Smith Laurel B, Radomski Mary Vining, Davidson Leslie Freeman, Finkelstein Marsha, Weightman Margaret M, McCulloch Karen L, Scherer Matthew R
Laurel B. Smith, MS, OTR/L, is Captain, U.S. Army, and Research Occupational Therapist, U.S. Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760;
Mary Vining Radomski, PhD, OTR/L, is Clinical Scientist, Courage Kenny Research Center, Minneapolis, MN.
Am J Occup Ther. 2014 Jul-Aug;68(4):439-43. doi: 10.5014/ajot.2014.012393.
OBJECTIVES. Executive functioning deficits may result from concussion. The Charge of Quarters (CQ) Duty Task is a multitask assessment designed to assess executive functioning in servicemembers after concussion. In this article, we discuss the rationale and process used in the development of the CQ Duty Task and present pilot data from the preliminary evaluation of interrater reliability (IRR). METHOD. Three evaluators observed as 12 healthy participants performed the CQ Duty Task and measured performance using various metrics. Intraclass correlation coefficient (ICC) quantified IRR. RESULTS. The ICC for task completion was .94. ICCs for other assessment metrics were variable. CONCLUSION. Preliminary IRR data for the CQ Duty Task are encouraging, but further investigation is needed to improve IRR in some domains. Lessons learned in the development of the CQ Duty Task could benefit future test development efforts with populations other than the military.
目的。执行功能缺陷可能由脑震荡引起。营区值日任务（CQ Duty Task）是一项多任务评估，旨在评估军人脑震荡后的执行功能。在本文中，我们讨论了CQ Duty任务开发过程中所使用的基本原理和流程，并展示了来自评分者间信度（IRR）初步评估的试点数据。方法。三名评估者观察了12名健康参与者执行CQ Duty任务的情况，并使用各种指标衡量其表现。组内相关系数（ICC）对IRR进行了量化。结果。任务完成的ICC为0.94。其他评估指标的ICC各不相同。结论。CQ Duty任务的初步IRR数据令人鼓舞，但需要进一步研究以改善某些领域的IRR。在CQ Duty任务开发过程中吸取的经验教训可能会使未来针对非军事人群的测试开发工作受益。
