@article{ref1,
title="Preliminary Development of a Rapid Assessment of Supervision Scale for Young Children",
journal="Pediatrics",
year="2012",
author="Anderst, Jim and Dowd, M. Denise and Schnitzer, Patricia G. and Tryon, Tom",
volume="129",
number="6",
pages="e1517-24",
abstract="OBJECTIVES:Standardized evaluation tools have been shown to reduce variability in care. The objective of this study was to develop a clinically oriented evaluation tool for the rapid assessment of the adequacy of supervision of a young child.METHODS:The Rapid Assessment of Supervision Scale (RASS) was developed via a 3-step process: (1) a modified Delphi survey of child abuse experts identified the most important characteristics for use in the assessment of adequacy of supervision; (2) the RASS was designed by using standardized definitions and the results of the Delphi survey; and (3) a total of 4 medical professionals evaluated 139 real case scenarios by using the RASS. Reliability and feasibility were assessed.RESULTS:Sixty-seven child abuse experts participated in round 2 of the Delphi process and 50 participated in round 3. The RASS included 9 supervision characteristics identified from the Delphi process, standardized definitions, and a scoring system. The interclass correlation coefficients for interrater reliability of the mean RASS scores and overall supervision classification were 0.63 (95% confidence interval: 0.56-0.70; P = .000) and 0.59 (95% confidence interval: 0.51-0.67; P = .000), respectively, indicating moderate to strong agreement. For intrarater reliability, correlation coefficients for mean RASS scores indicated moderate to high correlation (0.50-0.83). Correlation for overall classification of supervision ranged from low to high (0.27-0.80).CONCLUSIONS:The RASS scale has been shown to be efficient and, in a small sample, to have moderate to substantial interrater agreement. Further development could result in a tool that aids clinicians and researchers in the evaluation of supervision.<p /> <p>Language: en</p>",
language="en",
issn="0031-4005",
doi="10.1542/peds.2011-2880",
url="http://dx.doi.org/10.1542/peds.2011-2880"
}