ArticleThe British journal of occupational therapy2025
Intra-rater and inter-rater reliability of the Empathic Communication Coding System.
Article in The British journal of occupational therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objects: The Empathic Communication Coding System (ECCS) is a promising measure of such behaviors, yet its reliability remains largely unestablished. The aim of the study was to examine the intra-rater and inter-rater reliability of the ECCS. Methods: Transcripts of occupational therapy audio recordings were used to examine the reliabilities. Two occupational therapists were trained to evaluate the data for inter-rater reliability, and one of them evaluated the data twice for intra-rater reliability. Transcripts of 20 patients treated by 18 therapists were evaluated for intra-rater reliability. Transcripts of 25 patients treated by 22 occupational therapy interns were evaluated for inter-rater reliability. Adult rehabilitated patients with basic verbal communication ability were recruited. The percentage of agreement and Cohen's κ were calculated as the indices of reliability. Results: The results showed acceptable intra-rater reliability but poor inter-rater reliability of the ECCS. Conclusions: The ECCS demonstrates potential as a reliable tool for assessing empathic behaviors over time when evaluated by the same raters.
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