患者执行治疗方案独立性评估的制定和初步可靠性测试：标准化情景。
Development and preliminary reliability testing of an assessment of patient independence in performing a treatment program: standardized scenarios.
机构信息
Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO 63110, USA.
出版信息
J Rehabil Med. 2010 Mar;42(3):221-7. doi: 10.2340/16501977-0505.
BACKGROUND
Physical therapists often assess patient independence through observation; however, it is not known if therapists make these judgments reliably. We have developed a standardized method to assess a patient's ability to perform his or her treatment program independently.
OBJECTIVES
To develop a standardized assessment of patient independence in performance of a treatment program and examine the intra- and inter-rater reliability decisions made by two physical therapists.
DESIGN
Test-retest.
METHODS
An assessment of patient independence in performance was developed. Standardized patient scenarios were used to assess the intra- and inter-tester reliability of two physical therapists. Percentage of agreement (%) and kappa's coefficient (k and k(w)) indexed rater reliability.
RESULTS
Intra-rater reliability of therapist 1 was as follows: knowledge: % = 95, k = 0.90; performance: % = 95, k(w) = 0.82. Intra-rater reliability of therapist 2 was as follows: knowledge: % = 85, k = 0.68; performance: % = 94, k(w) = 0.80. Inter-rater reliability for knowledge was % = 91 and k = 0.79 and for performance was % = 91 and k(w) = 0.72.
CONCLUSION
Trained therapists displayed substantial to excellent intra-rater reliability and substantial inter-rater reliability in assessing a patient's independence in a treatment program. :
背景
物理治疗师通常通过观察来评估患者的独立性；然而，治疗师是否能可靠地做出这些判断尚不清楚。我们已经开发出一种标准化的方法来评估患者独立执行治疗计划的能力。
目的
制定一种标准化的评估患者独立执行治疗计划的方法，并检查两位物理治疗师的内部和外部评分者可靠性决策。
设计
测试-再测试。
方法
开发了一种评估患者在执行治疗计划时独立性的评估方法。使用标准化的患者场景来评估两位物理治疗师的内部和外部测试者的可靠性。%表示了两位治疗师的一致性，kappa 系数（k 和 k(w)）表示了评分者的可靠性。
结果
治疗师 1 的内部评分者可靠性如下：知识：%=95，k=0.90；表现：%=95，k(w)=0.82。治疗师 2 的内部评分者可靠性如下：知识：%=85，k=0.68；表现：%=94，k(w)=0.80。知识的外部评分者可靠性为%=91，k=0.79，表现的外部评分者可靠性为%=91，k(w)=0.72。
结论
经过培训的治疗师在评估患者在治疗计划中的独立性方面表现出了高度到极好的内部评分者可靠性和高度的外部评分者可靠性。
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