Department of Movement Science, Maastricht University, Maastricht, The Netherlands.
J Rehabil Med. 2011 Jan;43(1):46-9. doi: 10.2340/16501977-0624.
To investigate the agreement between a patient's therapist and an independent assessor in scoring goal attainment by a patient.
Data were obtained on hospital patients with neurological disorders participating in a randomized trial. The patients' therapists set 2-4 goals using a goal attainment scaling method. Six weeks later attainment was scored by: (i) the treating therapists; and (ii) an independent assessor unfamiliar with the patient, using a semi-structured interview method with direct assessment as appropriate.
A total of 112 goals in 29 neurological patients were used. The intraclass correlation coefficient (ICC(A,k) = 0.478) and limits of agreement (–1.52 ± 24.54) showed poor agreement between the two scoring procedures. There was no systematic bias.
The agreement between the patients' therapists scoring the goals and the independent assessor was low, signifying a large difference between the two scoring procedures. Efforts should be made to improve the reproducibility of goal attainment scaling before it is to be used as an outcome measure in blinded randomized controlled trials.
调查患者治疗师与独立评估者在评分患者目标达成情况方面的一致性。
资料来源于参与一项随机试验的神经障碍住院患者。患者的治疗师使用目标达成评分法设定 2-4 个目标。6 周后，通过以下两种方式对达成情况进行评分：（i）治疗师；（ii）不了解患者的独立评估者，使用半结构化访谈方法，酌情直接评估。
共使用 29 例神经科患者的 112 个目标。两个评分程序之间的组内相关系数（ICC(A,k)=0.478）和一致性界限（–1.52±24.54）显示出较差的一致性。不存在系统偏差。
患者治疗师评分与独立评估者之间的一致性较低，表明两种评分程序之间存在较大差异。在将目标达成评分作为盲法随机对照试验的结局测量指标之前，应努力提高其可重复性。
