切多克手臂与手部活动量表的评分者间信度

Inter-rater reliability of the Chedoke Arm and Hand Activity Inventory.

作者信息

Johnson Denise, Harris Jocelyn, Stratford Paul, Richardson Julie

机构信息

School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.

Hamilton Health Sciences, Hamilton, ON, Canada.

出版信息

NeuroRehabilitation. 2017;40(2):201-209. doi: 10.3233/NRE-161405.

DOI:10.3233/NRE-161405

PMID:28222544

Abstract

BACKGROUND

The Chedoke Arm and Hand Activity Inventory (CAHAI) is an assessment of upper limb function designed for use in the stroke population. The CAHAI has strong reliability and validity in this population; however, it is unknown whether this measure can be used with other clinical populations such as acquired brain injury (ABI).

PURPOSE

The purpose of this study was to estimate the inter-rater reliability of the CAHAI when used with persons with ABI.

METHODS

The research design was an observational parameter estimation study. The administration of the CAHAI was videotaped for 6 persons with ABI. To estimate inter-rater reliability each video was assessed independently by 6 clinicians yielding a total of 36 assessments. A Latin square design was used to balance the order raters evaluated the videos. Shrout and Fleiss Type 2,1 intra class correlation coefficients (ICC) and standard error of measurement (SEM) were calculated to estimate inter-rater reliability of the CAHAI.

RESULTS

Inter-rater reliability was high ICC = 0.96 (95% CL: 0.88, 0.99) and the SEM was 3.35 (95% CL: 2.63, 4.63) CAHAI points.

CONCLUSIONS

These results suggest that the CAHAI, although designed for use in the stroke population, can be used reliably in the ABI population.

摘要

背景

切多克手臂和手部活动量表（CAHAI）是一种用于评估中风患者上肢功能的工具。CAHAI在该人群中具有较高的信度和效度；然而，尚不清楚该量表是否可用于其他临床人群，如获得性脑损伤（ABI）患者。

目的

本研究旨在评估CAHAI应用于ABI患者时的评分者间信度。

方法

本研究采用观察性参数估计研究设计。对6名ABI患者进行CAHAI评估的过程进行录像。为评估评分者间信度，6名临床医生独立评估每段视频，共得到36次评估。采用拉丁方设计平衡评分者评估视频的顺序。计算Shrout和Fleiss 2,1型组内相关系数（ICC）和测量标准误（SEM），以评估CAHAI的评分者间信度。