Asher Asha V, Parham L Diane, Knox Susan
Sycamore Community Schools, Cincinnati, OH 45249, USA.
Am J Occup Ther. 2008 May-Jun;62(3):308-19. doi: 10.5014/ajot.62.3.308.
This study examined interrater reliability of score interpretation on the Sensory Integration and Praxis Tests (SIPT).
Using SIPT scores of two complex cases, 20 trained participants independently rated each case for presence of sensory integrative dysfunction and for relevance of specific patterns of dysfunction. They also provided comments to justify their ratings.
Agreement on the presence of sensory integrative dysfunction was 70% for Case A and 100% for Case B. Reliability was more variable for dysfunctional pattern ratings, ranging from 50% to 100% agreement for Cases A and B, respectively. Participants consistently appeared to use configural decision-making strategies to guide their ratings.
Interrater reliability was moderate to high for interpretation of the presence of sensory integrative dysfunction using SIPT scores. Less agreement was apparent regarding specific patterns of dysfunction. Results suggest that additional clinical information, such as clinical observations and case history, may be needed to make reliable distinctions among dysfunctional patterns.
本研究检验了感觉统合与实践测试（SIPT）评分解读的评分者间信度。
利用两个复杂病例的SIPT评分，20名经过培训的参与者独立对每个病例的感觉统合功能障碍情况以及特定功能障碍模式的相关性进行评分。他们还提供了评论以证明其评分的合理性。
病例A感觉统合功能障碍存在情况的一致性为70%，病例B为100%。功能障碍模式评分的信度变化更大，病例A和病例B的一致性分别为50%至100%。参与者似乎一直使用构型决策策略来指导他们的评分。
使用SIPT评分解读感觉统合功能障碍的存在情况时，评分者间信度为中等至高。关于特定功能障碍模式的一致性较低。结果表明，可能需要额外的临床信息，如临床观察和病史，才能在功能障碍模式之间做出可靠区分。
