Gyllensten Amanda Lundvik, Ovesson Maria N, Lindström Inger, Hansson Lars, Ekdahl Charlotte
Department of Physical Therapy, Lund University, Lund, Sweden.
Scand J Caring Sci. 2004 Jun;18(2):213-9. doi: 10.1111/j.1471-6712.2004.00272.x.
In physical therapy the clinical assessment Body Awareness Scale-Health (BAS-H) focusing on the quality of movements and movement behaviour has previously been studied for validity. The aim of this study was to address the inter-rater reliability and test-retest reliability in three groups. The groups assessed were: patients in psychiatric care with eating disorders (n = 26), patients in rehabilitation of prolonged musculoskeletal pain (n = 22) and healthy individuals (n = 22). Results revealed inter-rater reliability (n = 70) of the BAS-H total to be 79.9 % with acceptable agreement (accepting one scale-step of difference) and 48.7% with perfect agreement. Weighted Kappa ranged between 0.34 and 0.92. Test-retest reliability (n = 54) as a mean for both raters were found to be 90.5% for the BAS-H total with acceptable agreement and 60.4% with perfect agreement. Weighted Kappa ranged between 0.65 and 0.92. The BAS-H seems to be a reliable assessment in the rehabilitation of patient with prolonged pain, psychiatric disorders and healthy controls when used according to the manual. The authors, however, suggest some revisions.
在物理治疗中,先前已对关注运动质量和运动行为的临床评估工具——健康身体意识量表(BAS-H)的有效性进行了研究。本研究的目的是探讨该量表在三组人群中的评分者间信度和重测信度。所评估的三组人群分别为:患有饮食失调症的精神科护理患者(n = 26)、患有长期肌肉骨骼疼痛的康复患者(n = 22)以及健康个体(n = 22)。结果显示,BAS-H总分的评分者间信度(n = 70)在可接受一致性(接受一个量表级别的差异)时为79.9%,在完全一致性时为48.7%。加权Kappa值在0.34至0.92之间。重测信度(n = 54),两位评分者的均值显示,BAS-H总分在可接受一致性时为90.5%,在完全一致性时为60.4%。加权Kappa值在0.65至0.92之间。按照手册使用时,BAS-H似乎是对患有长期疼痛、精神疾病的患者以及健康对照者进行康复评估的可靠工具。然而,作者建议进行一些修订。