Please clarify your role with your site lead or a contact at your local mood disorders research clinic, e.g. your local PI for the Cohort study would be a good place to start.

If you are not sure who they are, please contact us.

No, you are already registered.

We will aim to review your responses and get back to you within 10 working days.

If you are registered, rest assured we have your details.

Training sessions and on-demand materials are currently in development; please bear with us, we will contact you when relevant training becomes available.

If you are not offered training on a scale but think this is required for your role, please contact us.

We will send you the password when we confirm registration within 10 working days of registration.

If you are already registered and have not received a password, please contact us.

We are currently developing a process to identiffy trainers, or potential trainers, at sites. Further updates will be provided in due course.

If you have completed facilitated training, we will confirm attendance; for on-demand training, we will confirm completion; for video rating tasks, we will confirm IRR.

None of the above is a confirmation of competency.

Competency is scale-dependent and multi-factorial: the amount of observation, administration practice and scoring practice required depends on the complexity of the scale and the individual rater’s confidence, experience and skills.

Central oversight on this for the entire network is not possible, therefore it is up to sites to determine competency, just as it would be a PI responsibility to sign off on delegation logs for a trial.

Rater development is an ongoing process and any training should ideally be complemented by:

• observing/shadowing multiple instances of administration

• co-rating patients presenting with various degrees of low mood

• practicing with colleagues/lived-experience groups with iterative feedback.

Feedback is provided weekly by email.

If you have been prompted to complete the MADRS and/or CGI-S training module, this must be done before the IRR task, otherwise you will not receive feedback. Please ensure you have submitted a confirmation of training completion.

If you have not been prompted to complete either module, you can skip to rating the IRR video and await feedback.

Those who passed IRR for the MADRS will receive a certificate; those who did not rate within the acceptable range of the gold standard scores will be given the opportunity to attempt a different task. Each IRR task should only be completed once - do not re-attempt a task you have rated previously, as the submission will not be recorded.

CGI-S feedback will be provided in writing to those who completed it. Passes are not certified.

Observation and practice could be done with the support of a doctor or research nurse at your site who has used these scales and/or is currently using them.

We encourage sites to implement these activites locally if possible, as this will ensure longeivity in upskilling raters beyond the lifespan of the Mood Disorders network.

We may have the capacity to provide centralised opportunities for observation and practice in the future, however this is not a priority at present.

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