Highlights
- •SOFEMER Activity Score (SAS) is devised to quantify patient activity limitation in rehabilitation centers.
- •SAS content validity and feasibility have been already established.
- •The SAS interrater reliability is assessed and found “good” to “excellent.”
- •Analyses of score agreements and disagreements helped tuning scoring instructions.
- •The SAS good interrater reliability paves the way for further validation steps.
Abstract
Objective
To assess the interrater reliability of the SOFMER Activity Score (SAS) (version 2
[v2], an 8-item [4 motor and 4 cognitive] and 5-level scale) and improve its scoring
system before conducting further validation steps.
Design
Cross-sectional, prospective, observational, noninterventional, and multicentric study.
Setting
The study was conducted between November 2018 and September 2019 in 4 French rehabilitation
centers (2 public university hospitals for adults and 2 private not-for-profit rehabilitation
centers for children).
Participants
The study included 101 participants (N=101; mean age, 44.5±25.4 years; 28.7% younger
than 18 and 18.8% older than 65 years). The female/male sex ratio was 0.6. The causes
for admission to the center were mainly neurologic (65%) or orthopedic (24%).
Interventions
None.
Main Outcome Measures
Activity limitation was rated with the SAS the same day by 2 independent multidisciplinary
teams. The interrater reliabilities of the score items were assessed using weighted
kappa coefficients.
Results
All weighted kappa coefficients ranged between 0.83 and 0.92, indicating “good” to
“excellent” interrater reliability. Interteam score disagreements occurred in 227
of 808 scores (28%). The reason for most disagreements was unnoticed human or material
aid during the observation period.
Conclusions
The results demonstrate the high interrater reliability of the SASv2 and allow carrying
out further validation steps after minor changes to item scoring instructions and
clearer definitions of some items that help improving scoring standardization. The
SASv2 may then become a consistent measure of activity level for clinical research
or burden of care investigations.
Keywords
List of abbreviations:
HCP (health care provider), ICC (intraclass correlation coefficient), ICF (International Classification of Functioning, Disability, and Health), IRR (interrater reliability), κw (weighted kappa coefficient), RC (rehabilitation center), SAS (SOFEMER Activity Score), v2 (version 2)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: December 06, 2021
Accepted:
November 9,
2021
Received in revised form:
November 3,
2021
Received:
February 9,
2021
Publication stage
In Press Journal Pre-ProofFootnotes
Supported by the Société française de médecine physique et de réadaptation (SOFMER) and the French Ministry of Health (Direction générale de l'offre de soins, DGOS) within the context of Programme de recherche sur la performance du système de soins (grant no. PREPS-16-390).
Disclosures: none
Identification
Copyright
© 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
