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Using a new interrater reliability method to test the modified Oulu Patient Classification instrument in home health care

AIM: To test the interrater reliability of the modified Oulu Patient Classification instrument, using a multiple parallel classification method based on oral case presentations in home health care in Norway. DESIGN: Reliability study. METHODS: Data were collected at two municipal home healthcare uni...

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Detalles Bibliográficos
Autores principales: Flo, Jill, Landmark, Bjørg, Hatlevik, Ove Edward, Fagerström, Lisbeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867286/
https://www.ncbi.nlm.nih.gov/pubmed/29599992
http://dx.doi.org/10.1002/nop2.126
Descripción
Sumario:AIM: To test the interrater reliability of the modified Oulu Patient Classification instrument, using a multiple parallel classification method based on oral case presentations in home health care in Norway. DESIGN: Reliability study. METHODS: Data were collected at two municipal home healthcare units during 2013–2014. The reliability of the modified OPCq instrument was tested using a new multiple parallel classification method. The data material consisted of 2 010 parallel classifications, analysed using consensus in per cent and Cohen's kappa. Cronbach's alpha was used to measure internal consistency. RESULTS: For parallel classifications, consensus varied between 64.78–77.61%. Interrater reliability varied between 0.49–0.69 (Cohen's kappa), the internal consistency between 0.81–0.94 (Cronbach's alpha). Analysis of the raw scores showed 27.2% classifications had the same points, 39.1% differed one point, 17.9% differed two points and 16.5% differed ≥3 points.