Helle Tina, Nygren Carita, Slaug Björn, Brandt Aase, Pikkarainen Aila, Hansen Anne-Grethe, Pétursdórttir Emma, Iwarsson Susanne
Department of Occupational Therapy, University College of Northern Jutland in Aalborg, Denmark.
Scand J Occup Ther. 2010 Dec;17(4):258-66. doi: 10.3109/11038120903265014. Epub 2010 Jan 17.
This study addresses development of a content-valid cross-Nordic version of the Housing Enabler and investigation of its inter-rater reliability when used in occupational therapy rating situations, involving occupational therapists, clients, and their home environments. The instrument was translated from the original Swedish version of the Housing Enabler, and adapted according to accessibility norms and guidelines for housing design in Sweden, Denmark, Finland, and Iceland. This iterative process involved occupational therapists, architects, building engineers, and professional translators, resulting in the Nordic Housing Enabler. For reliability testing, the sampling strategy and data collection procedures used were the same in all countries. Twenty voluntary occupational therapists, pair-wise but independently of each other, collected data from 106 cases by means of the Nordic Housing Enabler. Inter-rater reliability was calculated by means of percentage agreement and kappa statistics. Overall good percentage agreement for the personal and environmental components of the instrument was shown, indicating that the instrument was sufficiently reliable for application in practice and research in the Nordic context. The varying kappa results highlight the need for further study in order to understand the influence of prevalence more profoundly, which should be kept in mind when interpreting the results.
本研究探讨了《住房促进者》跨北欧内容效度版本的开发，以及在职业治疗评估情境中使用该工具时评估者间信度的情况，该情境涉及职业治疗师、服务对象及其家庭环境。该工具从《住房促进者》的瑞典原版翻译而来，并根据瑞典、丹麦、芬兰和冰岛的住房设计无障碍规范和指南进行了调整。这个反复迭代的过程涉及职业治疗师、建筑师、建筑工程师和专业翻译人员，最终形成了《北欧住房促进者》。为了进行信度测试，所有国家使用的抽样策略和数据收集程序都是相同的。20名志愿职业治疗师两两独立地通过《北欧住房促进者》从106个案例中收集数据。通过百分比一致性和kappa统计量计算评估者间信度。结果表明，该工具在个人和环境部分总体上具有良好的百分比一致性，这表明该工具在北欧背景下的实践和研究应用中具有足够的信度。不同的kappa结果凸显了进一步研究的必要性，以便更深入地理解患病率的影响，在解释结果时应牢记这一点。
