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. 2026 Aug 18;28:e91756. doi: 10.2196/91756

Table 6.

Effect of guidelines on interrater reliability. Agreement metrics (mean and SD) before and after introducing structured guidelines for 3 tasks. Δ indicates the change. All improvements were statistically significant (P<.001).

Task/method QWKa Agreement rate (%) ICCb (95% CI)


Pairwise Complete
Finger-tapping

Before guideline 0.46 (0.10) 62.5 (5.1) 47.8 (6.8) 0.51 (0.30-0.69)

After guideline 0.89 (0.05) 92.7 (3.1) 89.9 (4.1) 0.90 (0.78-0.98)

Δ 0.43 (0.10) 30.2 (5.1) 42.1 (6.9) 0.38
Smile

Before guideline 0.61 (0.08) 70.5 (4.9) 57.7 (7.0) 0.68 (0.53-0.80)

After guideline 0.84 (0.04) 78.5 (4.4) 67.8 (6.6) 0.84 (0.76-0.91)

Δ 0.23 (0.10) 8.1 (6.7) 10.1 (9.6) 0.16
Speech

Before guideline 0.64 (0.11) 81.9 (4.3) 73.9 (6.2) 0.65 (0.32-0.84)

After guideline 0.90 (0.05) 91.9 (3.0) 87.9 (4.5) 0.91 (0.80-0.97)

Δ 0.25 (0.12) 10.0 (5.4) 14.0 (7.9) 0.26

aQWK: quadratic weighted Cohen κ.

bICC: intraclass correlation coefficient.