When coders are reliable: The application of three measures to assess inter-rater reliability/agreement with doctor–patient communication data coded with the VR-CoDES

To investigate whether different measures of inter-rater reliability will compute similar estimates with nominal data commonly encountered in communication studies. To make recommendations how reliability should be computed and described for communication coding instruments. The raw data from an int...

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Vydáno v:	Patient education and counseling Ročník 82; číslo 3; s. 341 - 345
Hlavní autoři:	Fletcher, Ian, Mazzi, Mariangela, Nuebling, Matthias
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Oxford Elsevier Ireland Ltd 01.03.2011 Elsevier
Témata:	Biological and medical sciences Clinical Coding - methods Clinical Coding - standards Clinical Competence - standards Coding Communication Doctor-Patient communication Guidance Humans Inter-rater study Internal Medicine Intraclass correlation coefficient Kappa Medical sciences Miscellaneous Observer Variation Physician-Patient Relations Public health. Hygiene Public health. Hygiene-occupational medicine Reliability Reproducibility of Results Research Design Sensitivity Sensitivity analysis Sensitivity and specificity Videotape Recording VR-CoDES Sensitivity and specificity Intraclass correlation coefficient Inter-rater study VR-CoDES Kappa Statistical data Evaluation Coefficient Physician patient relation Computerized processing Reliability Statistics Data gathering Communication
ISSN:	0738-3991, 1873-5134, 1873-5134
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Popis
Shrnutí:	To investigate whether different measures of inter-rater reliability will compute similar estimates with nominal data commonly encountered in communication studies. To make recommendations how reliability should be computed and described for communication coding instruments. The raw data from an inter-rater study with three coders were analysed with; Cohen's κ, sensitivity and specificity measures, Fleiss's multirater κ j , and an intraclass correlation coefficient (ICC). Minor differences were found between Cohen's κ and an ICC model across paired data (largest margin = 0.01). There were negligible differences between the multirater estimates e.g. κ j (0.52) and ICC (0.53). Sensitivity analyses were in general agreement with the multirater estimates. It is more practical to analyse nominal data with >2 raters with an appropriate model ICC for inter-rater studies, and little difference exists between Cohen's κ or an ICC. Alternatives to Cohen's κ are readily available, but researchers need to be aware of the different ICC definitions. An ICC model should be fully described in reports. Investigators are encouraged to supply confidence limits with inter-rater data, and to revisit guidance regarding the relative strengths of agreement of reliability coefficients.
Bibliografie:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	0738-3991 1873-5134 1873-5134
DOI:	10.1016/j.pec.2011.01.004