Abstract

Aims

The purpose of this study was to examine the inter-rater and test-retest reliability of the Sensory Integration Clinical Observations.

Methods

Clinical observations were administered by trained occupational therapists (recent graduates to 40 years of experience, median = 3 years) to 20 children aged 4 – 12 years. Testing was completed again on 16 children after an average of 2.5 weeks. Inter-rater therapists scored the measure from video recordings. Total score and section scores (i.e. Postural-Ocular, Motor Planning – Fine Motor, Vestibular Processing, and Praxis and Coordination) were obtained.

Results

Intraclass correlations found test-retest reliability of total score to be excellent (ICC=.95) and section scores to be acceptable (ICC = .79-.94). Inter-rater reliability was also excellent for total score (ICC-.94) and section scores (ICC=.84-.96).

Conclusions

The Sensory Integration Clinical Observations can be administered reliably by multiple raters of varying levels of experience and results are stable over an average two-week interval. Good inter-rater reliability serves as a first step toward demonstration of consistency of administration and scoring of the Sensory Integration Clinical Observations. These findings may begin to establish a foundation for use of clinical observations to measure change in sensory-motor performance over time, although further research is needed.

中文翻译：

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感官整合临床观察的评分间和重测信度。

摘要

目的

这项研究的目的是检查感觉统合临床观察的评分者之间和重测信度。

方法

临床观察是由受过训练的职业治疗师（应届毕业生具有40年的经验，中位数= 3岁）对20位4至12岁的儿童进行的。平均2.5周后，又对16名儿童进行了测试。评分者间治疗师从录像中对评分进行了评分。获得总分和横断面分数（即姿势眼，运动计划–精细运动，前庭处理以及实践和协调）。

结果

类内相关性发现，总分的重测信度极好（ICC = .95），截面分数也可以接受（ICC = .79-.94）。评分者间的信度在总分（ICC-.94）和部门分数（ICC = .84-.96）方面也很出色。

结论

的感觉统合临床观察能够可靠地通过的经验和结果不同水平的多个评估者施用是稳定的平均超过两个星期的时间间隔。良好的评估者间可靠性是朝着证明给药一致性和感觉统合临床观察评分的第一步。这些发现可能开始为使用临床观察来测量感觉运动表现随时间的变化奠定基础，尽管需要进一步的研究。