Interrater reliability of Algo used by non-occupational therapist members of homecare interdisciplinary teams

Figures & data

Figure 1. Flow diagram of participants’ recruitment. *Job titles of potential participants in HSSC interdisciplinary teams: 15 homecare aides, 8 social workers, 4 physical rehabilitation therapists, 6 clinical nurses, 2 nurse technicians, 2 auxiliary nurses and 1 physiotherapist.

Table 1. Characteristics of participating non-occupational therapists (n = 8).

Continuous variables	Mean [range]
Age (years)	36 [23–64]
Schooling (years)	15 [12–17]
Experience since graduation (years)	13 [1–36]
Homecare experience (years)	9 [0.25–34]
Categorical variables	Frequency (%)
Sex (female)	7 (88)
Job titles
- Social workers	3 (38)
- Physical rehabilitation therapists	2 (25)
- Homecare aides	2 (25)
- Auxiliary nurse	1 (13)
Perceived experience giving advice regarding  bathroom adaptation
- No experience	2 (25)
- A little experience	3 (38)
- A fair amount of experience	3 (38)
- A lot of experience	0 (0)
Previous experience using any decision tool for selecting bathing equipment (Yes)	0 (0)

Table 2. Recommendations made by eight non-occupational therapists using Algo in six simulated clinical scenarios.

Clinical scenarios	Raters
	1	2	3	4	5	6	7	8
#1	C	A	C	A	A	A	C	A
#2	C	C	C	A	A	A	A	C
#3	E	E	H	E	E	I	I	E
#4	I	G	G	G	G	G	I	G
#5	F	F	D	F	D	F	D	D
#6	G	G	G	G	G	H	G	G

Possible recommendations: (A) standing, without a seat, in the bathtub, (B) standing, without a seat, in the shower stall, (C) sitting on a bath stool in the bathtub, (D) sitting on a bath stool in the shower stall, (E) sitting on a bath chair in the bathtub, (F) sitting on a bath chair in the shower stall, (G) sitting on a board in the bathtub, (H) sitting on a bath transfer bench in the bathtub and (I) no recommendation, refer patient to an occupational therapist.

Table 3. Recommendations made by eight non-occupational therapists using Algo in six simulated clinical scenarios compared to occupational therapist’s judgement.

Clinical scenarios	Recommendations^a
	A	B	C	D	E	F	G	H	I
#1	5		3
#2	4		4
#3					5			1	2
#4								6	2
#5				4		4
#6							7	1

a Possible recommendations: (A) standing, without a seat, in the bathtub, (B) standing, without a seat, in the shower stall, (C) sitting on a bath stool in the bathtub, (D) sitting on a bath stool in the shower stall, (E) sitting on a bath chair in the bathtub, (F) sitting on a bath chair in the shower stall, (G) sitting on a board in the bathtub, (H) sitting on a bath transfer bench in the bathtub and (I) no recommendation, refer patient to an OT.

Dark gray cells: Most suitable recommendation according to OT.

Light gray cells: Clinically equivalent recommendation, meaning that the equipment chosen meets the client’s needs and ensures his/her safety, according to OT.