Translation, inter-rater reliability, agreement, and internal consistency of the Spanish version of the cumulated ambulation score in patients after hip fracture
Translation, inter-rater reliability, agreement, and internal consistency of the Spanish version of the cumulated ambulation score in patients after hip fracture
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DOI：
10.1080/09638288.2019.1577499
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发表时间：
2020-09-10
影响因子：
2.2
通讯作者：
Kristensen, Morten Tange
中科院分区：
文献类型：
--
作者：
Ariza-Vega, Patrocinio;Mora-Traverso, Marta;Kristensen, Morten Tange
目的：将累积步行得分翻译成西班牙语，并检查其评分者间的可靠性、一致性和内部一致性。材料和方法：两名职业治疗师独立使用西班牙语版本的累积步行评分（三项活动评分为 0-2 分），对公立医院创伤科服务中心连续 60 名术后第一周内发生髋部骨折的患者进行评估。我们使用线性加权 kappa (kappa) 统计数据来确定评估者间的可靠性，使用百分比一致性来评估测量误差，使用 Cronbach α 系数来建立内部一致性，并使用 McNemar-Bowker 检验来评估评估者之间的系统差异。结果：三项单独活动和总分的 kappa >= 0.83，一致性百分比 >= 0.87，Cronbach's alpha 为 0.89，没有观察到系统性评估者之间的差异。结论：这项研究为西班牙语版本的累积步行评分几乎完美的评估者间可靠性、出色的内部一致性和高一致性百分比提供了证据。由于其强大的心理测量特性且易于使用，我们建议在西班牙语国家使用它来评估髋部骨折患者的早期基本活动状态，直至达到独立。
Purpose:To translate the Cumulated Ambulation Score into Spanish, and to examine its inter-rater reliability, agreement and internal consistency. Materials and Methods:Two occupational therapists independently used the Spanish version of the Cumulated Ambulation Score (three activities scored from 0-2 points) to assess 60 consecutive patients with hip fracture within the first post-surgery week at a traumatology service of a public hospital. We used linear weighted kappa (kappa) statistics to determine inter-rater reliability, percent agreement to assess measurement error, Cronbach's alpha coefficient to establish the internal consistency, and the McNemar-Bowker test to evaluate for systematic between-rater differences. Results:The kappa was >= 0.83 for the three individual activities and the total score, the percent agreement was >= 0.87, and Cronbach's alpha was 0.89 with no observed systematic between-rater difference. Conclusions:This study provides evidence for almost perfect inter-rater reliability, excellent internal consistency, and high percent agreement of the Spanish version of the Cumulated Ambulation Score. Due to the strong psychometric properties, and its ease of use, we suggest it be used in Spanish speaking countries to assess early basic mobility status of patients with hip fracture until independence is reached.