Table 2.

Types of Analysis Used and Purpose

Metric	Purpose
Kappa	To estimate agreement on TCM diagnostic categories relevant to dysmenorrhea (“pattern presence”)
Signal detection parameters (sensitivity, specificity, efficiency)	To determine how well the combination of either form or training allows TCM practitioners discern the correct patterns
ANOVA	To test whether group differences (e.g., form, training, experience level) affected agreement
Endorsement analysis	To better inform the interpretation of the agreement analysis, the authors first observed the frequency with which the experts, relative to experience, form, and training, endorsed each of the 10 patterns.

ANOVA, analysis of variance; TCM, Traditional Chinese Medicine.