Applicability of the CEI

Seyyed Ali Moussavi-Najarkola AJE Vol.9 2009 74

4.2.2. Intra-observer reliability test of the assessment items

Intra-observed reliability Table 12 was assessed by having the same observers participate in a test-retest procedure in which they assessed the same 31 tasks twice in a 4–week interval. All kappa statistical analysis factors for all assessment items were 0.60 “substantial” to “almost perfect” agreement, and the test-retest agreements were all statistically significant χ 2 test. These results indicate that agreement between assessments of the same factor by the same observer analyses can considered “acceptable” 35.

4.2.3. Validity test of the assessment items

A validity test was conducted in a laboratory study with the same observers assessing the same set of 31 various tasks by comparing the observers’ assessment of simulated tasks with computer–assisted 3D dimensional motion analysis utilizing the SIMI system 34,38,39,40. The same observers also participated in the field study by comparing observers’ assessment on the same set of 31 various tasks using analysis of video-tape recordings of the tasks. Agreements were quantified between observers’ assessment and video analysis of assessment items utilized in calculating the CEI score Table 13. In the laboratory study, for all tasks and for all assessment items, the percentage agreements were close to or 60. In the field study, for all assessment items, the percentage agreements were 70. These agreements can be considered “acceptable” 35, 36, 37. Table12. Intra-observer reliability on assessment items as specified as in the CEI 25 totally observers 5 observers without any experience 5 observers with 2 yrs’ experience 5 observers with 4 yrs’ experience 5 observers with 6 yrs’ experience 5 observers with 7-8 yrs’ experience Assessment items Kappa p Kappa p Kappa p Kappa p Kappa p Kappa p Force exertion 0.71 0.008 0.61 0.003 0.65 0.022 0.73 0.002 0.74 0.037 0.79 0.025 Upper limb posture 0.81 0.031 0.73 0.001 0.77 0.011 0.80 0.001 0.83 0.001 0.89 0.001 Force frequency 0.77 0.006 0.69 0.001 0.71 0.008 0.77 0.033 0.80 0.011 0.85 0.005 Duration of force exertion 0.80 0.036 0.70 0.004 0.75 0.013 0.78 0.002 0.86 0.038 0.91 0.019 Task duration 0.83 0.017 0.76 0.013 0.79 0.004 0.83 0.001 0.86 0.001 0.90 0.008 Speed of force exertion 0.88 0.001 0.79 0.045 0.86 0.003 0.89 0.021 0.90 0.013 0.94 0.001 Parts weight 0.79 0.028 0.71 0.017 0.74 0.014 0.78 0.001 0.79 0.039 0.96 0.005 Lack of recovery periods 0.81 0.007 0.69 0.021 0.77 0.005 0.79 0.016 0.83 0.001 0.89 0.001 Age factor 0.82 0.003 0.72 0.002 0.76 0.001 0.81 0.023 0.86 0.003 0.93 0.041 Effective items 0.86 0.045 0.80 0.015 0.82 0.020 0.85 0.032 0.90 0.041 0.93 0.033 Note: The letter p with asterisk denotes the χ 2 significant level.

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