• Title/Summary/Keyword: Internal reliability

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Study on Reliability of Interpretation and Reproducibility of a Pulse Analyser (맥진기 판독의 신뢰도 및 파형의 재현성 연구)

  • Park, Seung-Chan;Lee, Ji-Hye;Lee, Hye-Yoon;Cho, Min-Kyoung;Kim, Do-Hyung;Kim, So-Yeon;Choi, Jun-Yong;Han, Chang-Woo;Park, Seong-Ha;Hong, Jin-Woo;Lee, In;Kwon, Jung-Nam
    • The Journal of Internal Korean Medicine
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    • v.34 no.3
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    • pp.231-239
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    • 2013
  • Objectives : This study was performed to evaluate inter-rater and intra-rater reliability of interpretation and reproducibility of a pulse analyser (MAXMAC27-Plus). Methods : 38 of 40 volunteers completed the pulse analysis consecutively. Three Korean medical doctors who had at least 2 years of clinical experience interpreted the pulse waves for 3 aspects of size, depth and shape, then inter-rater reliability and crude agreement was obtained. Reinterpretation was done 2 weeks later and intra-rater reliability and crude agreement was obtained. Intra-rater reliability and crude agreement between 1st and 2nd measurement was calculated. Cohen's weighted kappa for size, Cohen's kappa for depth and shape were used as statistical analysis. Results : Inter-rater reliability of size, depth and shape among 3 raters was 0.598, 0.604, and 0.312, respectively, showing moderate to substantial agreement. Average intra-rater reliability between 1st and 2nd interpretation of size, depth and shape was 0.806, 0.705, and 0.638, respectively, showing substantial to almost perfect agreement. However, intra-rater reliability between consecutive measurements of size, depth and shape was 0.221, 0.121, and 0.194, respectively, which showed only poor to fair agreement. Conclusions : Intra-rater and inter-rater reliability of one pulse wave showed relatively high concordance. Training by a clinical expert may effect better concordance among raters. Test-retest reliability showed poor agreement. Improvement of measurement technique and device performance will be needed.

Reliability analysis of external and internal stability of reinforced soil under static and seismic loads

  • Ahmadi, Rebin;Jahromi, Saeed Ghaffarpour;Shabakhty, Naser
    • Geomechanics and Engineering
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    • v.29 no.6
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    • pp.599-614
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    • 2022
  • In this study, the reliability analysis of internal and external stabilities of Reinforced Soil Walls (RSWs) under static and seismic loads are investigated so that it can help the geotechnical engineers to perform the design more realistically. The effect of various variables such as angle of internal soil friction, soil specific gravity, tensile strength of the reinforcements, base friction, surcharge load and finally horizontal earthquake acceleration are examined assuming the variables uncertainties. Also, the correlation coefficient impact between variables, sensitivity analysis, mean change, coefficient of variation and type of probability distribution function were evaluated. In this research, external stability (sliding, overturning and bearing capacity) and internal stability (tensile rupture and pull out) in both static and seismic conditions were investigated. Results of this study indicated sliding as the predominant failure mode in the external stability and reinforcing rupture in the internal stability. First-Order Reliability Method (FORM) are applied to estimate the reliability index (or failure probability) and results are validated using the Monte Carlo Simulation (MCS) method. The results showed among all variables, the internal friction angle and horizontal earthquake acceleration have dominant impact on the both reinforced soil wall internal and external stabilities limit states. Also, the type of probability distribution function affects the reliability index significantly and coefficient of variation of internal friction angle has the greatest influence in the static and seismic limits states compared to the other variables.

Replication of Internal Service Quality Battery : The Assessment of Its Reliability and Validity (내부서비스품질 측정 도구의 신뢰성 및 타당성 분석)

  • Kang, Gi-Du
    • Journal of Korean Society for Quality Management
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    • v.34 no.2
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    • pp.77-97
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    • 2006
  • Internal marketing has been suggested as the approach for service organizations to be service-and customer-oriented; and the issues of internal service quality has been one of topics widely discussed in the internal marketing literature. While previous studies have attempted to develop the instrument assessing the internal service quality, ISQB(internal service Quality battery) developed by Kang et al.(2002), compared to other instruments have received some attention given its rigorous approach to measure the internal service quality. However, it has been noted that the validity of ISQB does not appear to be thoroughly examined while the reliability of the instrument seems to be secured. The current study attempts to readdress the psychometric properties of ISQB through the replication of the instrument. The empirical testing including confirmatory factor analysis and correlational analyses show that the instrument is reliable and valid in terms of its discriminant and nomological validity.

Analysis of the Internal Reliability in Relative Orientation and Independent Model Method (상호표정 및 독립모델법에서의 내적신뢰성 분석)

  • 양인태
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.5 no.1
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    • pp.59-65
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    • 1987
  • This paper presented the procedures for detecting gross errors, and described the influence of the number and distribution of points on the internal reliability in photogrammetric adjustment, such as relative orientation and independent model method. The use of the standard six points for relative orientation and the regular four points for independent model method result in low internal reliability. With such a distribution, gross erors in measured points might not be detected But using cluster of double or triple points instead of individual point, internal reliability improves remarkably.

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The Reliability and Validity of Korean Version of the Wheelchair User's Shoulder Pain Index in Wheelchair Users (휠체어 사용자를 위한 한국어판 WUSPI의 신뢰도와 타당도)

  • Park, Ji-Yeon;Cho, Sang-Hyun
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.4
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    • pp.573-582
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    • 2013
  • PURPOSE: The purpose of this study was to establish the reliability and validity of the Wheelchair User's Shoulder Pain Index (WUSPI), which was translated into Korean for long-term wheelchair users. This index measured 15 functional activities, including transfer, self-care, wheelchair mobility and general activities. METHODS: To assess test-retest reliability, 23 long-term wheelchair users completed this self-administered index twice within the same day. Reliability was determined by the intraclass correlation coefficient (ICC), and Cronbach's alpha was used to measure internal consistency. To examine concurrent validity, 21 long-term wheelchair users completed the questionnaire, and we examined the correlation between the index score and the shoulder range of motion measurements. RESULT: The results showed that the intraclass correlation for test-retest reliability of the total index score ranging from .88 to .99 was good to excellent. Additionally, Cronbach's alpha was .96. The internal consistency indicated excellent. Concurrent validity showed negative correlations of total index score to range of motion measurements of shoulder flexion (rho=-.58), extension (rho=-.09), abduction (rho=-.59), external rotation (rho=-.07) and internal rotation (rho=-.3), suggesting a relationship of total index score to loss of shoulder range of motion. CONCLUSION: The Korean WUSPI shows not only high reliability and internal consistency, but also concurrent validity with loss of shoulder flexion and abduction.

Reliability and Validity on Oswestry Low Back Pain Disability Index(OLBPDI) in Patients with Low Back Pain (일부 요통환자를 대상으로 한 OLBPDI의 신뢰도 및 타당도)

  • Yi, Seung-Ju;Kim, Jin-Seop
    • Journal of Korean Physical Therapy Science
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    • v.18 no.3
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    • pp.53-61
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    • 2011
  • Purpose : his study was to analyze the reliability and validity on Oswestry Low Back Pain Disability Index (OLBPDI) in patients with low back pain. Methods : The sample consisted of 211 patients who had received treatments at the physical therapy units of 3 medical institutions from February to December 2008 in Andong city. Questionnaires on the OLBPDI were recruited by 6 physical therapists. The internal structure and reliability of the scales were evaluated by means of item-internal consistency(Cronbach's alpha coefficient:${\alpha}$), item-discriminant validity, Pearson's relation coefficient. Results : An average of patients's age was 41.1 years. The range of OLBPDI subscales were .93~.94 in Cronbach's ${\alpha}$. The internal consistency reliability of total item-each item were also internally consistent with Cronbach's ${\alpha}$ range of .94~.95(Pearson's correlation coefficient range: .62~.89). However, high correlation were obtained among 10 items(.67~.83), therefore the item-discriminant validity was a little low. Conclusion: In conclusion, the results reported here confirm the reliability of the OLBPDI scales in patients with low back pain. The collection of information on the level of disability due to low back pain using this instrument was acceptable to patients. A further prospective multi-center study will be necessary to prove the reliability and validity.

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Study of the Reliability and Validity of the WOMAC Index in Patients with Total Knee Replacement (무릎관절 전치환술 환자에 대한 WOMAC 지수의 신뢰도와 타당성에 관한 연구 )

  • Hoon Jo;Kyoung Kim;Sang-Cheol Im
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.2
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    • pp.93-101
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    • 2023
  • PURPOSE: The Western Ontario and McMaster Universities Arthritis (WOMAC) index has been used to measure the outcome of total knee replacement (TKR), but studies on its reliability and validity are limited. The present study examined the reliability and validity of this index for patients with knee osteoarthritis who underwent TKR. METHODS: Seventy-one inpatients and outpatients who underwent bilateral TKR for knee osteoarthritis were included in this study. The pain assessment scale and WOMAC index were used to evaluate the participants every two weeks to examine the test-retest reliability, internal consistency, and construct validity. RESULTS: The test-retest reliability scores for pain, stiffness, and physical function were .75-.92, .85-.90, and .75-.95, respectively. The corresponding intraclass correlation coefficients were .75-.88, .76-.88, and .71-.95, respectively. The internal consistency score in the first and second examinations was .92. Furthermore, the construct validity scores for pain, stiffness, and physical function were .83, .41, and .58, respectively. CONCLUSION: The application of the WOMAC index in patients who underwent TKR showed high test-retest reliability and internal consistency with the use of the WOMAC index and good validity with the use of the pain assessment scale.

Reliability Study of Measuring Range of Motion Glenohumeral Joint Internal Rotation With Pressure Biofeedback Stabilization

  • Hwang, Ui-jae;Ha, Sung-min;Jeon, In-chul;Jung, Sung-hoon;Choi, Kyu-hwan;Kim, Su-jung;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.22 no.4
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    • pp.62-70
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    • 2015
  • The aims of the current study were to assess reliability of range of motion (ROM) measurement of glenohumeral internal rotation (GIR) with a pressure biofeedback stabilization (PBS) method and to compare the reliability between manual stabilization (MS) and the PBS method. In measurement of pure glenohumeral joint motion, scapular stabilization is necessary. The MS method in GIR ROM measurement was used to restrict scapular motion by pressing the palm of the tester's hand over the subject's clavicle, coracoid process, and humeral head. The PBS method was devised to maintain consistent pressure for scapular stabilization during GIR ROM measurement by using a pressure biofeedback unit. GIR ROM was measured by 2 different stabilization methods in 32 subjects with GIR deficit using a smartphone clinometer application. Repeated measurements were performed in two test sessions by two testers to confirm inter- and intra-rater reliability. After tester A performed measurements in test session 1, tester B's measurements were conducted one hour later on the same day to assess the inter-rater reliability and then tester A performed again measurements in test session 2 for confirming the intra-rater reliability. Intra-class correlation coefficient (ICC) (2,1) was applied to assess the inter-rater reliability and ICC (3,1) was applied to determine the intra-rater reliability of the two methods. In the PBS method, the intra-rater reliability was excellent (ICC=.91) and the inter-rater reliability was good (ICC=.84). The inter-rater and intra-rater reliability of the PBS method was higher than in the MS method. The PBS method could regulate manual scapular stabilization pressure in inter- and intra-rater measuring GIR ROM. Results of the current study recommend that the PBS method can provide reliable measurement data on GIR ROM.

A Study on Stability of Marine Embankment Using Reliability Analysis (신뢰성해석을 이용한 호안제체의 안정성에 관한 연구)

  • 박준모;장연수;오세웅
    • Proceedings of the Korean Geotechical Society Conference
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    • 2003.03a
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    • pp.789-796
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    • 2003
  • A reliability analysis is performed to investigate the influence of the uncertainty from the limited in-situ samples and the inherent heterogeneity of the ground on the probability of piping for the marine embankment near shore. The result are compared with those of the deterministic piping stability analysis performed using the fininte element flow analysis. The random variables used are hydraulic conductivity of the ground subsurface and embankment, and the water level of both internal and external side of the embankment. The probability of piping is most sensitive to the mean and standard deviation of internal water level of the embankment among the random variables included in the reliability analysis. It is found that the lower limits of internal water level which satisfies the allowable proability of piping failure for the embankment studied were E.L(-) 1.83m and E.L(-) 1.48m during and after the construction of the embankment, respectively.

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Validity and Reliability on Psychometric Arthritis Impact Measurement Scale-Short Form (AIMS-SF) in Knee Osteoarthritis Patients (골관절염영향측정척도(AIMS-SF)의 타당도 및 신뢰도 - 일부 슬관절 골관절염 환자를 대상으로 -)

  • Yi, Seung-Ju;Nam, Tae-Ho
    • The Journal of Korean Physical Therapy
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    • v.19 no.5
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    • pp.29-41
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    • 2007
  • Purpose: The aim of this study was to examine the validity and reliability on Psychometric Arthritis Impact Measurement Scale-Short Form (AIMS-SF) in patients with knee osteoarthritis(OA). Methods: The sample consisted of 62 patients who had received physical therapy at the physical therapy units of the Andong Medical Center, Sungso Hospital, Ahn Orthopedic Surgery Clinic, and St. Luke Clinic in Andong city in June 2006. Questionnaire on the AIMS-SF was recruited by 5 physical therapists. The internal structure and reliability of the scales were evaluated by means of item-internal consistency(Cronbach's alpha coefficient: ${\alpha}$), item-discriminant validity, Pearson's relation coefficient. To explore construct validity we conducted a principal component factor analysis with varimax rotation analysis. The criterion for factor extraction was an eigenvalue >1.0. Results: 62 OA patients's an average $age{\pm}standard$ deviation was $53.8{\pm}14.4$ years (range: $40{\sim}81$ yr). The internal consistency reliability of 11 items, as estimated by Cronbach's ${\alpha}$ coefficient, was high ranging $0.60{\sim}0.78$ (except for 0.40 for mobility level and -0.48 for mood). The internal consistency reliability of item-each scale was also high $0.82{\sim}0.93$ (except for 0.48 for mood). Of 11 items, the item-discriminant validity on 6 items was high (${\alpha}$ coefficient range: $0.11{\sim}0.25$), however, others (0.57 for tension level, 0.48 for arthritis pain, 0.41 for walking and bending, and 0.40 for work) were a little low. The construct validity by factor analysis was a little low. Conclusion: In conclusion, the results reported here confirm the validity and reliability of the AIMS-SF in patients with OA of the knee. The Collection of information on health status using this instrument was acceptable to patients. A further prospective multi-center study will be necessary to prove the construct validity.

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