An Interrater Reliability Study of the Nottingham Stroke Dressing Assessment

Autor:	Marion F Walker, Hannah Turner, Alan Sunderland, Anna Wan, Joanna Fletcher-Smith, Katherine Garvey
Rok vydání:	2010
Předmět:	medicine.medical_specialty business.industry Outcome measures medicine.disease Test (assessment) Dressing Ability Clinical Practice Inter-rater reliability Occupational Therapy Error analysis Physical therapy medicine business Stroke Kappa
Zdroj:	British Journal of Occupational Therapy. 73:570-578
ISSN:	1477-6006 0308-0226
DOI:	10.4276/030802210x12918167234127
Popis:	Introduction: Dressing problems after stroke are common. There is therefore a need to establish the psychometric properties of appropriate dressing outcome measures for use in clinical practice and research. The Nottingham Stroke Dressing Assessment (NSDA) is a validated assessment of post-stroke dressing ability. This study investigated the interrater reliability of the NSDA and the accompanying dressing error analysis form. Method: Twenty patients with persistent dressing difficulties at 2 weeks post-stroke were recruited to the study. Two research occupational therapists and one clinical occupational therapist acted as raters. They observed all 20 patients during dressing and independently completed the NSDA and error analysis form without discussion. A kappa (κ) test was performed to assess the level of agreement between the three raters on each dressing item assessed. Results: Of the 44 items tested, there was excellent agreement (κ > 0.75) on 29 items, good agreement (κ>0.6) on 8 items, fair agreement (κ>0.4) on 5 items and poor agreement (κ Conclusion: The NSDA and error analysis form can be considered to have psychometrically proven interrater reliability.
Databáze:	OpenAIRE
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