瑞典饮食能力分类系统的评分者间及评分者内信度
Inter- and intrarater reliability of the Eating and Drinking Ability Classification System in Sweden.
作者信息
Sjöstrand Eva, Rodby-Bousquet Elisabet
机构信息
Psychiatry- and habilitation unit, Motala, Sweden.
Centre for Clinical Research, Uppsala University-Region Västmanland, Västerås, Sweden.
出版信息
Disabil Rehabil. 2025 Aug;47(16):4262-4266. doi: 10.1080/09638288.2024.2439011. Epub 2024 Dec 13.
PURPOSE
To evaluate inter- and intrarater reliability, of the Eating and Drinking Ability Classification System (EDACS) for children and adults with cerebral palsy (CP) in Sweden.
METHODS
Four speech and language pathologists rated EDACS from videos of 30 individuals with CP, 3 to 62 years, (mean 21 y, 10 m, SD 18 y, 6 m), six at each level of the Gross Motor Function Classification System (GMFCS). Inter- and intrarater reliability were estimated using Intraclass Correlation Coefficient (ICC) with 95% confidence interval.
RESULTS
Interrater reliability was excellent, ICC 0.98 (95% CI 0.95-0.99) for EDACS levels I-V and ICC 1 for need for support, as was intrarater reliability, ICC 0.97 (95% CI 0.93-0.98) for EDACS levels I-V and ICC 0.99 (95% CI 0.99-1) for need for support.
CONCLUSIONS
When rated by speech and language pathologists, EDACS shows excellent inter- and intrarater reliability for children and adults with CP. EDACS can identify eating and drinking ability and need for support in individuals at all GMFCS levels.
目的
评估瑞典脑瘫（CP）儿童和成人的饮食能力分类系统（EDACS）的评分者间信度和评分者内信度。
方法
四名言语治疗师根据30名3至62岁（平均21岁10个月，标准差18岁6个月）的CP患者的视频对EDACS进行评分，每个粗大运动功能分类系统（GMFCS）水平各有六人。使用组内相关系数（ICC）及95%置信区间估计评分者间信度和评分者内信度。
结果
评分者间信度极佳，EDACS I - V级的ICC为0.98（95%CI 0.95 - 0.99），支持需求的ICC为1；评分者内信度同样如此，EDACS I - V级的ICC为0.97（95%CI 0.93 - 0.98），支持需求的ICC为0.99（95%CI 0.99 - 1）。
结论
由言语治疗师进行评分时，EDACS对CP儿童和成人显示出极佳的评分者间信度和评分者内信度。EDACS能够识别所有GMFCS水平个体的饮食能力及支持需求。
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