{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T14:24:11Z","timestamp":1764771851853,"version":"3.46.0"},"reference-count":0,"publisher":"African Journals Online (AJOL)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Afr H. Sci."],"abstract":"<jats:p>Background: The Glasgow Coma Scale is a widely used tool in the assessment and tracking of patients with acute head and brain insults. However, its reliability and application in low-resource clinical settings have been least explored.\r\nPurpose: The study aimed at determining the IRR of GCS among health workers and evaluating the effect of a standardized GCS Aid as an educational intervention in improving the accuracy and IRR of the GCS when assessing patients with neurological deficits at a tertiary facility in Uganda.\r\nMethods and Materials: The study employed a pre-test, post-test quasi-experimental design. Participants included health workers working within wards with adult patients with acute brain insults. A total of 45 participants completed the study.\r\nResults: Findings indicate that higher training levels increased knowledge of GCS (F = 3.753, p = 0.01). The GCS AID improved the accuracy and IRR of the GCS post-test with eye-opening showing the greatest improvement (\u03b1, 0.65-0.88) followed by verbal (0.74 to 0.89), motor (0.83 to 0.93).\r\nConclusion: The use of the GCS-AID improved the IRR of GCS among health workers in the assessment of patients with acute brain insults.\r\nKeywords: Glasgow Coma Scale; Professional Knowledge; Inter-rater reliability.<\/jats:p>","DOI":"10.4314\/ahs.v25i3.13","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T14:11:16Z","timestamp":1764771076000},"page":"93-104","source":"Crossref","is-referenced-by-count":0,"title":["Inter-rater reliability of Glasgow Coma Scale at a Referral Care Facility in Uganda: effect of an educational intervention among health workers"],"prefix":"10.4314","volume":"25","author":[{"given":"Peter","family":"Nyakuni","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Betty","family":"Kinkuhaire","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Mbatudde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Brennaman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2895","published-online":{"date-parts":[[2025,9,30]]},"container-title":["African Health Sciences"],"original-title":[],"link":[{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/download\/307136\/288763","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/download\/307136\/288763","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T14:11:19Z","timestamp":1764771079000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/view\/307136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,9,30]]}},"URL":"https:\/\/doi.org\/10.4314\/ahs.v25i3.13","relation":{},"ISSN":["1729-0503","1680-6905"],"issn-type":[{"value":"1729-0503","type":"electronic"},{"value":"1680-6905","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9,30]]}}}