Reliability of an Automated High-Resolution Manometry Analysis Program Across Expert Users, Novice Users, and Speech-Language Pathologists
Reliability of an Automated High-Resolution Manometry Analysis Program Across Expert Users, Novice Users, and Speech-Language Pathologists
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DOI：
10.1044/2014_jslhr-s-13-0101
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发表时间：
2014-06-01
影响因子：
2.6
通讯作者：
McCulloch, Timothy M.
中科院分区：
文献类型：
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作者：
Jones, Corinne A.;Hoffman, Matthew R.;McCulloch, Timothy M.
目的：本研究的目的是通过半自动高分辨率测压分析程序来调查专家用户、新手用户和言语病理学家之间的评估者间和评估者内可靠性。我们假设所有用户都具有高评价者内可靠性和高评价者间可靠性。方法：3 名专家用户、15 名新手用户和 5 名言语病理学家参与了本研究。经过 20 分钟的培训课程后，用户使用自动分析程序分析了 30 个高分辨率测压图。输出参数包括 5 个感兴趣的解剖区域的 2 维和 3 维压力积分。组内相关性用于检查评估者间和评估者内的可靠性。还进行方差分析以确定平均输出参数值的任何差异。结果：组内受试者间可靠性范围为 0.54 至 0.99，组间可靠性范围为 0.92 至 0.99。所有组的评估者内可靠性范围为 0.67 至 1.00。各组之间的输出参数没有显着差异。 结论：短期训练后观察到的高可靠性表明，对吞咽生理学知之甚少或根本不了解的人可以达到与具有专业知识的人相似的水平。鉴于该程序使用培训的快速性和易用性，它具有研究和临床实用的潜力。
Purpose: The purpose of this study was to investigate inter- and intrarater reliability among expert users, novice users, and speech-language pathologists with a semiautomated high-resolution manometry analysis program. We hypothesized that all users would have high intrarater reliability and high interrater reliability.Method: Three expert users, 15 novice users, and 5 speech-language pathologists participated in this study. Following a 20-min training session, users analyzed 30 high-resolution manometry plots using an automated analysis program. Output parameters included 2- and 3-dimensional pressure integrals over 5 anatomical regions of interest. Intraclass correlations were used to examine inter-and intrarater reliability. An analysis of variance was also performed to determine any differences in mean output parameter values.Results: Within-group interrater reliability ranged from 0.54 to 0.99, and intergroup reliability ranged from 0.92 to 0.99. Intrarater reliability ranged from 0.67 to 1.00 across all groups. There were no significant differences of output parameters among groups.Conclusions: The high reliability observed after a short training session demonstrates that individuals with little to no prior knowledge of swallowing physiology can perform at a similar level as those with expertise. Given the quickness and ease of training in the use of this program, it has the potential for research and clinical utility.