RATER EXPERIENCE INFLUENCES RELIABILITY AND VALIDITY OF THE BRIEF INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY, AND HEALTH CORE SET FOR STROKE
机构:[1]College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine,Fuzhou,China[2]Fujian Key Laboratory of Exercise Rehabilitation, Fujian provincial rehabilitation industrial institution,China[3]Affiliated Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou,China[4]Psychology Department, School of Medicine, Jinan University, Guangzhou,China[5]Applied Cognitive Neuroscience Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong[6]The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine ,Guangzhou, China广东省中医院[7]The First Affiliated Hospital of Jinan University, Guangzhou, China.
Objective: To investigate how clinical experience and access to patient information regarding functional capability influence inter-rater reliability and validity of the Brief International Classification of Functioning, Disability, and Health Core Set for Stroke (ICF) assessment. Methods: Study 1 involved expert (clinical experience >= 5 years) and novice (clinical experience <2 years) rater-pairs, each evaluating the same post-stroke patients using the ICF assessment (n = 149). Study 2 involved novice raters separately evaluating a different cohort of post-stroke patients with the ICF assessment (n = 78). The novice raters had prior knowledge of patient functioning through conducting 6 clinical tests. Results: For Study 1, the expert rater-pairs (kappa = 0.50-0.85 for categories; intra-class correlation (ICC) = 0.76-0.96 for components) had higher reliability coefficients than novice rater-pairs (kappa = 0.18-0.69 for categories; ICC = 0.63-0.88 for components). For Study 2, the novice raters with prior knowledge of patient's functioning yielded significantly higher ICF component scores than those without prior knowledge. The former raters' component scores were comparable to those of the expert rater-pairs. Conclusion: Clinical experience in post-stroke rehabilitation enhances inter-rater reliability of ICF assessment. Knowledge of patient's functional capability, such as conducting common clinical tests in post-stroke rehabilitation, is useful for improving assessment validity.
基金:
Ministry of Science and Technology of the People's Republic of ChinaMinistry of Science and Technology, China [2013BAI10B01]; National Rehabilitation Research Center of Traditional Chinese Medicine; Fujian Rehabilitation Tech Co-innovation Center
第一作者机构:[1]College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine,Fuzhou,China[2]Fujian Key Laboratory of Exercise Rehabilitation, Fujian provincial rehabilitation industrial institution,China
共同第一作者:
通讯作者:
通讯机构:[1]College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine,Fuzhou,China[2]Fujian Key Laboratory of Exercise Rehabilitation, Fujian provincial rehabilitation industrial institution,China[3]Affiliated Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou,China[4]Psychology Department, School of Medicine, Jinan University, Guangzhou,China[5]Applied Cognitive Neuroscience Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong[*1]College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine,1 Huatuo Road, Minhou Shangjie, Fuzhou, Fujian 350122 China[*2]Psychology Department, School of Medicine, Jinan University, 510632 Guangzhou,China
推荐引用方式(GB/T 7714):
Chen Shanjia,Tao Jing,Tao Qian,et al.RATER EXPERIENCE INFLUENCES RELIABILITY AND VALIDITY OF THE BRIEF INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY, AND HEALTH CORE SET FOR STROKE[J].JOURNAL OF REHABILITATION MEDICINE.2016,48(3):265-272.doi:10.2340/16501977-2063.
APA:
Chen, Shanjia,Tao, Jing,Tao, Qian,Fang, Yunhua,Zhou, Xiaoxuan...&Chan, Chetwyn C. H..(2016).RATER EXPERIENCE INFLUENCES RELIABILITY AND VALIDITY OF THE BRIEF INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY, AND HEALTH CORE SET FOR STROKE.JOURNAL OF REHABILITATION MEDICINE,48,(3)
MLA:
Chen, Shanjia,et al."RATER EXPERIENCE INFLUENCES RELIABILITY AND VALIDITY OF THE BRIEF INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY, AND HEALTH CORE SET FOR STROKE".JOURNAL OF REHABILITATION MEDICINE 48..3(2016):265-272