Intra-rater and inter-rater reliability of the Empathic Communication Coding System.
Journal
The British journal of occupational therapy
Journal Volume
88
Journal Issue
7
ISSN
1477-6006
Date Issued
2025-07
Author(s)
Ju, Yu-Jeng
Lee, Meng-Lin
Chen, Jou-Chieh
Wang, Yi-Ching
Chen, Chih-Ping
Tsai, Han-En
Wu, Tzu-Yi
Abstract
The Empathic Communication Coding System (ECCS) is a promising measure of such behaviors, yet its reliability remains largely unestablished. The aim of the study was to examine the intra-rater and inter-rater reliability of the ECCS. Methods: Transcripts of occupational therapy audio recordings were used to examine the reliabilities. Two occupational therapists were trained to evaluate the data for inter-rater reliability, and one of them evaluated the data twice for intra-rater reliability. Transcripts of 20 patients treated by 18 therapists were evaluated for intra-rater reliability. Transcripts of 25 patients treated by 22 occupational therapy interns were evaluated for inter-rater reliability. Adult rehabilitated patients with basic verbal communication ability were recruited. The percentage of agreement and Cohen’s κ were calculated as the indices of reliability. Results: The results showed acceptable intra-rater reliability but poor inter-rater reliability of the ECCS. Conclusions: The ECCS demonstrates potential as a reliable tool for assessing empathic behaviors over time when evaluated by the same raters.
Subjects
Assessment
Empathic Communication Coding System
empathy
occupational therapy
reliability
SDGs
Type
journal article