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Experience and training as determinants of grading reliability when assessing the severity of contact lens complications

Efron, Nathan, Morgan, Philip B., Farmer, Craig, Furuborg, Jan, Struk, Robert, & Carney, Leo G. (2003) Experience and training as determinants of grading reliability when assessing the severity of contact lens complications. Ophthalmic and Physiological Optics, 23(2), pp. 119-124.

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Abstract

PURPOSE: A study was conducted to investigate the influence of experience and training on grading reliability when assessing the severity of contact lens complications. METHODS: Twenty-three optometry students who were unfamiliar with the use of grading scales each used the Efron Grading Tutor computer program to ascertain grading reliability at an 'initial' experimental session and a 'final' session 3 weeks later. Twelve subjects (the 'trained' group) were given a tutorial on grading techniques and were asked to complete two grading exercises between the initial and final sessions. The other 11 subjects (the 'untrained' group) received no such training between the two sessions. Differences in grading reliability between the initial and final grading sessions were evaluated. RESULTS: Grading reliability was superior (lower) for the combined subject cohort at the final session (mean +/- standard deviation 0.33 +/- 0.12) compared with the initial session (0.46 +/- 0.25) (p = 0.004). However, there was no difference in the improvement in grading reliability between the two groups. CONCLUSIONS: Grading reliability improves statistically with some experience, although perhaps not to a clinically meaningful extent. No added benefit can be derived from supplemental training.

Impact and interest:

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8 citations in Web of Science®

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ID Code: 11018
Item Type: Journal Article
Additional Information: For more information, please refer to the journal's website (see hypertext link) or contact the author.
Keywords: contact lens complications, experience, grading scales, reliability, training
DOI: 10.1046/j.1475-1313.2003.00096.x
ISSN: 0275-5408
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OPTOMETRY AND OPHTHALMOLOGY (111300)
Divisions: Current > Research Centres > Centre for Health Research
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2003 Blackwell Publishing
Deposited On: 28 Nov 2007
Last Modified: 11 Aug 2011 02:16

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