Field trial of graded care profile (GCP) scale: a new measure of care
a New Street Health
Centre, Barnsley, South Yorkshire, b Department of Child Health, University of Nottingham, Queens
Medical Centre, Nottingham
Correspondence to: Dr O P Srivastava, New Street Health Centre, New Street, Barnsley, South Yorkshire S70 1LP.
Accepted 20 December 1996
AIM
The graded care profile (GCP) scale was
developed as a practical tool in response to the Children Act 1989 to
provide a measure of care in four areas: physical, safety, love, and
esteem, on a bipolar continuum. This field trial was to assess its user
friendliness and inter-rater agreement.
METHODS43 nursery children and 11 registered for
neglect were each scored on this scale independently by two different
raters (health visitor and nursery teacher or social worker). Their
inter-rater agreement was assessed by weighted 
and user
friendliness by time taken for and completeness of scoring.
RESULTSAn almost perfect level of agreement was
achieved in physical care ( = 0.899; confidence interval (CI) = 0.850 to 0.948), safety ( = 0.894; CI = 0.854 to 0.933), esteem ( = 0.877; CI = 0.808 to 0.946), and a substantial level in love ( = 0.785; CI = 0.720 to 0.849). Mean time taken for scoring was 20 minutes (range 10 to 30); of 54 paired scales, area of safety was not scored
only in three by one of the raters.
CONCLUSIONSThis scale appeared user friendly and
provided grading of care with high inter-rater agreement. Its use in
practice could provide an opportunity for useful comparison with other
means of assessment of care, studying outcomes of different care
profiles, targeting intervention, and monitoring change.
© 1997 by Archives of Disease in Childhood
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