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Table 7 Reported inter-rater reliability of GAS in included studies

From: A systematic review to investigate the measurement properties of goal attainment scaling, towards use in drug trials

First author

Year

Drug study

N

Methods and results

Quality

Bovend’Eert

2011

No

29

Mixed model ICC(a, k) between therapist and masked assessor scoring procedures is 0.478 (low); LoA −1.52 +/− 24.54.

-

ICC ≤0.7

Brown

1998

No

24

The Pearson’s r correlations and inter-rater ICCs (2,1) between the scores of the treating therapist and the independent raters were r = 0.84 (p <0.0001, n = 360, r2 = 70.90/0) and ICC = 1.00 (between raters: (IF = 1, SS = 0.01; within raters: df = 695, SS = 1, 172.65), respectively. The coefficients between scores of the 2 independent raters were r = 0.81 (p <0.0001, n = 135, rZ = 66.2 %) and ICC = 0.997 (between raters: dl = 1, SS = 1.48; within raters: f = 245, SS = 433,39). The results support acceptable inter-rater reliability of the scores for the goals in this study.

+

ICC ≥0.7

De Beurs

1993

Yes

40

Agreement on the content of the chosen goals was measured between the intakers, in other words the people who performed the first session before the patients were randomized, and therapists was measured. Also, the agreement between the therapists and the people who objectively set the goals, or the goal setters, was measured. Agreement between goal setters and therapists and between goal setters and intakers was 43 and 57 % respectively. The calculations used to establish the agreement were not reported.

-

Unclear design or method, agreement ≤0.7

Palisano

1993

No

21

Before data collection, an inter rater reliability was measured between the author and an examiner (Kappa = 0.89, agreement 90 %). During the study 16 goals were simultaneously scored. The agreement was 88 % (Kappa = 0.75).

+

ICC ≥0.7

Rockwood

1993

No

45

A primary nurse and a multidisciplinary team scored GAS, ICC = 0.91.

+

ICC ≥0.7

Rockwood

1997

No

44

ICC = 0.95 for admission scoring, ICC = 0.95 for discharge scoring, ICC = 0.93 for change score.

+

ICC ≥0.7

Ruble

2012

No

35 + 44 (reference to previous study)

Two raters independently coded 20 % of the GAS forms for the three features of agreement in sample 1 and 2. ICC for average agreement in sample 1 on measurability (0.96, 95 % CI [.87, .99]), difficulty (0.59, 95 % CI [−.18, .81]) and equidistance (0.96, 95 % CI [.74, .99); ICC for average agreement in sample 2 on measurability (1.0), difficulty (0.96, 95 % CI [.83, .99]) and equidistance (0.96, 95 % CI [.84, .99]).

+

Only ICC for difficulty is lower than 0.7

Ruble

2013-a

No

49

Two coders independently coded 39 % of the goals, ICC for social skills = 0.82, ICC for communication skills = 0.86, ICC for learning skills = 0.91.

+

ICC ≥0.7

Ruble

2013-b

No

Not stated (reference to previous study)

Excellent inter-rater reliability was achieved for both study 1 (ICC = 0.99) and study 2 (ICC = 0.90).

+

ICC ≥0.7

Steenbeek

2005

Yes

11

A video scoring and scoring by a physiotherapist were compared, gaining a Kappa of 0.63. 5 out of 33 of the goal scores differed significantly (tested with a Wilcoxon signed rank test).

-

k ≤0.7

Stolee

1999

No

173

ICC (N = 61) = 0.93 of GAS follow-up score. ICC (N = 61) = 0.89 of the separate goals, when checked whether the goals have been attained.

+

ICC ≥0.7

Woodward

1978

No

279

Correlation of two goal attainment scores: 0.84. 33 % scored identical, 78 % within one level, 95 % within two levels. GAS scores did not differ significantly (F(6,268) = 1.25, P >0.10).

-

Non-standard way of measuring inter-rater reliability