de Jong Lex D, van Meeteren Annemiek, Emmelot Cornelis H, Land Nanne E, Dijkstra Pieter U
a School of Physiotherapy and Exercise Science , Faculty of Health Sciences, Curtin University , Perth , Australia.
b Department of Rehabilitation Medicine , Isala Diaconessenhuis , Meppel , The Netherlands.
Disabil Rehabil. 2018 Mar;40(6):684-689. doi: 10.1080/09638288.2016.1272139. Epub 2017 Jan 9.
To determine reliability of the ABILHAND-Kids, explore sources of variation associated with these measurement results, and generate repeatability coefficients.
A reliability study with a repeated measures design was performed in an ambulatory rehabilitation care department from a rehabilitation center, and a center for special education. A physician, an occupational therapist, and parents of 27 children with spastic cerebral palsy independently rated the children's manual capacity when performing 21 standardized tasks of the ABILHAND-Kids from video recordings twice with a three week time interval (27 first-, and 25 second video recordings available). Parents additionally rated their children's performance based on their own perception of their child's ability to perform manual activities in everyday life, resulting in eight ratings per child.
ABILHAND-Kids ratings were systematically different between observers, sessions, and rating method. Participant × observer interaction (66%) and residual variance (20%) contributed the most to error variance (9%). Test-retest reliability was 0.92. Repeatability coefficients (between 0.81 and 1.82 logit points) were largest for the parents' performance-based ratings.
ABILHAND-Kids scores can be reliably used as a performance- and capacity-based rating method across different raters. Parents' performance-based ratings are less reliable than their capacity-based ratings. Resulting repeatability coefficients can be used to interpret ABILHAND-Kids ratings with more confidence. Implications for Rehabilitation The ABILHAND-Kids is a valuable tool to assess a child's unimanual and bimanual upper limb activities. The reliability of the ABILHANDS-Kids is good across different observers as a performance- and capacity-based rating method. Parents' performance-based ratings are less reliable than their capacity-based ones. This study has generated repeatability coefficients for clinical decision making.
确定儿童手部能力评估量表（ABILHAND-Kids）的可靠性，探索与这些测量结果相关的变异来源，并生成重复性系数。
在一家康复中心的门诊康复护理部门以及一个特殊教育中心进行了一项采用重复测量设计的可靠性研究。一名医生、一名职业治疗师以及27名痉挛型脑瘫患儿的家长，根据视频记录，对患儿在完成儿童手部能力评估量表的21项标准化任务时的手部能力进行了独立评分，两次评分间隔三周（第一次有27份视频记录，第二次有25份视频记录）。家长还根据自己对孩子在日常生活中进行手部活动能力的感知对孩子的表现进行评分，每个孩子共有八项评分。
儿童手部能力评估量表的评分在观察者、评估时段和评分方法之间存在系统性差异。受试者×观察者交互作用（66%）和残差方差（20%）对误差方差的贡献最大（9%）。重测信度为0.92。基于家长表现的评分的重复性系数（在0.81至1.82对数单位之间）最大。
儿童手部能力评估量表的分数可作为一种基于表现和能力的评分方法，在不同评分者之间可靠地使用。基于家长表现的评分不如基于能力的评分可靠。所得的重复性系数可用于更自信地解释儿童手部能力评估量表的评分。对康复的启示 儿童手部能力评估量表是评估儿童单手和双手上肢活动的一项有价值的工具。作为一种基于表现和能力的评分方法，儿童手部能力评估量表在不同观察者之间的可靠性良好。基于家长表现的评分不如基于能力的评分可靠。本研究生成了用于临床决策的重复性系数。
