Ballmer Thomas, Helle Tina, Kaptain Rina Juel, Malinowsky Camilla, Kottorp Anders
a School of Health Professions, Institute of Occupational Therapy , ZHAW Zurich University of Applied Sciences , Winterthur , Switzerland.
b Department of Occupational Therapy , University College North , Aalborg , Denmark.
Scand J Occup Ther. 2019 Oct;26(6):463-474. doi: 10.1080/11038128.2018.1476585. Epub 2018 Jul 3.
The trend towards telemedicine increasingly requires clients to manage everyday technology (ET) to access and use health services. The Management of Everday Technology Assessment (META) is an observation-based instrument developed to evaluate the ability to manage ET.
To examine test-retest (TRR) and inter-rater reliability (IRR) of the Danish translation of the META for older adults with and without COPD.
47 older adults with COPD (n = 23) and without (n = 24) were recruited. IRR was examined by four raters paired across 30 participants. TRR was examined for 21 participants by the same rater administering the META twice within four weeks. A rank-based method for paired ordinal data was used to calculate percentage agreement (PA) and measures of systematic disagreement and individual variability. Mann Whitney U tests were used to compare PA to health status (presence/absence of COPD).
Inter-rater PA was acceptable across 10 of 11 items and test-retest PA across 8 of 11 items. Systematic disagreement was present for one item in TRR. No significant differences in PA were found regarding health status.
The Danish META generates reliable scores for this sample. However, conclusive statements cannot be made for all items.
远程医疗的发展趋势越来越要求患者管理日常技术（ET）以获取和使用医疗服务。日常技术管理评估（META）是一种基于观察的工具，旨在评估管理ET的能力。
检验丹麦语版META对有慢性阻塞性肺疾病（COPD）和无COPD的老年人的重测信度（TRR）和评分者间信度（IRR）。
招募了47名老年人，其中23名患有COPD，24名未患COPD。由四名评分者对30名参与者进行配对，检验IRR。由同一名评分者在四周内对21名参与者进行两次META评估，检验TRR。使用基于秩次的配对有序数据方法计算百分比一致性（PA）以及系统不一致性和个体变异性的测量值。使用曼-惠特尼U检验比较PA与健康状况（是否患有COPD）。
11项中的10项评分者间PA可接受，11项中的8项重测PA可接受。TRR中有一项存在系统不一致性。在PA方面，未发现健康状况有显著差异。
丹麦语版META为本样本生成了可靠的分数。然而，不能对所有项目做出结论性陈述。
