Overview and inter-rater reliability of an incident-based rating scale for aggressive behaviour following traumatic brain injury: The Overt Aggression Scale-Modified for Neurorehabilitation-Extended (OAS-MNR-E).

Abstract:

PRIMARY OBJECTIVE:The presentation and evaluation of the Overt Aggression Scale-Modified for Neurorehabilitation-Extended (OAS-MNR-E). RESEARCH DESIGN:Inter-rater reliability study using data collection procedures mirroring clinical practice. METHODS AND PROCEDURES:Fifteen clinical staff representing five different disciplines received a 30-minute orientation to the study and a 30-minute overview of the OAS-MNR-E. There were 34 patients who engaged in a rateable behaviour and were observed by two raters. There were 199 observed aggressive behaviours during the 6-week study period. MAIN OUTCOMES AND RESULTS:All sub-scales of the OAS-MNR-E had high percentage agreement (>92%) and the kappa statistic was uniformly excellent (>0.77). Multiple ratings within a sub-scale resulted in lower reliabilities. Incidents with multiple interventions were of longer duration. Interventions were on average more intrusive when used in combination than when used singly. CONCLUSIONS:The OAS-MNR-E can be easily incorporated into facility routines and is reliable. The rating tool reported here can provide data that assists in programme design, evaluation and treatment planning.

journal_name

Brain Inj

journal_title

Brain injury

authors

Giles GM,Mohr JD

doi

10.1080/02699050701311729

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

505-11

issue

5

eissn

0269-9052

issn

1362-301X

pii

779011911

journal_volume

21

pub_type

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