Table 2.

Agreement between Northwick Park Therapy Dependency Assessment (NPTDA) scores rated by the team and NPTDA scores derived by reverse transcription from activity analysis

Therapy dependency item	Team-rated NPTDA scores		Activity analysis-derived NPTDA scores		Significant differences		Agreement
	Median (IQR)	Range	Median (IQR)	Range	Wilcoxon Z-score	P-value	Weighted kappa	Level of agreement
1) Medical managementa	1 (0–2)	0–4	–	–	–	–	–	–
2a) Splinting/orthotics upper limb	1 (0–2)	0–4	0 (0–2)	0–3	−2.8	0.005	0.75	Substantial
2b) Splinting/orthotics lower limb	0 (0–1)	0–3	0 (0–1)	0–2	−0.7	0.480	0.75	Substantial
3) Seating/wheelchair	2 (1–3)	0–4	1 (0–2)	0–2	−3.1	0.002	0.49	Moderate
4) Physical therapy	4 (3–4)	0–4	3 (2–4)	0–4	−2.1	0.032	0.47	Moderate
5) Trachestomy management	0 (0–0)	0–4	0 (0–0)	0–2	−0.3	0.785	0.65	Substantial
6) Swallowing	0 (0–1)	0–3	0 (0–1)	0–2	−1.6	0.102	0.80	Substantial
7) Nutrition	1 (1–2)	0–4	1 (0–2)	0–4	−2.2	0.029	0.80	Substantial
8) Supported communication	0 (0–2)	0–4	0 (0–1)	0–3	−1.8	0.070	0.48	Moderate
9) Speech and language  interventions	2 (1–2)	0–4	1 (0–2)	0–3	−2.4	0.017	0.65	Substantial
10) Personal/self-care	2 (1–3)	0–4	1 (1–2)	0–3	−3.4	0.001	0.41	Fair
11) Domestic/community-  based activities	0 (0–1)	0–4	0 (0–1)	0–3	−1.8	0.070	0.69	Substantial
12) Vocational/leisure/  computers/driving	2 (0–2)	0–4	2 (1–2)	0−2	−0.2	0.850	0.57	Moderate
13) Cognitive interventions	0 (0–1)	0–4	0 (0–1)	0–2	−2.0	0.047	0.46	Moderate
14) Behavioural management	0 (0–0)	0–4	0 (0–0)	0–4	−0.4	0.705	0.84	Almost Perfect
15) Emotional/mood	0 (0–2)	0–4	1 (0–2)	0–2	−1.3	0.203	0.55	Moderate
16) Formal family support	0 (0–2)	0–4	0 (0–1)	0–2	−2.6	0.009	0.32	Fair
17) Emotional load on staffb	1 (0–2)	0–4	–	–	–	–	–	–
18) Planning discharge/  housing/care package	1 (0–2)	0–4	0 (0–2)	0–4	−2.2	0.029	0.60	Moderate
19) Benefits and finances	1 (0–1)	0–4	0 (0–1)	0–2	−1.2	0.244	0.31	Fair
20) Equipment/adaptation  for home	0 (0–1)	0–3	0 (0–0)	0–2	−2.1	0.037	0.43	Moderate
21) Community/home visits	0 (0–0)	0–4	0 (0–0)	0–4	−7.1	0.480	0.81	Almost Perfect
22) Key-working	2 (1–3)	0–4	1 (0–2)	0–3	−3.7	<0.001	0.32	Fair
23) Multidisciplinary meetings	2 (0–2)	0–2	2 (0–2)	0–2	−1.7	0.096	0.35	Fair
24) Reports	0 (0–2)	0–2	0 (0–0)	0–2	−2.1	0.040	0.23	Fair
25) Groups/extra therapies	2 (1–2)	0–2	2 (0–2)	0–2	−2.1	0.038	0.73	Substantial

^aMedical staff were excluded from this particular analysis due to staff absence, but they have been included in a subsequent analysis.

^b‘Emotional load on staff’ does not carry a time computation and so could not be compared in this analysis.