Beach C, Boyce W, Peat M, Malakar S
Nanyang Polytechnic School of Health Sciences, Singapore.
Int J Rehabil Res. 1995;18(1):45-53. doi: 10.1097/00004356-199501000-00005.
The Hospital and Rehabilitation Centre for Disabled Children (HRDC) in Nepal identified the need to evaluate their in-hospital and community programmes. An instrument was developed to provide information regarding the functional level of the children treated by the HRDC as well as to provide information regarding care-givers' attitudes towards disability. Inter-rater reliability of the measure was tested in three regions of Nepal with 49 children. Six HRDC field workers travelled in pairs to the childrens' homes and alternated in roles as test administrator and observer. Correlations between the scores documented by the administrator and observer were used to estimate inter-rater reliability. Inter-rater reliability coefficients, calculated using a weighted kappa statistic, varied from 0.60 to 1.0. We conclude that the instrument demonstrated an acceptable level of inter-rater reliability in the field setting. Future studies to measure construct and concurrent validity, test-retest reliability and responsiveness of the instrument are recommended as well as testing the instrument in different cultures.
尼泊尔残疾儿童医院及康复中心（HRDC）意识到有必要对其住院和社区项目进行评估。为此开发了一种工具，用于提供有关HRDC所治疗儿童功能水平的信息，以及有关照顾者对残疾态度的信息。该测量方法的评分者间信度在尼泊尔三个地区对49名儿童进行了测试。六名HRDC实地工作人员两两结伴前往儿童家中，并轮流担任测试管理员和观察员的角色。管理员和观察员记录的分数之间的相关性用于估计评分者间信度。使用加权kappa统计量计算的评分者间信度系数在0.60至1.0之间。我们得出结论，该工具在实地环境中表现出了可接受的评分者间信度水平。建议未来开展研究以测量该工具的结构效度和同时效度、重测信度和反应度，并在不同文化中对该工具进行测试。
