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引用本文的文献

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The Adapted Fresno test for speech pathologists, social workers, and dieticians/nutritionists: validation and reliability testing.言语病理学家、社会工作者和营养师/营养学家适用的改良费雷诺测试：验证和可靠性测试。
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本文引用的文献

1
Teaching evidence-based practice: perspectives from the undergraduate and post-graduate viewpoint.循证实践教学：本科与研究生视角
Ann Acad Med Singap. 2009 Jun;38(6):559-5.
2
The Adapted Fresno Test of competence in evidence-based practice.循证实践能力的适应性弗雷斯诺测试。
J Contin Educ Health Prof. 2009 Spring;29(2):119-26. doi: 10.1002/chp.20021.
3
Validity and reliability of measurement instruments used in research.研究中使用的测量工具的有效性和可靠性。
Am J Health Syst Pharm. 2008 Dec 1;65(23):2276-84. doi: 10.2146/ajhp070364.
4
Intraclass correlations: uses in assessing rater reliability.组内相关系数：在评估评分者可靠性中的应用。
Psychol Bull. 1979 Mar;86(2):420-8. doi: 10.1037//0033-2909.86.2.420.
5
Evidence based practice in postgraduate healthcare education: a systematic review.研究生医疗保健教育中的循证实践：一项系统综述。
BMC Health Serv Res. 2007 Jul 26;7:119. doi: 10.1186/1472-6963-7-119.
6
Evidence based practice: a survey of physiotherapists' current practice.循证实践：对物理治疗师当前实践的一项调查。
Physiother Res Int. 2006 Jun;11(2):93-103. doi: 10.1002/pri.328.
7
Does physiotherapy management of low back pain change as a result of an evidence-based educational programme?基于循证教育计划，腰痛的物理治疗管理会发生改变吗？
J Eval Clin Pract. 2006 Jun;12(3):365-75. doi: 10.1111/j.1365-2753.2006.00565.x.
8
Sicily statement on evidence-based practice.关于循证实践的西西里声明。
BMC Med Educ. 2005 Jan 5;5(1):1. doi: 10.1186/1472-6920-5-1.
9
Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists.循证实践：物理治疗师的信念、态度、知识和行为
Phys Ther. 2003 Sep;83(9):786-805.
10
Assessments in evidence-based medicine workshops: loose connection between perception of knowledge and its objective assessment.循证医学工作坊中的评估：知识认知与客观评估之间的松散联系。
Med Teach. 2001 Jan;23(1):92-94. doi: 10.1080/01421590150214654.

适应性弗雷斯诺测试在多个评分者之间的评分者间信度。

Interrater Reliability of the Adapted Fresno Test across Multiple Raters.

作者信息

Lizarondo Lucylynn M, Grimmer Karen, Kumar Saravana

机构信息

International Centre for Allied Health Evidence.

International Centre for Allied Health Evidence ; School of Health Sciences, University of South Australia, Adelaide.

出版信息

Physiother Can. 2013 Spring;65(2):135-40. doi: 10.3138/ptc.2012-15.

DOI:10.3138/ptc.2012-15
PMID:24403674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3673791/
Abstract

PURPOSE

The Adapted Fresno Test (AFT) is a seven-item instrument for assessing knowledge and skills in the major domains of evidence-based practice (EBP), including formulating clinical questions and searching for and critically appraising research evidence. This study examined the interrater reliability of the AFT using several raters with different levels of professional experience.

METHOD

The AFT was completed by physiotherapists and occupational therapists, and a random sample of 12 tests was scored by four raters with different levels of professional experience. Interrater reliability was calculated using intra-class correlation coefficients (ICC [2, 1]) for the individual AFT items and the total AFT score.

RESULTS

Interrater reliability was moderate to excellent for items 1 and 7 (ICC=0.63-0.95). Questionable levels of reliability among raters were found for other items and for the total score. For these items, the raters were clustered into two groups-"experienced" and "inexperienced"-and then examined for reliability. The reliability estimates for rater 1 and rater 2 ("inexperienced") increased slightly for items 2 and 5 and for the total score, but not for other items. For raters 3 and 4 ("experienced"), ICCs increased considerably, indicating excellent reliability for all items and for the total score (0.80-0.99), except for item 4, which showed a further decrease in ICC.

CONCLUSION

Use of the AFT to assess knowledge and skills in EBP may be problematic unless raters are carefully selected and trained.

摘要

目的

适应性弗雷斯诺测试（AFT）是一种包含七个项目的工具，用于评估循证实践（EBP）主要领域的知识和技能，包括提出临床问题、检索和批判性评价研究证据。本研究使用了具有不同专业经验水平的多名评分者，检验了AFT的评分者间信度。

方法

物理治疗师和职业治疗师完成了AFT测试，由四名具有不同专业经验水平的评分者对随机抽取的12份测试进行评分。使用组内相关系数（ICC[2,1]）计算AFT各个项目和AFT总分的评分者间信度。

结果

项目1和项目7的评分者间信度为中等至优秀（ICC=0.63-0.95）。其他项目和总分的评分者间信度水平存疑。对于这些项目，评分者被分为“经验丰富”和“经验不足”两组，然后检验信度。评分者1和评分者2（“经验不足”）对项目2和项目5以及总分的信度估计略有提高，但其他项目没有。对于评分者3和评分者4（“经验丰富”），ICC大幅提高，表明除项目4的ICC进一步下降外，所有项目和总分的信度都非常高（0.80-0.99）。

结论

除非仔细挑选和培训评分者，否则使用AFT评估EBP中的知识和技能可能存在问题。