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Table 2 Percent agreement (standard error) between standardized patients on each checklist overall and by checklist item

From: Development of a telehealth obesity OSCE and reliable checklist for assessment of resident physicians: a pilot study

 

N (Percent Agreement) [Standard Error]

Kappa Statistic (Standard Error)

History Taking Checklist Overall

N = 321

 
 

267 (83.2) [2.1]

0.63 (0.06)

History Taking Checklist Items

N = 23

 

1. Asked when the patient first began struggling with weight

20 (87.0) [7.2]

0.0 (0.0)

2. Asked the patient’s highest and lowest weights

22 (95.7) [4.3]

0.83 (0.21)

3. Asked about the patient’s past attempts to lose weight

22 (95.7) [4.3]

0.78 (0.20)

4. Asked why the patient thinks he/she is gaining/gained weight

17 (73.9) [9.4]

0.49 (0.20)

5. Asked a 24-hour diet recall

20 (87.0) [7.2)]

0.51 (0.18)

6. Asked about beverage consumption

21 (91.3) [6.0}

0.83 (0.21)

7. Asked about prior attempts to change his/her diet

23 (100.0) [0.0]

1.0 (0.21)

8. Asked about barriers to healthier eating

14 (60.9) [10.4]

0.23 (0.20)

9. Asked about the type of physical activity the patient performs

22 (95.7) [4.3]

0.0 (0.0)

10. Asked about the amount of physical activity the patient performs*

15 (68.2) [10.2]

0.31 (0.20)

11. Asked about barriers to performing more physical activity

15 (65.2) [10.2]

0.32 (0.20)

12. Asked about the patient’s concerns regarding his/her excess weight

18 (78.3) [8.8]

0.23 (0.13)

13. Asked if the patient feels supported by his/her family or partner

21 (91.3) [6.0]

0.83 (0.21)

14. Completed the encounter in the allotted time

17 (73.9) [9.4]

0.39 (0.20)

Communication Skills Checklist Overall

N = 207

 
 

206 (99.5) [0.5]

0.72 (0.47)

Communication Skills Checklist Items

N = 23

 

1. Eye contact

23 (100.0) [0.0]

1.0 (1.5)

2. Facial expressions

23 (100.0) [0.0]

1.0 (0.72)

3. Body language

23 (100.0) [0.0]

1.0 (1.0)

4. Language and vocabulary

23 (100.0) [0.0]

1.0 (4.6)

5. Attention

23 (100.0) [0.0]

1.0 (3.2)

6. Verbalizing understanding of history

23 (100.0) [0.0]

1.0 (0.0)

7. Asking open ended questions

22 (95.7) [4.3]

−0.10 (0.81)

8. Using people first language

23 (100.0) [0.0]

1.0 (0.0)

9. Organization

23 (100.0) [0.0]

1.0 (1.9)

Professionalism Checklist Overall

N = 138

 
 

135 (97.8) [1.2]

0.44 (0.37)

Professionalism Checklist Items

N = 23

 

1. Respect

22 (95.7) [4.3]

−0.10 (0.89)

2. Empathy

22 (95.7) [4.3]

0.28 (0.69)

3. Honesty/integrity

23 (100.0) [0.0]

1.0 (1.47)

4. Responsibility/accountability

23 (100.0) [0.0]

1.0 (0.91)

5. Promoting a collaborative environment

22 (95.7) [4.3]

0.43 (0.58)

6. Demonstrating lack of bias

23 (100.0) [0.0]

1.0 (1.74)

  1. †Total number of checklist items answered by standardized patients for all residents for entire checklist
  2. ‡Number of residents evaluated on each checklist item
  3. * N = 22 as one SP did not respond to the item
  4. Overall agreement on the history taking, communication and professionalism checklists were 83.2% (κ = 0.63), 99.5% (κ = 0.72) and 97.8% (κ = 0.44), respectively