Evaluating the Validity and Reliability of the Korean Version of Upper Extremity Performance Test for the Elderly (TEMPA)
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Objective : This study aimed to verify the validity and reliability of the Upper Extremity Performance Test for the Elderly (TEMPA) by modifying its items 새 exhibit cultural differences. Methods : This study included 171 healthy adults and older adults and 41 individuals with impaired upper extremity function. Content validity, discriminant validity, test-retest reliability, and inter-rater reliability were analyzed. Results : The following items, exhibiting cultural differences, were modified: “open a lock and take the top off a pillbox”and“write and affix a postage stamp.” The discriminant validity results indicated that participants with normal upper extremity function performed better than those with impaired in the upper extremity function (p<.001). The test-retest reliability of the execution speed (intraclass correlation coefficient; ICC) was .71–.94, functional rating (kappa) was 1.0, and task analysis (ICC) was 1.0. The inter-rater reliability of the speed of execution was 1.0, functional rating was .79–1.0, and task analysis was .94–1.0. Conclusion : TEMPA has moderate to high level of reliability and is an assessment tool that can clearly distinguish individuals with upper extremity impairment from those without impairment
Abstract
Objective : This study aimed to verify the validity and reliability of the Upper Extremity Performance Test for the Elderly (TEMPA) by modifying its items 새 exhibit cultural differences. Methods : This study included 171 healthy adults and older adults and 41 individuals with impaired upper extremity function. Content validity, discriminant validity, test-retest reliability, and inter-rater reliability were analyzed. Results : The following items, exhibiting cultural differences, were modified: “open a lock and take the top off a pillbox”and“write and affix a postage stamp.” The discriminant validity results indicated that participants with normal upper extremity function performed better than those with impaired in the upper extremity function (p<.001). The test-retest reliability of the execution speed (intraclass correlation coefficient; ICC) was .71–.94, functional rating (kappa) was 1.0, and task analysis (ICC) was 1.0. The inter-rater reliability of the speed of execution was 1.0, functional rating was .79–1.0, and task analysis was .94–1.0. Conclusion : TEMPA has moderate to high level of reliability and is an assessment tool that can clearly distinguish individuals with upper extremity impairment from those without impairment
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