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Dementia
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Feasibility of using standardized patient methodology to develop and assess research assistant competence in dementia research

Avila B. Steele

Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service; Michael E. DeBakey VA Medical Center, USA

Mark E. Kunik

Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service; Michael E. DeBakey VA Medical Center, USA, mkunik{at}bcm.tmc.edu

Jeffrey Cully

Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service; Michael E. DeBakey VA Medical Center, USA

Jessica A. Davila

Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, USA

Robert O. Morgan

Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service, USA

A. Lynn Snow

Veterans Affairs South Central Mental Illness Research, Education and Clinical Center, USA

Use of standardized patients in training research staff has been limited. This study evaluated its feasibility. An expert panel created six scenarios using standardized patients to portray dyads of dementia patients/caregivers, plus instructions for actors. Three research assistants trained in administering the Hamilton Depression Rating Scale portion of the Structured Interview for the Clinical Assessment of Depression in Dementia administered it to each dyad. An expert panel member telemonitored each session and scored pairs using the same instrument. Sessions were videotaped, watched and scored by research assistants. Their scores were compared with expert ratings, and deviation scores were calculated, with mean item deviation scores compared using analysis of variance. Interclass correlations and analysis of variance revealed no differences between research-assistant ratings and their ratings compared with a standard, supporting the feasibility of using standardized patients to train research assistants to perform complex clinical assessments.

Key Words: dementia • research personnel training • standardized patients

Dementia, Vol. 8, No. 2, 317-324 (2009)
DOI: 10.1177/1471301209103280
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