Interrater Reliability of Three Clock Drawing Test Scoring Systems
Interrater Reliability of Three Clock Drawing Test Scoring Systems
复制标题
三时钟绘图测试评分系统的评分者间可靠性
作者：
Marne B. South;K. Greve;K. Bianchini;D. Adams
本研究验证了三种时钟绘制测试(CDT)评分系统应用于中风患者治疗方案的可靠性。样本包括由接受全面中风康复的患者完成的20套随机选择的手绘和预绘圆形版本的CDT。这些方案由2名评分员使用3种已发表的评分系统中的每一种进行独立评分(Freedman等人，1994；Libon，Malamut，Swenson，Sands，&Cloud，1996；Rouleau，Salmon，Butters，Kennedy，&McGuire，1992)。使用组内相关系数(ICC)测量评价者间的一致性和评价者内的一致性。结果表明，评分者对每个分数使用了可比较的标准(评价者之间的可靠性高)，并且每个评分者在整个方案集上使用了相似的评分标准(评分者内的一致性高)。与钟面整体轮廓相关的分数往往具有较低的ICC。两个CDT版本的信度系数具有可比性。这些结果为CDT在卒中患者中的准确和一致评分提供了依据。
This study demonstrates the reliability of 3 Clock Drawing Test (CDT) scoring systems when applied to the protocols of stroke patients. The sample included 20 randomly selected sets of both freehand and predrawn circle versions of the CDT completed by patients undergoing comprehensive stroke rehabilitation. The protocols were scored independently by 2 raters using each of 3 published scoring systems (Freedman et al., 1994; Libon, Malamut, Swenson, Sands, & Cloud, 1996; Rouleau, Salmon, Butters, Kennedy, & McGuire, 1992). Interrater agreement and intrarater consistency were measured using the intraclass correlation coefficient (ICC). The results demonstrate that the raters used comparable criteria for each score (high interrater reliability) and that each applied similar scoring criteria throughout the set of protocols (high intrarater consistency). Scores related to the overall contour of the clock face tended to have lower ICCs. Reliability coefficients were comparable for both CDT versions. The results provide evidence for the accurate and consistent scoring of the CDT in stroke.