Format

Send to

Choose Destination
Patient Educ Couns. 2016 Dec;99(12):2091-2094. doi: 10.1016/j.pec.2016.08.013. Epub 2016 Aug 12.

Development and evaluation of the "BRISK Scale," a brief observational measure of risk communication competence.

Author information

1
Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME, United States; Tufts University Clinical and Translational Sciences Institute, Boston, MA, United States. Electronic address: hanp@mmc.org.
2
Centre for Medical and Healthcare Education, St George's, University of London, London, UK.
3
Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME, United States.
4
Dartmouth Center for Healthcare Delivery Science, Hanover, NH, United States.

Abstract

OBJECTIVE:

To develop and evaluate a brief observational measure of clinical risk communication competence.

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.

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.

CONCLUSIONS:

The BRISK Scale is a promising new brief observational measure of clinical risk communication competence.

KEYWORDS:

Measurement; Medical education; Risk communication; Shared decision making

PMID:
27544016
DOI:
10.1016/j.pec.2016.08.013
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center