Camilla Radia-George, Christine Imms, Nicholas F. Taylor; Interrater Reliability and Clinical Utility of the Personal Care Participation Assessment and Resource Tool (PC–PART) in an Inpatient Rehabilitation Setting. Am J Occup Ther 2014;68(3):334–343. https://doi.org/10.5014/ajot.2014.009878
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OBJECTIVE. We examined the interrater reliability and clinical utility of the Personal Care Participation Assessment and Resource Tool (PC–PART) in a rehabilitation setting.
METHOD. Ninety-six patients were recruited from the caseload of four occupational therapists. Patients were assessed on admission. Clinical utility was based on time to complete assessments.
RESULTS. Interrater reliability for the total score was very high (intraclass correlation coefficient = .91). Limits of agreement for the program indicated aggregate data from individual scores were within 1.3 units (range = −1.3 to 0.5) but individual scores would be within 10 units (range = −9.3 to 0.2). The PC–PART took 27 min to complete.
CONCLUSION. The PC–PART may have sufficient interrater reliability and clinical utility to evaluate program outcomes. The limits of agreement for rating individuals were relatively large, suggesting that it may be difficult to use the PC–PART to make clinical inferences about an individual patient.
Assessment: Time in minutes to complete routine occupational therapy initial evaluation. Evaluation included face-to-face time with the patient and time spent obtaining information from medical records to complete the evaluation.
PC–PART: Time in minutes spent specifically conducting the PC–PART face to face with the patient. This component included any time required to obtain information from medical records that was required only to complete the PC–PART and was in addition to routine occupational therapy assessment.
Key informant: Time in minutes spent obtaining information from a family, caregiver, or other health professional to inform both the occupational therapy initial assessment and PC–PART. This component included all time spent gathering information from the responsible person.
Measurement of participation in rehabilitation is important in occupational therapy practice.
The PC–PART has sufficient interrater reliability to be considered as a measure of participation restriction for researchers and managers to measure program outcomes in rehabilitation.
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