TY - JOUR
T1 - Reliability of the Danish version of the McGill Ingestive Skills Assessment for observation-based measures during meals
AU - Hansen, Tina
AU - Lambert, Heather
AU - Faber, Jens
N1 - Funding Information: The authors would like to thank the Research Council at Herlev University Hospital, the Research Foundation of the Danish Occupational Therapy Association (FF2/09-1) and the Lundbeck Foundation (FP03/ 2011) for financial support which made this research possible. The authors are grateful to all the participating patients, the facilities’ staff, and all the occupational therapists who participated as raters. They would like to express special thanks to occupational therapist Charlotte Ehlers Hansen for assistance throughout in the data collection.
PY - 2012/11
Y1 - 2012/11
N2 - Aim: To establish measurement equivalence in terms of reliability of the Danish version of the Canadian McGill Ingestive Skills Assessment (MISA) for use by occupational therapists. Methods: A cross-sectional two-rater and testretest design was applied. A total of 102 elderly medical patients were included consecutively, and were video-recorded during a meal. Raters were paired randomly for each video-case, which was re-scored within three to eight weeks. Reliability was evaluated with the intra-class correlation coefficients (ICC), the standard error of measurement (SEM), the smallest detectable change (SDC), and limits of agreement (LOA). Results: Inter-rater reliability was good to excellent (ICC 1.1 0.610.84) and intra-rater reliability was excellent (ICC 3.1 0.840.93). For the total scale, SEM was 7% between raters and 4% in repeated measurement by the same rater. For the absolute total scale range on 86 points, the SDC was 15.8 between raters and 10.3 in repeated measurement by the same rater. Conclusions: The reliability of the Danish MISA equals the original version and is suitable for clinical practice. When extending the evaluation of the reproducibility, weaker precision was evident when measurements are repeated by different raters than by the same rater. Therefore further investigation of rater effects is recommended.
AB - Aim: To establish measurement equivalence in terms of reliability of the Danish version of the Canadian McGill Ingestive Skills Assessment (MISA) for use by occupational therapists. Methods: A cross-sectional two-rater and testretest design was applied. A total of 102 elderly medical patients were included consecutively, and were video-recorded during a meal. Raters were paired randomly for each video-case, which was re-scored within three to eight weeks. Reliability was evaluated with the intra-class correlation coefficients (ICC), the standard error of measurement (SEM), the smallest detectable change (SDC), and limits of agreement (LOA). Results: Inter-rater reliability was good to excellent (ICC 1.1 0.610.84) and intra-rater reliability was excellent (ICC 3.1 0.840.93). For the total scale, SEM was 7% between raters and 4% in repeated measurement by the same rater. For the absolute total scale range on 86 points, the SDC was 15.8 between raters and 10.3 in repeated measurement by the same rater. Conclusions: The reliability of the Danish MISA equals the original version and is suitable for clinical practice. When extending the evaluation of the reproducibility, weaker precision was evident when measurements are repeated by different raters than by the same rater. Therefore further investigation of rater effects is recommended.
KW - Eating and drinking
KW - Geriatric
KW - Occupational therapy
KW - Outcome assessment (health care)
KW - Reproducibility of results
U2 - 10.3109/11038128.2012.674552
DO - 10.3109/11038128.2012.674552
M3 - Journal article
SN - 1103-8128
VL - 19
SP - 488
EP - 496
JO - Scandinavian Journal of Occupational Therapy
JF - Scandinavian Journal of Occupational Therapy
IS - 6
ER -