Using a new interrater reliability method to test the modified Oulu Patient Classification instrument in home health care

A1 Journal article (refereed)

Internal Authors/Editors

Publication Details

List of Authors: Jill Flo, Bjørg Landmark, Ove Edward Hatlevik, Lisbeth Fagerström
Publication year: 2018
Journal: Nursing Open
Journal acronym: Nurs Open
Volume number: 5
Issue number: 2
Start page: 167
End page: 175
ISSN: 2054-1058
eISSN: 2054-1058


To test the interrater reliability of the modified Oulu Patient Classification instrument, using a multiple parallel classification method based on oral case presentations in home health care in Norway.
Reliability study.
Data were collected at two municipal home healthcare units during 2013-2014. The reliability of the modified OPCq instrument was tested using a new multiple parallel classification method. The data material consisted of 2 010 parallel classifications, analysed using consensus in per cent and Cohen's kappa. Cronbach's alpha was used to measure internal consistency.
For parallel classifications, consensus varied between 64.78-77.61%. Interrater reliability varied between 0.49-0.69 (Cohen's kappa), the internal consistency between 0.81-0.94 (Cronbach's alpha). Analysis of the raw scores showed 27.2% classifications had the same points, 39.1% differed one point, 17.9% differed two points and 16.5% differed ≥3 points.


Last updated on 2020-12-08 at 03:27