DSM-5 Field Trials in Large Academic Settings: A Pragmatic Test-Retest Reliability Study?

• Activity Number: 109
• Type: Invited
• Date/Time: Monday, August 1, 2016 : 8:30 AM to 10:20 AM
• Sponsor: Mental Health Statistics Section
• Author(s): Diana E. Clarke and William E. Narrow and Darrel A. Regier* and S. Janet Kuramoto-Crawford
• Companies: American Psychiatric Association and St. Elizabeth's Hospital and Uniformed Services University of the Health Sciences and American Psychiatric Association Foundation
• Keywords: DSM-5 Field Trials ; test-retest reliability studies ; pragmatic trials ; clinical samples ; clinical samples ; psychiatric diagnoses

Abstract

The DSM-5 Field Trials were test-retest reliability studies that utilized a stratified sampling approach. The studies assessed the utility, feasibility, and test-retest reliability of changes to DSM-5 diagnostic criteria and the proposed inclusion of the cross-cutting and disability measures, specifically in clinical settings where DSM-5 is used and among varied clinical professionals who use it in their care of individuals presenting with a range of psychiatric conditions. The field trials capitalized on advances since DSM-III and DSM-IV in terms of statistical measures of reliability - intraclass kappa for stratified samples - and other recently developed measures to determine confidence intervals around kappa estimates. They also used novel technological advancements that enabled Web-based data collection from 2,246 patients and 279 clinicians and real-time transmission of patient-reported data to clinicians. These studies are considered pragmatic test-retest reliability studies because they were executed into the routine intake and assessment of patients presenting for care, with varying degrees of successes and challenges. Site-specific and pooled results will be presented.