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Cautionary Remarks When Testing Agreement between Two Raters for Continuous Scale Measurements: A Tutorial in Clinical Epidemiology with Implementation Using R
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作者 Mohamed M. Shoukri 《Open Journal of Epidemiology》 2024年第1期56-74,共19页
Background: When continuous scale measurements are available, agreements between two measuring devices are assessed both graphically and analytically. In clinical investigations, Bland and Altman proposed plotting sub... Background: When continuous scale measurements are available, agreements between two measuring devices are assessed both graphically and analytically. In clinical investigations, Bland and Altman proposed plotting subject-wise differences between raters against subject-wise averages. In order to scientifically assess agreement, Bartko recommended combining the graphical approach with the statistical analytic procedure suggested by Bradley and Blackwood. The advantage of using this approach is that it enables significance testing and sample size estimation. We noted that the direct use of the results of the regression is misleading and we provide a correction in this regard. Methods: Graphical and linear models are used to assess agreements for continuous scale measurements. We demonstrate that software linear regression results should not be readily used and we provided correct analytic procedures. The degrees of freedom of the F-statistics are incorrectly reported, and we propose methods to overcome this problem by introducing the correct analytic form of the F statistic. Methods for sample size estimation using R-functions are also given. Results: We believe that the tutorial and the R-codes are useful tools for testing and estimating agreement between two rating protocols for continuous scale measurements. The interested reader may use the codes and apply them to their available data when the issue of agreement between two raters is the subject of interest. 展开更多
关键词 limits of agreement Pitman and Morgan Tests Test of Parallelism The Arcsine Variance Stabilizing Transformation Sample Size Estimation
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Reliability of Passive Physical Activity Assessment for Inpatients Using Marker⁃Free Motion Tracking System
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作者 Biao Yang Kewei Duan Wanxia Yao 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2021年第2期21-27,共7页
Evidence⁃based practices of public health will benefit from quantification of passive physical activity assessment.This study aims to investigate the reliability of marker⁃free system(MFS)such as Microsoft Kinect in m... Evidence⁃based practices of public health will benefit from quantification of passive physical activity assessment.This study aims to investigate the reliability of marker⁃free system(MFS)such as Microsoft Kinect in measuring upper extremity motion from different angles.Ten healthy participants performed elbow and shoulder extension/flexion along frontal and median anatomical planes for ten pace⁃controlled repetitions,during which the spatiotemporal positions of upper extremity joints were concurrently recorded by two sensors from 0°and 45°viewing angles.Reliability between the two sensors were evaluated using Pearson correlation coefficient,intra⁃class correlation coefficients,and 95%limits of agreement and coefficient of variation.Worse reliability was observed when possibility of occlusion was higher.However,better reliability was found when longer observation interval(10 s)was used as elementary measuring unit than shorter observation interval(2 s).The overall angular reliability of activity as displacement or changes in angle was not satisfactory.The results are expected to inform the industry for the extension of MFS to clinic applications. 展开更多
关键词 physical activity passive assessment marker⁃free motion tracking system intra⁃class correlation coefficients limits of agreement
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