INTER-RATER AGREEMENT OF THE BRIEF BEDSIDE DYSPHAGIA SCREENING TEST-REVISED IN PATIENTS WITH STROKE
Článekpeer-reviewedpublished versionDatum publikování
2016
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Aim: The aim of the study was to investigate the inter-rater agreement (IRA) of the 8-item Brief Bedside Dysphagia Screening Test-Revised (BBDST-R). Design: An observational IRA study was conducted. Methods: Forty-six patients with stroke were independently assessed by two nurse raters using the BBDST-R. Rater agreement was described and analysed using descriptive statistics, Cohen’s kappa (κ), the proportion of observed agreement (Po), the prevalence index (p-index), and the bias index (b-index). Results: Kappa ranged from -0.046 (p = 0.641; 95% CI = -0.126–0.034) for item “ability to clench the teeth” to 0.784 (p < 0.001; 95% CI = 0.377–1.000) for “thick liquid: cough”. For the overall BBDST-R result, κ was 0.241 (p = 0.114; 95% CI = 0.000–0.558). The Po was ≥ 0.80 for five items; the p-index was ≥ 0.80 for three items. The b-index ranged from 0.03–0.31. Conclusion: The IRA, as expressed by κ, was low for the overall result and variable for the individual items. However, for some items, κ may have misrepresented the IRA due to the high pindex and bindex. Several strategies are recommended to improve the IRA of the instrument. This should enhance the instrument’s capacity to produce consistent results across raters.
Rozsah stran
p. 412-419
ISSN
2336-3517
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Projekt
NT13725/Management diagnostiky a terapie poruch polykání
Zdrojový dokument
Central European Journal of Nursing and Midwifery, volume 7, issue: 2
Vydavatelská verze
http://periodika.osu.cz/cejnm/dok/2016-02/9-mandysova-trundova-ehler.pdf
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open access
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Brief Bedside Dysphagia Screening Test-Revised, inter-rater agreement, dysphagia screening, nurse, stroke, revidovaného krátkého nástroje pro screening poruch polykání, shoda mezi posuzovateli, screening dysfagie, sestra, cévní mozková příhoda