• 제목/요약/키워드: Rater reliability

검색결과 227건 처리시간 0.032초

만성 편마비 환자의 modified Emory Functional Ambulation Profile의 임상 적용 (The Clinical Application of modified Emory Functional Ambulation Profile for Chronic Stroke Patients)

  • 김성렬;이제훈;안승헌
    • 대한물리의학회지
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    • 제5권4호
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    • pp.655-666
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    • 2010
  • Purpose : The examine the reliability and validity of the modified Emory Functional Ambulation Profile(mEFAP) for assessing gait function in chronic stroke patients. Methods : A total of 45 stroke patients, who had a stroke more than 6 months, participated in the study. Reliability was determined by Intra-class Correlation Coefficient($ICC_{3,1}$), including Bland and Altman method (Standard Error of Measurement: SEM, Small Real Differences: SRD). Validity was examined by correlating results to the gait ability(mEFAP, Modified Motor Assessment Scale-Gait(MMAS-G), Scandinavian Stroke Scale-Gait(SSS-G), Functional Ambulation Category(FAC), 10m Waking Test(10m WT)), and Fugl Meyer-Lower/Extremity(FM-L/E), Berg Balance Scale(BBS). Results : Inter-rater reliability for the total mEFAP was High($ICC_{2,1}$=.998), and absolute reliability were excellent (SEM: 1.75, SRD: 4.85). Subjects without assistance factor performed better on all tests than did subjects who had stroke. There were significant correlations between the mEFAP and MMAS-G, SSS-G, FAC(r=-.66~-.79), 10 m WT(r=-.86), and FM-L/E, BBS(r=-.72~-.78), indicating good validity. Increased times on the mEFAP correlated with poor performance on the gait ability, motor function of lower extremity, BBS and slow gait speeds on the 10 m WT in stroke patients. Conclusion : The mEFAP can be administered easily and comprehensively. It is a reliable gait assessment tool for patients with stroke and correlated with known of function, the mEFAP may be a clinically useful measure of ambulation.

한국형 베일리 영유아 발달검사 3판 소근육 운동척도 예비 연구 (A Preliminary Study for Standardizing the Fine Motor Scale of the Korean-Bayley Scales of Infant and Toddler Development, Third Edition)

  • 이순행;안소현;이은지;방희정
    • 아동학회지
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    • 제35권5호
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    • pp.37-61
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    • 2014
  • The purpose of the present study was to conduct a preliminary study for developing a Korean version of the Fine Motor Scale of the Bayley Scales of Infant and Toddler Development, $3^{rd}$ Edition(Bayley-III). The subjects for this study included 313 Korean infants and toddlers aged from 16 days to 42 months and 15 days. The results of this study were as follows. Firstly, the analysis of the degree of item difficulty indicated that the arrangement of the items corresponded with child development by age. Secondly, the analysis of the inter-item consistency, the test-retest reliability and the inter-rater reliability revealed a high degree of reliability of the scale. Thirdly, the Fine Motor Scale of K-Bayley-III score showed a significant high correlation with the Motor composite score but a significant moderate correlation with the Language composite score, providing evidence of its convergent and discriminant validity. This study demonstrated that the preliminary version of the K-Bayley-III Fine Motor Scales can be applied to assess the development of fine motor skills of Korean infants and toddlers.

인지수행척도(Cognitive Performance Scale)의 타당도와 신뢰도 (Validity and Reliability of Cognitive Performance Scale in Long Term Care Hospital in Korea)

  • 이지윤;김선민;김아름
    • 한국노년학
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    • 제30권1호
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    • pp.81-91
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    • 2010
  • 본 연구는 노인의 인지능력을 기능적 관점에서 평가하기 위해 개발된 인지수행척도(Cognitive Performance Scale, CPS)가 우리나라 요양병원의 임상환경에 적합한지를 검증하기 위해 수행되었다. 이를 위해 CPS와 MMSE(Mini-Mental State Examination), GDS(Global Deterioration Scale)간의 수렴타당도, 조사자간 일치도, 내적 일관성을 측정하였다. 2개의 치매전문 요양병원 입원환자 393명을 대상으로 해당병원의 간호사가 표준화된 작성지침을 이용하여 CPS를 직접 측정하였고, 이 점수가 해당병원의 의사, 간호사가 측정한 GDS점수, 건강보험 청구 자료의 MMSE점수와 상관성이 있는지 분석하였다. 또한 동일 환자에 대해 또 한명의 간호사가 CPS를 한 번 더 측정하여 기존의 CPS점수와 비교하였다. 그 결과 CPS는 GDS와 중등도 이상의 상관관계(r=0.742, p<0.0001)를 보였고, MMSE와는 높은 상관관계(r=-0.794, p<0.0001)를 보였다. CPS의 Cronbach ${\alpha}$ 계수는 0.742로 높은 내적 일관성을 나타냈고 조사자간 일치도를 보기 위해 산출한 문항별 Kappa 계수는 0.772~1.000이었다. 우리나라 요양병원 환경에서도 노인의 인지능력을 기능적 관점에서 평가하기 위해 CPS를 사용하는 것이 타당하다고 판단된다.

인지장애 변증평가도구의 신뢰도와 타당도 평가: 임상연구 프로토콜 (A Research to Evaluate the Reliability and Validity of Pattern Identifications Tool for Cognitive Disorder: A Clinical Study Protocol)

  • 이지윤;김환;서영경;강형원;강위창;정인철
    • 동의신경정신과학회지
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    • 제29권4호
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    • pp.255-266
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    • 2018
  • Objectives: The objective of this study was to evaluate the reliability and validity of Pattern Identifications Tool for Cognitive Disorders (PIT-C) and verify the correlation with other related scales. Methods: The study in this protocol is a single group, prospective, observational one. The subjects of the study were men and women between the ages of 45 and 85, diagnosed with neurocognitive disorders by Diagnostic and Statistical Manual of Mental Disorder (fifth Edition) criteria (n=60, Clinical Dementia Rating (CDR)=0.5, Korean Version of Montreal Cognitive Assessment $(MoCA-K){\leq}22$). The reliability of PIT-C was evaluated as test-retest and inter-rater reliability. And correlation between PIT-C and other related scales was also assessed. Results: This study was approved by the Institutional Review Board (IRB) of Dunsan Korean Medicine Hospital of Daejeon University and registered in the Clinical Research Information Service (CRIS), and was made public in advance to ensure transparency of the research process and conduct ethical clinical trials. Conclusions: The results of this study can be used to classify neurocognitive disorders as Korean medicine and PIT-C will be helpful tool for primary health care.

Reliability and Validity Inquiry for Tele-assessment Based on Video Conferencing

  • Suha Lee;Changho Song
    • Physical Therapy Rehabilitation Science
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    • 제12권2호
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    • pp.105-114
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    • 2023
  • Objective: The study examined the validity and reliability of tele-assessment of cervical range of motion (ROM) through video conferencing. Design: A cross-sectional study Methods: The study included 22 healthy adults as subjects and 10 physical therapists as evaluators. The subjects underwent both face-to-face and tele-assessment of cervical ROM. The CROM (Cervical Range of Motion) device was used for reference measurements in the face-to-face assessment. The evaluators assessed the subjects' ROM through visual inspection (VI) and using a Universal Goniometer (UG) in the tele-assessment. Results: The results showed a significant correlation between the face-to-face and tele-assessment measurements for all ROM contents. The correlation coefficients ranged from r=0.54 to 0.71 (p<0.05), indicating concurrent validity. In terms of inter-rater reliability, the ICC values for both VI and UG assessments in the tele-assessment were high, with ICCs of 0.93 and 0.92, respectively. Additionally, the study investigated the usability of the tele-assessment method and environment. The satisfaction of the participants and evaluators was assessed using the Telehealth Usability Questionnaire (TUQ), which evaluates perceptions, usability, and satisfaction with telehealth services. Conclusions: In conclusion, tele-assessment of cervical range of motion using video conferencing was valid and reliable. Also, investigated participant and evaluator satisfaction and opinions, providing insights into the clinical value of tele-assessment. It is important to note that the study was conducted only healthy adults, and further research may be needed to validate the tele-assessment method in populations with cervical dysfunction or neck pain. These findings support the potential effectiveness of telerehabilitation services in assessing and managing musculoskeletal disorders.

Multiple Average Ratings of Auditory Perceptual Analysis for Dysphonia

  • Choi, Seong-Hee;Choi, Hong-Shik
    • 말소리와 음성과학
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    • 제1권4호
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    • pp.165-170
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    • 2009
  • This study was to investigate for comparison between single rating and average ratings from multiple presentations of the same stimulus for measuring the voice quality of dysphonia using 7-point equal-appearing interval (EAI) rating scale. Overall severity of voice quality for 46 /a/ vowel stimuli (23 stimuli from dysphonia, 23 stimuli from control) was rated by 3 experienced speech-language pathologists (averaged 19 years; range = 7 to 40 years). For average ratings, each stimulus was rated five times in random order and averaged from two to five times. Although higher inter-rater reliability was found in average ratings than in single rating, there were no significant differences in rating scores between single and multiple average ratings judged by experienced listeners, suggesting that auditory perceptual ratings judged by well-trained listeners have relatively good agreement with the same stimulus across the judgment. Larger variations in perceptual ratings were observed for moderate voices than for mild or severe voices, even in the average ratings.

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신문에 나타난 간호의 이미지에 관한 연구 (The Image of Nursing projected in Newspapers)

  • 정면숙;강영실
    • 대한간호학회지
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    • 제23권1호
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    • pp.16-28
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    • 1993
  • The purpose of this study was to identify the im-. age of nursing, that is, to see how nursing is viewed in newspapers. Articles about nursing from two Korean daily newspapers from Jan. 1, 1987 to Dec.31, 1991 were examined for subject, type, attitude and author-ship. The inter-rater reliability was 0.89(by The Holsti method). The major findings were as follows : 1. The total number of articles were 110. 2. As for the subjests matter, articles related to professional nursing activities appeared most frequently(29.6%) , there about labor issues and activity to promote nurses's job climate 19.4%, and about official activities of nursing 11.2%. 3. Commentary articles appeared most frequently(41.2%) , Other article forms were straight news(27. 1%), contribution(17.6%) and inter-views (10.6%). 4. Feature stories acounted for 62.4% and news articles for 37.6%. Most of the articles were of national interests(96.5%), the rest(3.5%) of news from abroad. 5. Articles favorable toward nursing accounted for 54.1%, neutral 28.2%, negative 17.6%. 6. Many articles were written by the reporters (66.3%).

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대동작 운동 수행능력 측정 도구의 측정자간 신뢰도 (Inter-Rater Reliability of the Gross Motor Performance Measure)

  • 이충휘;박소연;고명숙
    • 한국전문물리치료학회지
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    • 제10권4호
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    • pp.17-22
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    • 2003
  • 대동작 운동 수행능력 측정도구(GMPM)는 뇌성마비 아동의 움직임을 질적인 면에서 평가하기 위해 개발된 도구이다. 이 연구의 목적은 대동작 운동 수행능력 측정도구의 측정자간 신뢰도를 알아보는 것이다. 뇌성마비 아동 10명(평균 5.6세, 범위 4~8세)에게 GMPM 평가를 실시하였다. 평가 과정을 비디오로 녹화하여 각 속성 항목별로 3명의 평가자간의 급간내 상관계수로 일치도를 보았다. 전반적으로 측정자간 신뢰도는 '불량~보통'범주에 속했다. 이 연구의 결과는 충분한 교육을 받지 않고 평가하면 그 결과를 신뢰하기 어렵다는 것을 말해준다. 향후 임상에서 GMPM을 이용하여 평가할 때 측정자간 신뢰도에 어떤 변화가 있는지 알아보는 연구가 필요하다.

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Grammatical Structure Oriented Automated Approach for Surface Knowledge Extraction from Open Domain Unstructured Text

  • Tissera, Muditha;Weerasinghe, Ruvan
    • Journal of information and communication convergence engineering
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    • 제20권2호
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    • pp.113-124
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    • 2022
  • News in the form of web data generates increasingly large amounts of information as unstructured text. The capability of understanding the meaning of news is limited to humans; thus, it causes information overload. This hinders the effective use of embedded knowledge in such texts. Therefore, Automatic Knowledge Extraction (AKE) has now become an integral part of Semantic web and Natural Language Processing (NLP). Although recent literature shows that AKE has progressed, the results are still behind the expectations. This study proposes a method to auto-extract surface knowledge from English news into a machine-interpretable semantic format (triple). The proposed technique was designed using the grammatical structure of the sentence, and 11 original rules were discovered. The initial experiment extracted triples from the Sri Lankan news corpus, of which 83.5% were meaningful. The experiment was extended to the British Broadcasting Corporation (BBC) news dataset to prove its generic nature. This demonstrated a higher meaningful triple extraction rate of 92.6%. These results were validated using the inter-rater agreement method, which guaranteed the high reliability.

급성기 뇌경색 환자에 있어 변증형별 유의한 임상지표의 분석 (Analysis of Clinical Indicators related to Pattern-Identification in Acute Cerebral Infarction Patient)

  • 이은찬;현상호;곽승혁;우수경;박주영;정우상;문상관;조기호;박성욱;고창남
    • 대한중풍순환신경학회지
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    • 제13권1호
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    • pp.33-42
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    • 2012
  • Object : The aim of this study was to assess the clinical indicators related to Pattern-Identification(PI) in acute cerebral infarction patients. Methods : We studied hospitalized patients within 30days after ictus, who admitted at Korean Medicine Center of Kyung-Hee University from January 2010 to October 2012.(n=290) Two Traditional Korean Medicine(TKM) physicians evaluated the patients independently and diagnosed PI. Inter-rater reliability was measured using simple percentage agreement and the Cohen's kappa(κ) coefficient. To assess the clinical indicators closely related to each PI, we analysed average score of each indicator in each group. Results : Simple percentage agreement of PI between raters was 64.83% and Cohen's kappa(κ) coefficient was 0.526(95% CI: 0.451-0.600). Inter-rater reliability level was fair to good. We analysed the clinical indicators in each group. Significant indicators for Fire-Heat Pattern(FHP) were reddened complexion and strong pulse power, and meaningful indicators for FHP were halitosis and thick tongue fur. Significant indicator for Dampness-Phlegm Pattern(DPP) was overweight and there was no meaningful indicator. Significant indicator for Yin-Deficiency Pattern(YDP) was dry tongue fur and meaningful indicator for YDP was thirst. There was no significant indicator for Qi-Deficiency Pattern(QDP) and pale complexion and faint low voice were meaningful indicators for QDP. Conclusions : This study reveals the significant and meaningful clinical indicators related to each Pattern-Identification in acute cerebral infarction patients. It will contribute to standardization of Korean Medical Diagnosis and Treatment in acute cerebral infarction patients.

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