語言治療師對鼻咽內視鏡評分之同一評者重測信度：臨床與研究情境比較

// Evaluating Intrarater Reliability of Nasopharyngoscopy Ratings Made by Speech-Language Pathologists in a Clinical Versus Research Setting

比較臨床與標準化重評對鼻咽鏡軟腭閉合的評分者內一致性｜臨床與研究重評可靠性差：k=.24–1.00、ICC=−.09–.81；研究內較高：k=.68–1.00、ICC=.70–.99｜結論：未標準化臨床評分難外推；標準訓練可大幅提升可靠性與可比性

// This study tested intrarater reliability of nasopharyngoscopy ratings of velopharyngeal closure by comparing clinical reports to standardized research re-ratings. Five speech-language pathologists rated closure pattern, percent closure, and velar movement; reliability was quantified with Cohen’s kappa and ICC for clinical vs research re-ratings and for research re-ratings repeated. Reliability between clinical and research ratings varied widely (k = .24–1.00; ICC = −.09–.81), whereas within the research setting reliability was consistently higher (k = .68–1.00; ICC = .70–.99). The authors conclude that clinical ratings may not generalize to research unless raters use standardized definitions and consistent training, which can achieve high reliability.

Published 2026年9月11日