DEVELOPMENT AND PRELIMINARY RELIABILITY TESTING OF AN ASSESSMENT OF PATIENT INDEPENDENCE IN PERFORMING A TREATMENT PROGRAM: STANDARDIZED SCENARIOS

作者：Harris Hayes Marcie^*; Holtzman Gregory W; Earley Jeanne A; Van Dillen Linda R

来源：Journal of Rehabilitation Medicine, 2010, 42(3): 221-227.

DOI：10.2340/16501977-0505

• activities of daily living
• exercise therapy
• directly observed therapy
• patient compliance

Background: Physical therapists often assess patient independence through observation; however, it is not known if therapists make these judgments reliably. We have developed a standardized method to assess a patient's ability to perform his or her treatment program independently.
Objectives: To develop a standardized assessment of patient independence in performance of a treatment program and examine the intra- and inter-rater reliability decisions made by two physical therapists.
Design: Test-retest.
Methods: An assessment of patient independence in performance was developed. Standardized patient scenarios were used to assess the intra- and inter-tester reliability of two physical therapists. Percentage of agreement (%) and kappa's coefficient (k and k(w)) indexed rater reliability.
Results: Intra-rater reliability of therapist 1 was as follows: knowledge: %=95, k=0.90; performance: %=95, k(w)=0.82. Intra-rater reliability of therapist 2 was as follows: knowledge: %=85, k=0.68; performance: %=94, kw=0.80. Inter-rater reliability for knowledge was %=91 and k=0.79 and for performance was %=91 and k(w)=0.72.
Conclusion: Trained therapists displayed substantial to excellent intra-rater reliability and substantial inter-rater reliability in assessing a patient's independence in a treatment program.

• 出版日期2010-3