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Scientific/Clinical Article| Volume 33, ISSUE 4, P553-561, October 2020

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Standardized translated instruction versus spontaneously translated instruction: Test-retest and interrater reliability of a hand function test

  • Ying Xin Lim
    Affiliations
    Faculty of Health Sciences, Occupational Therapy Program, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

    Rehabilitative Services Department, Subang Jaya Medical Centre, Subang Jaya, Selangor Darul Ehsan, Malaysia
    Search for articles by this author
  • Siaw Chui Chai
    Correspondence
    Corresponding author. Faculty of Health Sciences, Occupational Therapy Program, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia. Tel.: +603 9289 7047.
    Affiliations
    Faculty of Health Sciences, Occupational Therapy Program, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
    Search for articles by this author
Published:March 04, 2020DOI:https://doi.org/10.1016/j.jht.2019.09.001

      Abstract

      Study Design

      Cross-sectional study.

      Introduction

      Adhering to test administration and standardized instructions is important for attainment of accurate and reliable results in performance-based tests.

      Purpose of the Study

      To determine test-retest and interrater reliability of standardized translated instruction (St-TI) and spontaneously translated instruction (Sp-TI) of a hand function test.

      Methods

      Four raters and seventy-two subjects were divided into 2 groups: St-TI group, direct administration of the Hong Kong Chinese version of the Jebsen Hand Function Test to subjects by raters; and Sp-TI group, spontaneously translating the Jebsen-Taylor Hand Function Test from English into Chinese by raters. Test-retest and interrater reliability were calculated based on instruction time by the rater and performance time by the subject.

      Results

      Test-retest and interrater reliability of instruction time by rater for St-TI has intraclass correlation coefficient of 0.35 to 0.70 and 0.24 to 0.55, respectively, whereas that for Sp-TI was −0.50 to 0.18 and −0.09 to 0.51, respectively. Test-retest and interrater reliability of performance time by subject for St-TI was 0.56 to 0.84 and 0.33 to 0.78, respectively, whereas that for Sp-TI was 0.54 to 0.87 and 0.35 to 0.77, respectively. Sp-TI had two test-retest minimal detectable change percent values that fell within the acceptable range (subtest 3 = 21.9% and subtest 6 = 25.7%).

      Conclusion

      Instruction time by rater for Jebsen-Taylor Hand Function Test subtests had generally poor to moderate test-retest and interrater reliability for both St-TI and Sp-TI. Performance time by subject generally had moderate to good reliability, except for St-TI with poor to good interrater reliability.

      Keywords

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      JHT Read for Credit

      Quiz: # 720

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
      • # 1.
        The purpose of the study was to determine the _______________ of a Chinese version of the Jebsen-Taylor Hand Function test
        • a.
          validity
        • b.
          ease of clinical administration
        • c.
          reliability
        • d.
          usefulness
      • # 2.
        The primary statistical measure was
        • a.
          an ICC
        • b.
          a student T test
        • c.
          an ANOVA
        • d.
          the Pearson Coefficient
      • # 3.
        _________ of the MDC% values fell within the acceptable range
        • a.
          all
        • b.
          most
        • c.
          half
        • d.
          none
      • # 4.
        Non-dominant hands were
        • a.
          tested in the same way as the dominant hands
        • b.
          only tested in a cursory manner
        • c.
          not tested
        • d.
          found to be essentially the same as the dominant hands
      • # 5.
        Reliability was determined to be only moderate
        • a.
          not true
        • b.
          true
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.