Validity and reliability of Structured Interview for Competency Incompetency Assessment Testing and Ranking Inventory.

The Structured Interview for Competency and Incompetency Assessment Testing and Ranking Inventory (SICIATRI) is a structured interview guide to assess the competency for giving informed consent to treatment among psychiatric and medical patients. The competency levels of 48 psychiatric and medical inpatients were assessed by SICIATRI. A relatively high- inter-rater reliability of the SICIATRI items (over half of the items had kappa > or = .60) and concurrent validity (sensitivity = .83, specificity = .67 as measured against the global judgement of competency rating by the attending physician) were obtained. In addition to its brevity (it takes about 20 minutes to complete), these findings may warrant application of this instrument in a clinical setting.

[1]  T. Kitamura,et al.  Method for assessment of competency to consent in the mentally ill. Rationale, development, and comparison with the medically ill. , 1998, International journal of law and psychiatry.

[2]  S. Nishisato,et al.  The Psychometric Properties of the Competency Interview Schedule , 1994, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[3]  G. Bean,et al.  Competence to consent to electroconvulsive therapy. , 1992, Convulsive therapy.

[4]  P. Appelbaum,et al.  Mentally ill and non-mentally-ill patients' abilities to understand informed consent disclosures for medication , 1991, Law and human behavior.

[5]  R. G. Lonsdorf.  Informed consent: Legal theory and clinical practice , 1988 .

[6]  G. F. Judisch,et al.  Informed Consent. Legal Theory and Clinical Practice , 1988 .

[7]  T. Grisso.  Evaluating Competencies: Forensic Assessments and Instruments , 1986 .

[8]  S. Campbell,et al.  The competency of children and adolescents to make informed treatment decisions. , 1982, Child development.

[9]  F. G. Foster,et al.  Competency to decide about treatment or research: an overview of some empirical data. , 1982, International journal of law and psychiatry.

[10]  Appelbaum Ps,et al.  Empirical assessment of competency to consent to psychiatric hospitalization. , 1981 .

[11]  P. Appelbaum,et al.  Empirical assessment of competency to consent to psychiatric hospitalization. , 1981, The American journal of psychiatry.

[12]  Jacob Cohen.  A Coefficient of Agreement for Nominal Scales , 1960 .