{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:02:29Z","timestamp":1792152149852,"version":"4.4.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,5,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The interrater reliability of 2 new inpatient functional short-form measures, Activity Measure for Post-Acute Care (AM-PAC) \u201c6-Clicks\u201d basic mobility and daily activity scores, has yet to be established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of this study was to examine the interrater reliability of AM-PAC \u201c6-Clicks\u201d measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A prospective observational study was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Four pairs of physical therapists rated basic mobility and 4 pairs of occupational therapists rated daily activity of patients in 1 of 4 hospital services. One therapist in a pair was the primary therapist directing the assessment while the other therapist observed. Each therapist was unaware of the other's AM-PAC \u201c6-Clicks\u201d scores. Reliability was assessed with intraclass correlation coefficients (ICCs), Bland-Altman plots, and weighted kappa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The ICCs for the overall reliability of basic mobility and daily activity were .849 (95% confidence interval [CI]=.784, .895) and .783 (95% CI=.696, .847), respectively. The ICCs for the reliability of each pair of raters ranged from .581 (95% CI=.260, .789) to .960 (95% CI=.897, .983) for basic mobility and .316 (95% CI=\u2212.061, .611) to .907 (95% CI=.801, .958) for daily activity. The weighted kappa values for item agreement ranged from .492 (95% CI=.382, .601) to .712 (95% CI=.607, .816) for basic mobility and .251 (95% CI=.057, .445) to .751 (95% CI=.653, .848) for daily activity. Mean differences between raters' scores were near zero.<\/jats:p><\/jats:sec><jats:sec><jats:title>Limitations<\/jats:title><jats:p>Raters were from one health system. Each pair of raters assessed different patients in different services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ICCs for AM-PAC \u201c6-Clicks\u201d total scores were very high. Levels of agreement varied across pairs of raters, from large to nearly perfect for physical therapists and from moderate to nearly perfect for occupational therapists. Levels of agreement for individual item scores ranged from small to very large.<\/jats:p><\/jats:sec>","DOI":"10.2522\/ptj.20140174","type":"journal-article","created":{"date-parts":[[2014,12,12]],"date-time":"2014-12-12T05:40:52Z","timestamp":1418362852000},"page":"758-766","source":"Crossref","is-referenced-by-count":150,"title":["Interrater Reliability of AM-PAC \u201c6-Clicks\u201d Basic Mobility and Daily Activity Short Forms"],"prefix":"10.1093","volume":"95","author":[{"given":"Diane U.","family":"Jette","sequence":"first","affiliation":[{"name":"D.U. Jette, PT, DSc, FAPTA, Physical Therapy Program, MGH Institute of Health Professions, 36 First Ave, Charlestown Navy Yard, Boston, MA 02129 (USA), and Rehabilitation and Movement Science, University of Vermont, Burlington, Vermont."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Stilphen","sequence":"additional","affiliation":[{"name":"M. Stilphen, PT, DPT, Rehabilitation and Sports Therapy Department, Cleveland Clinic, Cleveland, Ohio."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinoth K.","family":"Ranganathan","sequence":"additional","affiliation":[{"name":"V.K. Ranganathan, MS, MBA, Physical Medicine and Rehabilitation Department, Cleveland Clinic."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Passek","sequence":"additional","affiliation":[{"name":"S. Passek, PT, DPT, Physical Medicine and Rehabilitation Department, Cleveland Clinic."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick S.","family":"Frost","sequence":"additional","affiliation":[{"name":"F.S. Frost, MD, Physical Medicine and Rehabilitation Department, Cleveland Clinic."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan M.","family":"Jette","sequence":"additional","affiliation":[{"name":"A.M. Jette, PT, PhD, FAPTA, School of Public Health, Health and Disability Research Institute, Boston University Medical Campus, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","reference":[{"key":"2019123006075063400_B1","doi-asserted-by":"crossref","first-page":"92","DOI":"10.2340\/16501977-0622","article-title":"Validation of the comprehensive ICF core sets for patients receiving rehabilitation interventions in the acute care setting","volume":"43","author":"Muller","year":"2011","journal-title":"J Rehabil Med"},{"key":"2019123006075063400_B2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2522\/ptj.20080338","article-title":"Physical therapists' management of patients in the acute care setting: an observational study","volume":"89","author":"Jette","year":"2009","journal-title":"Phys Ther"},{"key":"2019123006075063400_B3","first-page":"35","article-title":"Occupational therapy practice in acute care neurology and orthopaedics","volume":"31","author":"Griffin","year":"2002","journal-title":"J Allied Health"},{"key":"2019123006075063400_B4","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1093\/ptj\/83.3.224","article-title":"A qualitative study of clinical decision making in recommending discharge placement from the acute care setting","volume":"83","author":"Jette","year":"2003","journal-title":"Phys Ther"},{"key":"2019123006075063400_B5","unstructured":"Health & Social Care Joint Unit and Change Agents Team. Discharge from hospital: pathway, process and practice. Department of Health. Available at: http:\/\/www.wales.nhs.uk\/sitesplus\/documents\/829\/DoH%20-%20Discharge%20Pathway%202003.PDF. Published 2003."},{"key":"2019123006075063400_B6","doi-asserted-by":"crossref","first-page":"125","DOI":"10.2522\/ptj.20080234","article-title":"Use of standardized outcome measures in physical therapist practice: perceptions and applications","volume":"89","author":"Jette","year":"2009","journal-title":"Phys Ther"},{"key":"2019123006075063400_B7","doi-asserted-by":"crossref","first-page":"524","DOI":"10.2340\/16501977-0210","article-title":"The Physiotherapy Clinical Outcome Variables Scale predicts length of hospital stay, discharge destination and future home facility in the acute comprehensive stroke unit","volume":"40","author":"Ekstrand","year":"2008","journal-title":"J Rehabil Med"},{"key":"2019123006075063400_B8","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1093\/ptj\/74.5.463","article-title":"An acute care physical therapy clinical practice database for outcomes research","volume":"74","author":"Shields","year":"1994","journal-title":"Phys Ther"},{"key":"2019123006075063400_B9","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1093\/ptj\/68.7.1098","article-title":"Reliability and validity of the Acute Care Index of Function for patients with neurologic impairment","volume":"68","author":"Van Dillen","year":"1988","journal-title":"Phys Ther"},{"key":"2019123006075063400_B10","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1002\/art.1790100208","article-title":"Inter-rater reliability for function and strength measurements in the acute care hospital after elective hip and knee arthroplasty","volume":"10","author":"Kwoh","year":"1997","journal-title":"Arthritis Care Res"},{"key":"2019123006075063400_B11","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1093\/ptj\/75.3.169","article-title":"Reliability, validity, and responsiveness of functional tests in patients with total joint replacement","volume":"75","author":"Shields","year":"1995","journal-title":"Phys Ther"},{"key":"2019123006075063400_B12","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.archger.2011.07.005","article-title":"Interrater reliability of the interRAI Acute Care (interRAI AC)","volume":"55","author":"Wellens","year":"2012","journal-title":"Arch Gerontol Geriatr"},{"key":"2019123006075063400_B13","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.2522\/ptj.20130359","article-title":"AM-PAC \u201c6-Clicks\u201d functional assessment scores predict acute hospital discharge destination","volume":"94","author":"Jette","year":"2014","journal-title":"Phys Ther"},{"key":"2019123006075063400_B14","doi-asserted-by":"crossref","first-page":"379","DOI":"10.2522\/ptj.20130199","article-title":"Validity of the AM-PAC \u201c6-Clicks\u201d inpatient daily activity and basic mobility short forms","volume":"94","author":"Jette","year":"2014","journal-title":"Phys Ther"},{"key":"2019123006075063400_B15","doi-asserted-by":"crossref","first-page":"I-49","DOI":"10.1097\/01.mlr.0000103520.43902.6c","article-title":"Activity outcome measurement for postacute care","volume":"42","author":"Haley","year":"2004","journal-title":"Med Care"},{"key":"2019123006075063400_B16","unstructured":"AM-PAC Boston University Activity Measure for Post-Acute Care. Boston Rehabilitation Outcomes Center, Boston University School of Public Health. Available at: http:\/\/www.bu.edu\/bostonroc\/instruments\/am-pac\/shortforms\/."},{"key":"2019123006075063400_B17","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1016\/j.apmr.2003.08.097","article-title":"Score comparability of short forms and computerized adaptive testing: simulation study with the Activity Measure for Post-Acute Care","volume":"85","author":"Haley","year":"2004","journal-title":"Arch Phys Med Rehabil"},{"key":"2019123006075063400_B18","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1093\/ptj\/85.3.257","article-title":"The kappa statistic in reliability studies: use, interpretation, and sample size requirements","volume":"85","author":"Sim","year":"2005","journal-title":"Phys Ther"},{"key":"2019123006075063400_B19","unstructured":"Hopkins WG . A new view of statistics. Available at: http:\/\/sportsci.org\/resource\/stats\/effectmag.html. 2002."},{"key":"2019123006075063400_B20","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1097\/01.PHM.0000073818.34847.F0","article-title":"Is patient-reported function reliable for monitoring postacute outcomes?","volume":"82","author":"Andres","year":"2003","journal-title":"Am J Phys Med Rehabil"},{"key":"2019123006075063400_B21","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2522\/ptj.20060121","article-title":"Prospective evaluation of the AM-PAC-CAT in outpatient rehabilitation settings","volume":"87","author":"Jette","year":"2007","journal-title":"Phys Ther"},{"key":"2019123006075063400_B22","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1111\/j.1532-5415.2007.01590.x","article-title":"Standardizing assessment of elderly people in acute care: the interRAI Acute Care instrument","volume":"56","author":"Gray","year":"2008","journal-title":"J Am Geriatr Soc"},{"key":"2019123006075063400_B23","first-page":"1101","article-title":"An example of grader consistency using the multi-facet model","volume":"21","author":"Lunz","year":"2007","journal-title":"Rasch Measurement Transactions"}],"container-title":["Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ptj\/article-pdf\/95\/5\/758\/31634148\/ptj0758.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ptj\/article-pdf\/95\/5\/758\/31634148\/ptj0758.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,27]],"date-time":"2020-08-27T21:16:52Z","timestamp":1598563012000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ptj\/article\/95\/5\/758\/2686469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,1]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,5,1]]}},"URL":"https:\/\/doi.org\/10.2522\/ptj.20140174","relation":{},"ISSN":["0031-9023","1538-6724"],"issn-type":[{"value":"0031-9023","type":"print"},{"value":"1538-6724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,1]]}}}