%0 Journal Article
%T Development and evaluation of the "BRISK Scale," a brief observational measure of risk communication competence
%J Patient education and counseling
%D 2016
%A Han, Paul K. J.
%A Joekes, Katherine
%A Mills, Greg
%A Gutheil, Caitlin
%A Smith, Kahsi
%A Cochran, Nancy E.
%A Elwyn, Glyn
%V 99
%N 12
%P 2091-2094
%X OBJECTIVE: To develop and evaluate a brief observational measure of clinical risk communication competence. <br><br>METHODS: A 4-item checklist-type measure, the BRISK (Brief Risk Information Skill) Scale, was developed by selecting and refining items from a more comprehensive measure of clinical risk communication competence. Six volunteer raters received brief training on the measure and then used the BRISK Scale to evaluate 52 video-recorded encounters between 2nd-year medical students and standardized patients conducted as part of an Observed Structured Clinical Examination (OSCE) involving a risk communication task. Internal consistency reliability, inter-rater reliability, and criterion validity were assessed. <br><br>RESULTS: Raters reported no difficulties using the BRISK Scale; scores across all raters and subjects ranged from 0 to 16 with a mean score of 6.49 (SD=3.17). The BRISK Scale showed good internal consistency reliability (α=0.64), and inter-rater reliability at the scale level (Intraclass Correlation Coefficient (ICC)=0.79 for consistency, and 0.75 for absolute agreement) and individual-item level (ICC range: 0.62-.91). Novice raters' BRISK Scale scores were highly correlated (r=0.84, p<0.01) with expert raters' scores on the Risk Communication Content measure, a more comprehensive measure of risk communication competence. <br><br>CONCLUSIONS: The BRISK Scale is a promising new brief observational measure of clinical risk communication competence.<br><br>Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.<p /> <p>Language: en</p>
%G en
%I Elsevier Publishing
%@ 0738-3991
%U http://dx.doi.org/10.1016/j.pec.2016.08.013