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INTER-RATER AGREEMENT OF THE BRIEF BEDSIDE DYSPHAGIA SCREENING TEST-REVISED IN PATIENTS WITH STROKE.

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 BBD...

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Published in:Central European Journal of Nursing & Midwifery Vol. 7; no. 2; pp. 412 - 420
Main Authors: Mandysová, Petra, Trundová, Helena, Ehler, Edvard
Format: research tables/charts Journal Article
Published: Central European Journal of Nursing & Midwifery 2016
Online Access:View this record in EBSCOhost
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        23363517
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      jtl: Central European Journal of Nursing & Midwifery
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      dt: 2016
      vid: 7
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      pub: Central European Journal of Nursing & Midwifery
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        116597469
        116597469
        116597469
        10.15452/CEJNM.2016.07.0009
        116597469
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        atl: INTER-RATER AGREEMENT OF THE BRIEF BEDSIDE DYSPHAGIA SCREENING TEST-REVISED IN PATIENTS WITH STROKE.
      aug:
        au:
          Mandysová, Petra
          Trundová, Helena
          Ehler, Edvard
        affil: Department of Nursing, Faculty of Health Studies, University of Pardubice, Czech Republic
      sug:
        subj:
          Stroke Patients
          Deglutition Disorders Diagnosis
          Patient Bedside Evaluation
          Interrater Reliability
          Human
          Cross Sectional Studies
          Nonexperimental Studies
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Clinical Assessment Tools
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: 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 (pindex ), and the bias index (bindex). 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 pindex was ≥ 0.80 for three items. The bindex 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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