall competency to perform a death disclosure in a standardized patient exercise and to investigate useful thresholds of the ACS. Thirty-seven fourth-year students underwent standardized patient training in death disclosure during a fourth-year emergency medicine clerkship. Students were evaluated using a checklist, an ACS, and a global rating assessment. ACS interrater reliability, interitem reliability, item-total reliability, and split-half reliability were calculated. Area under the curve (AUC) measurements were used to establish criterion validity. For the ACS, item-total correlations ranged from 0.76 to 0.85, 0.76 to 0.93, and 0.42 to 0.87; the split-half reliability was 0.82 (p = 0.0001), 0.86 (p = 0.0001) and 0.55 (p = 0.0007) for the standardized patient (SP), the faculty and the medical students, respectively. Interitem correlations were adequate. A moderate interrater correlation of the ACS was observed between the faculty observer and the SP (r = 0.47; p = 0.04); however, the medical students' self evaluation did not correlate significantly with either the SP (r = -0.04; p = 0.79), or th...Continue Reading

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Citations

Nov 26, 2010·Journal of Palliative Medicine·Allen D AndradeJorge G Ruiz
Jan 3, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Teresa M ChanChad Kessler
Jun 29, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Cherri HobgoodJane H Brice
Aug 17, 2010·Patient Education and Counseling·Danielle Blanch-Hartigan
May 6, 2020·JAMA Network Open·Kelly W HarrisEllen Wright Clayton
Oct 27, 2020·Frontiers in Psychology·Diego De LeoCristina Anile
May 1, 2021·Patient Education and Counseling·Thomas Dale MacLaineJeremy Dale

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