Standardized training in the rating of the six-item positive and negative syndrome scale (PANSS-6)
Introduction The six-item Positive And Negative Syndrome Scale (PANSS-6) is short psychometric valid scale quantifying the severity of core schizophrenia symptoms. Using PANSS-6 to guide treatment decision-making requires that staff members’ ratings are valid and reliable. Objectives The objecti...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821015807/type/journal_article |
| _version_ | 1797616286418599936 |
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| author | P. Kølbæk D. Dines J. Hansen M. Opler C. Correll O. Mors S. Østergaard |
| author_facet | P. Kølbæk D. Dines J. Hansen M. Opler C. Correll O. Mors S. Østergaard |
| author_sort | P. Kølbæk |
| collection | DOAJ |
| description |
Introduction
The six-item Positive And Negative Syndrome Scale (PANSS-6) is short psychometric valid scale quantifying the severity of core schizophrenia symptoms. Using PANSS-6 to guide treatment decision-making requires that staff members’ ratings are valid and reliable.
Objectives
The objective of the study was to evaluate whether such valid and reliable PANSS-6 ratings can be obtained through a video-based training program.
Methods
One-hundred-and-four staff members from Aarhus University Hospital - Psychiatry, Denmark participated in the training. Participants conducted baseline PANSS-6 ratings based on a video of a patient being interviewed using the Simplified Positive And Negative Symptoms interview (SNAPSI). Subsequently, a theoretical introduction video was displayed followed by five SNAPSI patient interviews. After each SNAPSI video, individual ratings were performed before a video providing the gold standard scores was displayed. The validity of ratings was estimated by calculating the proportion of participants not deviating from the gold standard scores with >2 points on individual items or >6 points on the PANSS-6 total score. Reliability was evaluated after each step in the training by means of Gwet’s Agreement Coefficient (Gwet).
Results
By the end of the training, 72% of the participants rated within the acceptable deviations of the gold standard, ranging from 60% (nurses) to 91% (medical doctors/psychologists). The reliability improved (Gwet baseline vs. endpoint) for all PANSS-6 items, except for Blunted affect.
Conclusions
The majority of the staff members conducted valid PANSS-6 ratings after a brief standardized training program, supporting the implementation of PANSS-6 in clinical settings to facilitate measurement-based care.
Conflict of interest
Dr. Opler is a full-time employee of MedAvante-ProPhase Inc. Dr. Correll has been a consultant and/or advisor to or have received honoraria from: Acadia, Alkermes, Allergan, Angelini, Axsome, Gedeon Richter, Gerson Lehrman Group, Indivior, IntraCellular T
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| first_indexed | 2024-03-11T07:39:01Z |
| format | Article |
| id | doaj.art-5a345f0aa9914566bfc3d245e6a22a68 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:39:01Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-5a345f0aa9914566bfc3d245e6a22a682023-11-17T05:09:01ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S592S59310.1192/j.eurpsy.2021.1580Standardized training in the rating of the six-item positive and negative syndrome scale (PANSS-6)P. Kølbæk0D. Dines1J. Hansen2M. Opler3C. Correll4O. Mors5S. Østergaard6Department Of Clinical Medicine, Aarhus University, Aarhus, Denmark Department Of Affective Disorders, Aarhus University Hospital - Psychiatry, Aarhus, Denmark Psychosis Research Unit, Aarhus University Hospital - Psychiatry, Aarhus N, DenmarkPsychosis Research Unit, Aarhus University Hospital - Psychiatry, Aarhus N, DenmarkPsychosis Research Unit, Aarhus University Hospital - Psychiatry, Aarhus N, DenmarkOffice Of The Executive Director, PANSS Institute, New York City, United States of America Department Of Psychiatry, New York University School of Medicine, New York, United States of America Medavante-prophase Inc, MedAvante-ProPhase Inc, New York, United States of AmericaDepartment Of Psychiatry, The Zucker Hillside Hospital, Glen Oaks, New York, United States of America Department Of Child And Adolescent Psychiatry, Psychosomatic Medicine And Psychotherapy, Charité University Medical Center, Berlin, Charite Berlin, Padua, Germany Department Of Psychiatry And Molecular Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/ Northwell School of Medicine, Aarhus, DenmarkDepartment Of Clinical Medicine, Aarhus University, Aarhus, Denmark Psychosis Research Unit, Aarhus University Hospital - Psychiatry, Aarhus N, DenmarkDepartment Of Clinical Medicine, Aarhus University, Aarhus, Denmark Department Of Affective Disorders, Aarhus University Hospital - Psychiatry, Aarhus, Denmark Psychosis Research Unit, Aarhus University Hospital - Psychiatry, Aarhus N, Denmark Introduction The six-item Positive And Negative Syndrome Scale (PANSS-6) is short psychometric valid scale quantifying the severity of core schizophrenia symptoms. Using PANSS-6 to guide treatment decision-making requires that staff members’ ratings are valid and reliable. Objectives The objective of the study was to evaluate whether such valid and reliable PANSS-6 ratings can be obtained through a video-based training program. Methods One-hundred-and-four staff members from Aarhus University Hospital - Psychiatry, Denmark participated in the training. Participants conducted baseline PANSS-6 ratings based on a video of a patient being interviewed using the Simplified Positive And Negative Symptoms interview (SNAPSI). Subsequently, a theoretical introduction video was displayed followed by five SNAPSI patient interviews. After each SNAPSI video, individual ratings were performed before a video providing the gold standard scores was displayed. The validity of ratings was estimated by calculating the proportion of participants not deviating from the gold standard scores with >2 points on individual items or >6 points on the PANSS-6 total score. Reliability was evaluated after each step in the training by means of Gwet’s Agreement Coefficient (Gwet). Results By the end of the training, 72% of the participants rated within the acceptable deviations of the gold standard, ranging from 60% (nurses) to 91% (medical doctors/psychologists). The reliability improved (Gwet baseline vs. endpoint) for all PANSS-6 items, except for Blunted affect. Conclusions The majority of the staff members conducted valid PANSS-6 ratings after a brief standardized training program, supporting the implementation of PANSS-6 in clinical settings to facilitate measurement-based care. Conflict of interest Dr. Opler is a full-time employee of MedAvante-ProPhase Inc. Dr. Correll has been a consultant and/or advisor to or have received honoraria from: Acadia, Alkermes, Allergan, Angelini, Axsome, Gedeon Richter, Gerson Lehrman Group, Indivior, IntraCellular T https://www.cambridge.org/core/product/identifier/S0924933821015807/type/journal_articleschizophréniapsychopathologyrater trainingPANSS |
| spellingShingle | P. Kølbæk D. Dines J. Hansen M. Opler C. Correll O. Mors S. Østergaard Standardized training in the rating of the six-item positive and negative syndrome scale (PANSS-6) European Psychiatry schizophrénia psychopathology rater training PANSS |
| title | Standardized training in the rating of the six-item positive and negative syndrome scale (PANSS-6) |
| title_full | Standardized training in the rating of the six-item positive and negative syndrome scale (PANSS-6) |
| title_fullStr | Standardized training in the rating of the six-item positive and negative syndrome scale (PANSS-6) |
| title_full_unstemmed | Standardized training in the rating of the six-item positive and negative syndrome scale (PANSS-6) |
| title_short | Standardized training in the rating of the six-item positive and negative syndrome scale (PANSS-6) |
| title_sort | standardized training in the rating of the six item positive and negative syndrome scale panss 6 |
| topic | schizophrénia psychopathology rater training PANSS |
| url | https://www.cambridge.org/core/product/identifier/S0924933821015807/type/journal_article |
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