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Development of Three Web-Based Computerized Versions of the Kiddie Schedule for Affective Disorders and Schizophrenia Child Psychiatric Diagnostic Interview: Preliminary Validity Data.
Journal of the American Academy of Child and Adolescent Psychiatry ( IF 9.2 ) Pub Date : 2019-05-18 , DOI: 10.1016/j.jaac.2019.05.009
Lisa Townsend 1 , Kenneth Kobak 2 , Catherine Kearney 3 , Michael Milham 4 , Charissa Andreotti 5 , Jasmine Escalera 5 , Lindsay Alexander 5 , Mary Kay Gill 6 , Boris Birmaher 6 , Raeanne Sylvester 6 , Dawn Rice 6 , Alison Deep 2 , Joan Kaufman 1
Affiliation  

OBJECTIVE To present initial validity data on three web-based computerized versions of the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-COMP). METHOD The sample for evaluating the validity of the clinician-administered KSADS-COMP included 511 youths 6-18 years of age who were participants in the Child Mind Institute Healthy Brain Network. The sample for evaluating the parent and youth self-administered versions of the KSADS-COMP included 158 youths 11-17 years of age recruited from three academic institutions. RESULTS Average administration time for completing the combined parent and youth clinician-administered KSADS-COMP was less time than previously reported for completing the paper-and-pencil K-SADS with only one informant (91.9 ± 50.1 minutes). Average administration times for the youth and parent self-administered KSADS-COMP were 50.9 ± 28.0 minutes and 63.2 ± 38.3 minutes, respectively, and youths and parents rated their experience using the web-based self-administered KSADS-COMP versions very positively. Diagnoses generated with all three KSADS-COMP versions demonstrated good convergent validity against established clinical rating scales and dimensional diagnostic-specific ratings derived from the KSADS-COMP. When parent and youth self-administered KSADS-COMP data were integrated, good to excellent concordance was also achieved between diagnoses derived using the self-administered and clinician-administered KSADS-COMP versions (area under the curve = 0.89-1.00). CONCLUSION The three versions of the KSADS-COMP demonstrate promising psychometric properties, while offering efficiency in administration and scoring. The clinician-administered KSADS-COMP shows utility not only for research, but also for implementation in clinical practice, with self-report preinterview ratings that streamline administration. The self-administered KSADS-COMP versions have numerous potential research and clinical applications, including in large-scale epidemiological studies, in schools, in emergency departments, and in telehealth to address the critical shortage of child and adolescent mental health specialists. CLINICAL TRIAL REGISTRATION INFORMATION Computerized Screening for Comorbidity in Adolescents With Substance or Psychiatric Disorders; https://clinicaltrials.gov/; NCT01866956.

中文翻译:

三种基于网络的计算机化版本的儿童情感障碍和精神分裂症儿童精神病学诊断面试时间表:初步有效性数据。

目的在三个基于网络的计算机版《情感障碍和精神分裂症儿童时间表》(KSADS-COMP)上提供初始有效性数据。方法评估临床医生管理的KSADS-COMP有效性的样本包括511名6-18岁的青年,他们是儿童思维研究所健康大脑网络的参与者。评估KSADS-COMP的父母和青年自我管理版本的样本包括从三个学术机构招募的158名11-17岁的青年。结果完成由父母和青年临床医生共同管理的KSADS-COMP的平均管理时间比以前报道的仅由一名线人完成纸和铅笔K-SADS的时间要短(91.9±50.1分钟)。青年和父母自行管理的KSADS-COMP的平均管理时间分别为50.9±28.0分钟和63.2±38.3分钟,青年和父母对使用网络自我管理的KSADS-COMP版本的体验给予了积极评价。使用所有三个KSADS-COMP版本生成的诊断显示出相对于既定的临床等级量表和源自KSADS-COMP的尺寸诊断特定等级的良好收敛性。当父母和青少年自行管理的KSADS-COMP数据进行整合时,使用自行管理和临床医师管理的KSADS-COMP版本得出的诊断之间也达到了良好至极佳的一致性(曲线下面积= 0.89-1.00)。结论三种版本的KSADS-COMP都显示出令人鼓舞的心理测量特性,同时提高管理和评分效率。由临床医生管理的KSADS-COMP不仅具有研究实用性,而且还具有临床实践中的实施功能,其自我报告的采访前评分简化了管理工作。自我管理的KSADS-COMP版本具有众多潜在的研究和临床应用,包括大规模流行病学研究,学校,急诊部门和远程医疗中,以解决儿童和青少年心理健康专家严重短缺的问题。临床试验注册信息对患有实质性疾病或精神疾病的青少年进行合并症计算机化筛查;https://clinicaltrials.gov/; NCT01866956。而且还可以在临床实践中实施,并具有自我报告的采访前评分,可以简化管理过程。自我管理的KSADS-COMP版本具有众多潜在的研究和临床应用,包括大规模流行病学研究,学校,急诊部门和远程医疗中,以解决儿童和青少年心理健康专家严重短缺的问题。临床试验注册信息对患有实质性疾病或精神疾病的青少年进行合并症计算机化筛查;https://clinicaltrials.gov/; NCT01866956。而且还可以在临床实践中实施,并具有自我报告的采访前评分,可以简化管理过程。自我管理的KSADS-COMP版本具有众多潜在的研究和临床应用,包括大规模流行病学研究,学校,急诊部门和远程医疗中,以解决儿童和青少年心理健康专家严重短缺的问题。临床试验注册信息对患有实质性疾病或精神疾病的青少年进行合并症计算机化筛查;https://clinicaltrials.gov/; NCT01866956。在急诊部门和远程医疗中,以解决儿童和青少年心理健康专家严重短缺的问题。临床试验注册信息对患有实质性疾病或精神疾病的青少年进行合并症计算机化筛查;https://clinicaltrials.gov/; NCT01866956。在急诊部门和远程医疗中,以解决儿童和青少年心理健康专家的严重短缺。临床试验注册信息对患有实质性疾病或精神疾病的青少年进行合并症计算机化筛查;https://clinicaltrials.gov/; NCT01866956。
更新日期:2020-01-23
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