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Interrater reliability of goal attainment scaling in rehabilitation of children with cerebral palsy

STEENBEEK D; KETELAAR M; LINDEMAN E; GALAMA K; GORTER JW
ARCH PHYS MED REHABIL , 2010, vol. 91, n° 3, p. 429-435
Doc n°: 146322
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2009.10.013
Descripteurs : AJ23 - PARALYSIE CEREBRALE
Article consultable sur : http://www.archives-pmr.org

OBJECTIVES: To determine the interrater reliability of Goal Attainment Scaling
(GAS) in the routine practice of interdisciplinary rehabilitation of children
with cerebral palsy, and to examine the difference in the interrater reliability
of the scores between GAS scales constructed by the children's own therapists and
the scales constructed by independent therapists. DESIGN: Individually tailored
GAS scales, based on predetermined criteria, were constructed at the start of a
6-month rehabilitation period. The outcome was rated independently by 2
therapists at the end of the treatment period. Two different data sets were
acquired, one consisting of scores on GAS scales constructed by the children's
own therapists, the other of scores on GAS scales constructed by matched
independent raters of the same profession. SETTING: A children's unit of a
medium-sized rehabilitation center in The Netherlands. PARTICIPANTS: Physical
therapists (n=8), occupational therapists (n=8), and speech therapists (n=4)
participated in pairs. They constructed 2 sets of 64 GAS scales each, for 23
children with cerebral palsy. INTERVENTIONS: A 6-month interdisciplinary
pediatric rehabilitation program. MAIN OUTCOME MEASURE: Interrater reliability
was assessed using linear-weighted Cohen's kappa. RESULTS: The scales constructed
by the children's therapists had an interrater reliability of .82 (95% confidence
interval [CI], .73-.91). The interrater reliability for scales constructed by the
independent raters was .64 (95% CI, .49-.79). The main reason for disagreement
between raters was discrepancies in the professionals' interpretation of the
children's capacities versus their actual performance during assessment.
CONCLUSIONS: The interrater reliability of GAS used under optimal conditions was
good, particularly for scales constructed by the children's own therapists.
CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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