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修订版认知表现测试(CPT)的评分者间信度:评估神经认知障碍患者的认知情况

Interrater Reliability of the Revised Cognitive Performance Test (CPT): Assessing Cognition in People With Neurocognitive Disorders.

作者信息

Schaber Patricia, Stallings Emily, Brogan Collette, Ali Fouzia

机构信息

Patricia Schaber, PhD, OTR/L, is Associate Professor, Program in Occupational Therapy, Center for Allied Health Programs, University of Minnesota, Minneapolis;

Emily Stallings, OTR/L, is Occupational Therapist, Allina Home Health, Minneapolis, MN.

出版信息

Am J Occup Ther. 2016 Sep-Oct;70(5):7005290010p1-6. doi: 10.5014/ajot.2016.019166.

Abstract

The rigor of occupation-based standardized assessments that rely on observational scoring procedures depends on proven reliability among test administrators. This study measured interrater reliability of the Cognitive Performance Test (CPT), a standardized, occupation-based assessment that measures cognitive-functional capacity in older adults with neurocognitive disorders. To capture a range of experience among test administrators, two sets of raters-four expert and three novice-scored video recordings of 10 patients administered the CPT. Interrater reliability results were strong among all raters (intraclass correlation coefficient [ICC] = .93), with expert raters (ICC = .97) yielding higher coefficients than novice raters (ICC = .93). Spearman's ρ correlation coefficients were high among all raters (rs = .92-1.00). Practitioners can be confident that results of the CPT give accurate and consistent information to the health care team, family members, and patients when administered with fidelity using standardized protocols.

摘要

依赖观察评分程序的基于职业的标准化评估的严谨性取决于测试管理者之间已证实的可靠性。本研究测量了认知表现测试(CPT)的评分者间信度,CPT是一种标准化的、基于职业的评估,用于测量患有神经认知障碍的老年人的认知功能能力。为了涵盖测试管理者的一系列经验,两组评分者——四位专家和三位新手——对10名接受CPT测试的患者的视频记录进行评分。所有评分者之间的评分者间信度结果都很强(组内相关系数[ICC]=0.93),专家评分者(ICC=0.97)的系数高于新手评分者(ICC=0.93)。所有评分者之间的斯皮尔曼ρ相关系数都很高(rs=0.92 - 1.00)。当使用标准化方案忠实地进行管理时,从业者可以确信CPT的结果能为医疗团队、家庭成员和患者提供准确且一致的信息。

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