title: Agreement on Web-based Diagnoses and Severity of Mental Health Problems in Norwegian Child and Adolescent Mental Health Services.
abstract: OBJECTIVE
  This study examined the agreement between diagnoses and severity ratings assigned by clinicians using a structured web-based interview within a child and adolescent mental health outpatient setting.
  
  
  METHODS
  Information on 100 youths was obtained from multiple informants through a web-based Development and Well-Being Assessment (DAWBA). Based on this information, four experienced clinicians independently diagnosed (according to the International Classification of Diseases Revision 10) and rated the severity of mental health problems according to the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) and the Children's Global Assessment Scale (C-GAS).
  
  
  RESULTS
  Agreement for diagnosis was κ=0.69-0.82. Intra-class correlation for single measures was 0.78 for HoNOSCA and 0.74 for C-GAS, and 0.93 and 0.92, respectively for average measures.
  
  
  CONCLUSIONS
  Agreement was good to excellent for all diagnostic categories. Agreement for severity was moderate, but improved to substantial when the average of the ratings given by all clinicians was considered. Therefore, we conclude that experienced clinicians can assign reliable diagnoses and assess severity based on DAWBA data collected online.
authors.affiliation: Department of Child and Adolescent Psychiatry, Divisions of Child and Adolescent Health, University Hospital of North-Norway, Tromsø, P.O. Box 19, 9038 Tromsø, Norway.
authors.forename: Håkan
authors.initials: H
authors.lastname: Brøndbo
authors.forename: Børge
authors.initials: B
authors.lastname: Mathiassen
authors.forename: Monica
authors.initials: M
authors.lastname: Martinussen
authors.forename: Einar
authors.initials: E
authors.lastname: Heiervang
authors.forename: Mads
authors.initials: M
authors.lastname: Eriksen
authors.forename: Siv
authors.initials: S
authors.lastname: Kvernmo