In lieu of traditional training of examiners to identify cerebral palsy on a neurologic examination at age 1 year, we proposed an alternative approach using a multimedia training video and CD-ROM we developed after a two-step validation process. We hypothesized that use of CD-ROM interactive training will lead to reliable and valid performance of the neurologic examination by both pediatric neurologists and nonpediatric neurologists. All examiners were asked to take one of six interobserver variability tests found on the CD-ROM on two occasions. In the first interobserver variability evaluation, 89\% (531 of 594) of the responses agreed with the gold standard responses. Following annotated feedback to the examiners about the two items that had a 60\% correct rate, the correct response rate rose to 93\% (114 of 123). In the second interobserver variability evaluation, 88\% (493 of 560) of the responses agreed with the gold standard responses. Following annotated feedback to the examiners about the four items that had a 70\% correct rate, the correct response rate rose to 96\% (104 of 108). Interactive CD-ROM examination training is an efficient and cost-effective means of training both neurologists and non-neurologists to perform structured neurologic examinations in 1-year-old children. It provides an effective means to evaluate interobserver variability, offers a route for feedback, and creates an opportunity to reevaluate variability, both immediately and at periodic intervals.
%0 Journal Article
%1 Kuban2005
%A Kuban, Karl C K
%A O'Shea, Michael
%A Allred, Elizabeth
%A Leviton, Alan
%A Gilmore, Herbert
%A DuPlessis, Adr?
%A Krishnamoorthy, Kalpathy
%A Hahn, Cecil
%A Soul, Janet
%A O'Connor, Sunila E
%A Miller, Karen
%A Church, Paige T
%A Keller, Cecilia
%A Bream, Richard
%A Adair, Robin
%A Miller, Alice
%A Romano, Elaine
%A Bassan, Haim
%A Kerkering, Kathy
%A Engelke, Steve
%A Marshall, Diane
%A Milowic, Kristy
%A Wereszczak, Janice
%A Hubbard, Carol
%A Washburn, Lisa
%A Dillard, Robert
%A Heller, Cherrie
%A Burdo-Hartman, Wendy
%A Fagerman, Lynn
%A Sutton, Dinah
%A Karna, Padu
%A Olomu, Nick
%A Caldarelli, Leslie
%A Oca, Melisa
%A Lohr, Kim
%A Scheiner, Albert
%D 2005
%J J Child Neurol
%K CD-ROM; Cerebral Palsy; Data Collection; Education; Epidemiologic Studies; Humans; Infant; Neurologic Examination; Observer Variation; Professional Competence; Video Recording
%N 10
%P 829--831
%T Video and CD-ROM as a training tool for performing neurologic examinations of 1-year-old children in a multicenter epidemiologic study.
%V 20
%X In lieu of traditional training of examiners to identify cerebral palsy on a neurologic examination at age 1 year, we proposed an alternative approach using a multimedia training video and CD-ROM we developed after a two-step validation process. We hypothesized that use of CD-ROM interactive training will lead to reliable and valid performance of the neurologic examination by both pediatric neurologists and nonpediatric neurologists. All examiners were asked to take one of six interobserver variability tests found on the CD-ROM on two occasions. In the first interobserver variability evaluation, 89\% (531 of 594) of the responses agreed with the gold standard responses. Following annotated feedback to the examiners about the two items that had a 60\% correct rate, the correct response rate rose to 93\% (114 of 123). In the second interobserver variability evaluation, 88\% (493 of 560) of the responses agreed with the gold standard responses. Following annotated feedback to the examiners about the four items that had a 70\% correct rate, the correct response rate rose to 96\% (104 of 108). Interactive CD-ROM examination training is an efficient and cost-effective means of training both neurologists and non-neurologists to perform structured neurologic examinations in 1-year-old children. It provides an effective means to evaluate interobserver variability, offers a route for feedback, and creates an opportunity to reevaluate variability, both immediately and at periodic intervals.
@article{Kuban2005,
abstract = {In lieu of traditional training of examiners to identify cerebral palsy on a neurologic examination at age 1 year, we proposed an alternative approach using a multimedia training video and CD-ROM we developed after a two-step validation process. We hypothesized that use of CD-ROM interactive training will lead to reliable and valid performance of the neurologic examination by both pediatric neurologists and nonpediatric neurologists. All examiners were asked to take one of six interobserver variability tests found on the CD-ROM on two occasions. In the first interobserver variability evaluation, 89\% (531 of 594) of the responses agreed with the gold standard responses. Following annotated feedback to the examiners about the two items that had a 60\% correct rate, the correct response rate rose to 93\% (114 of 123). In the second interobserver variability evaluation, 88\% (493 of 560) of the responses agreed with the gold standard responses. Following annotated feedback to the examiners about the four items that had a 70\% correct rate, the correct response rate rose to 96\% (104 of 108). Interactive CD-ROM examination training is an efficient and cost-effective means of training both neurologists and non-neurologists to perform structured neurologic examinations in 1-year-old children. It provides an effective means to evaluate interobserver variability, offers a route for feedback, and creates an opportunity to reevaluate variability, both immediately and at periodic intervals.},
added-at = {2014-07-19T20:39:56.000+0200},
author = {Kuban, Karl C K and O'Shea, Michael and Allred, Elizabeth and Leviton, Alan and Gilmore, Herbert and DuPlessis, Adr? and Krishnamoorthy, Kalpathy and Hahn, Cecil and Soul, Janet and O'Connor, Sunila E and Miller, Karen and Church, Paige T and Keller, Cecilia and Bream, Richard and Adair, Robin and Miller, Alice and Romano, Elaine and Bassan, Haim and Kerkering, Kathy and Engelke, Steve and Marshall, Diane and Milowic, Kristy and Wereszczak, Janice and Hubbard, Carol and Washburn, Lisa and Dillard, Robert and Heller, Cherrie and Burdo-Hartman, Wendy and Fagerman, Lynn and Sutton, Dinah and Karna, Padu and Olomu, Nick and Caldarelli, Leslie and Oca, Melisa and Lohr, Kim and Scheiner, Albert},
biburl = {https://www.bibsonomy.org/bibtex/222a6cf6335f9d911dc76559de96607f8/ar0berts},
groups = {public},
interhash = {3d1113059b09a6953404b463183d385f},
intrahash = {22a6cf6335f9d911dc76559de96607f8},
journal = {J Child Neurol},
keywords = {CD-ROM; Cerebral Palsy; Data Collection; Education; Epidemiologic Studies; Humans; Infant; Neurologic Examination; Observer Variation; Professional Competence; Video Recording},
month = Oct,
number = 10,
pages = {829--831},
pmid = {16417880},
timestamp = {2014-07-19T20:39:56.000+0200},
title = {Video and CD-ROM as a training tool for performing neurologic examinations of 1-year-old children in a multicenter epidemiologic study.},
username = {ar0berts},
volume = 20,
year = 2005
}