Occupational Therapists: (McCluskey & Bishop, 2009; raters were two OT lecturers with expert EBP knowledge)
- Excellent inter-rater reliability; test version 1 (n = 10) (ICC = 0.96)
- Excellent inter-rater reliability; test version 2 (n = 10) (ICC = 0.91)
AFT rater training consisted of a 2-hour training session utilizing scored and unscored copies of the test, after which raters had two weeks to practice rating 20 tests with the scoring matrix (McCluskey & Bishop, 2009).
Occupational Therapists and Physical Therapists: (Lizarondo et al.,2013; n = 55; OTs and PTs; bachelor’s degree 62%; completed postgraduate degree 38%; less than 50% had prior EBP training or participation in research; participants took the AFT one time; raters consisted of four PTs with varying levels of professional experience; Rater 1 - master’s in sport and musculoskeletal PT, two years outpatient and hospital experience, one year EBP-related research experience, no teaching experience or other professional qualifications; Rater 2 - master’s in manual and sport PT, five years outpatient experience, 2.5 years EBP-related research experience, occasional [clinical demonstration] teaching experience, level 2 sports trainer certification; Rater 3 - PhD candidate and health-related master’s in PT and clinical psychology, internship experience only, seven years EBP-related research experience, 16 year undergraduate and one year postgraduate teaching experience; Rater 4 - PhD candidate and master’s in PT, two years hospital experience, 8.5 years EBP-related research experience, 14 years undergraduate and nine years postgraduate teaching experience, director of research center for five years)
Reliability Estimates for Inexperienced and Experienced raters
|
ICC (95% CI)
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Adapted Fresno Test item
|
Inexperienced*
|
Experienced?
|
2.?Where might you find answers to these questions? Name as many possible sources of information as you can. List advantages and disadvantages.
|
0.96 (0.86–0.99)
|
0.97 (0.86–0.99)
|
3.?What type of study (design) would best answer your clinical question and why?
|
0
|
0.94 (0.80–0.98)
|
4.?Describe the search strategy you might use in Medline topics, fields, rationale and limits.
|
0.66 (?0.04 to 0.90)
|
0.70 (0.06–0.91)
|
5.?What characteristics of a study determine if it is relevant?
|
0.24 (?0.34 to 0.70)
|
0.95 (0.83–0.99)
|
6.?What characteristics of a study determine its validity?
|
0.70 (?0.02 to 0.91)
|
0.98 (0.92–0.99)
|
Total score
|
0.58 (?0.26 to 0.88)
|
0.92 (0.72–0.98)
|
*Inexperienced: Raters 1 and 2.
?Experienced: Raters 3 and 4.
Dieticians/Nutritionists, Social Workers, and Speech Pathologists: (Lizarondo et al., 2014; speech pathologists (SP), n = 10; social workers (SW), n = 16; dietician/nutritionists (DN), n = 12; bachelor’s degree 50%; postgraduate degree 50%; previous EBP training or research < 50%; majority in clinical practice more than 10 years; participants took the AFT one time; raters were four individuals experienced in research and teaching EBP to allied health students)
- Excellent SP inter-rater reliability (ICC = 0.93)
- Excellent SW inter-rater reliability (ICC = 0.83)
- Excellent DN inter-rater reliability (ICC = 0.92)