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Interrater reliability of the extended ICF core set for stroke applied by physical therapists

Interrater reliability of the extended ICF core set for stroke applied by physical therapists
Interrater reliability of the extended ICF core set for stroke applied by physical therapists
Background and Purpose: The World Health Organization's International Classification of Functioning, Disability and Health (ICF) is gaining recognition in physical therapy. The Extended ICF Core Set for Stroke is a practical tool that represents a selection of categories from the whole classification and can be used along with the ICF qualifier scale to describe patients’ functioning and disability following stroke. The application of the ICF qualifier scale poses the question of interrater reliability. The primary objective of this investigation was to study the agreement between physical therapists’ ratings of subjects’ functioning and disability with the Extended ICF Core Set for Stroke and with the ICF qualifier scale. Further objectives were to explore the relationships between agreement and rater confidence and between agreement and physical therapists’ areas of core competence.

Subjects and Methods: A monocentric, cross-sectional reliability study was conducted. A consecutive sample of 30 subjects after stroke participated. Two physical therapists rated the subjects’ functioning in 166 ICF categories.

Results: The interrater agreement of the 2 physical therapists was moderate across all judgments (observed agreement=51%, kappa=.41). Interrater reliability was not related to rater confidence or to the physical therapists’ areas of core competence.

Discussion and Conclusion: The present study suggests potential improvements to enhance the implementation of the ICF and the Extended ICF Core Set for Stroke in practice. The results hint at the importance of the operationalization of the ICF categories and the standardization of the rating process, which might be useful in controlling for rater effects and increasing reliability.
0031-9023
841-851
Starrost, Klaus
7077740c-a179-4ed9-8c8d-cd2edbd9c768
Geyh, Szilvia
277a9f7e-1e41-48ef-ad1a-cb91f559f215
Trauwein, Anke
b7a96640-82d8-4981-b95d-6255bd82d40b
Grunow, Jutta
8221b4eb-0a8f-4f00-bcb0-06ae244ea298
Ceballos-Baumann, Andres
ab62a44a-27d2-435a-902f-fb93d1c5481d
Prosiegel, Mario
0cc54538-f6a5-46c6-82bc-7803d78ed0cb
Stucki, Gerold
0534525c-103b-45be-b0a5-061d8867ef0d
Cieza, Alarcos
a0df25c5-ee2c-4580-82b3-d0a75591580e
Starrost, Klaus
7077740c-a179-4ed9-8c8d-cd2edbd9c768
Geyh, Szilvia
277a9f7e-1e41-48ef-ad1a-cb91f559f215
Trauwein, Anke
b7a96640-82d8-4981-b95d-6255bd82d40b
Grunow, Jutta
8221b4eb-0a8f-4f00-bcb0-06ae244ea298
Ceballos-Baumann, Andres
ab62a44a-27d2-435a-902f-fb93d1c5481d
Prosiegel, Mario
0cc54538-f6a5-46c6-82bc-7803d78ed0cb
Stucki, Gerold
0534525c-103b-45be-b0a5-061d8867ef0d
Cieza, Alarcos
a0df25c5-ee2c-4580-82b3-d0a75591580e

Starrost, Klaus, Geyh, Szilvia, Trauwein, Anke, Grunow, Jutta, Ceballos-Baumann, Andres, Prosiegel, Mario, Stucki, Gerold and Cieza, Alarcos (2008) Interrater reliability of the extended ICF core set for stroke applied by physical therapists. Physical Therapy, 88 (7), 841-851. (doi:10.2522/ptj.20070211). (PMID:18483130)

Record type: Article

Abstract

Background and Purpose: The World Health Organization's International Classification of Functioning, Disability and Health (ICF) is gaining recognition in physical therapy. The Extended ICF Core Set for Stroke is a practical tool that represents a selection of categories from the whole classification and can be used along with the ICF qualifier scale to describe patients’ functioning and disability following stroke. The application of the ICF qualifier scale poses the question of interrater reliability. The primary objective of this investigation was to study the agreement between physical therapists’ ratings of subjects’ functioning and disability with the Extended ICF Core Set for Stroke and with the ICF qualifier scale. Further objectives were to explore the relationships between agreement and rater confidence and between agreement and physical therapists’ areas of core competence.

Subjects and Methods: A monocentric, cross-sectional reliability study was conducted. A consecutive sample of 30 subjects after stroke participated. Two physical therapists rated the subjects’ functioning in 166 ICF categories.

Results: The interrater agreement of the 2 physical therapists was moderate across all judgments (observed agreement=51%, kappa=.41). Interrater reliability was not related to rater confidence or to the physical therapists’ areas of core competence.

Discussion and Conclusion: The present study suggests potential improvements to enhance the implementation of the ICF and the Extended ICF Core Set for Stroke in practice. The results hint at the importance of the operationalization of the ICF categories and the standardization of the rating process, which might be useful in controlling for rater effects and increasing reliability.

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More information

e-pub ahead of print date: 15 May 2008
Published date: July 2008
Organisations: Psychology

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Local EPrints ID: 341579
URI: http://eprints.soton.ac.uk/id/eprint/341579
ISSN: 0031-9023
PURE UUID: f012932b-c0f3-4e33-b834-5f62ae30b516

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Date deposited: 27 Jul 2012 11:24
Last modified: 14 Mar 2024 11:42

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Contributors

Author: Klaus Starrost
Author: Szilvia Geyh
Author: Anke Trauwein
Author: Jutta Grunow
Author: Andres Ceballos-Baumann
Author: Mario Prosiegel
Author: Gerold Stucki
Author: Alarcos Cieza

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