Document Detail

Inter-rater reliability of symptom repertorisation: a pragmatic empirical study.
MedLine Citation:
PMID:  11055776     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the extent to which two homeopaths agree on whether symptoms reported by patients in a proving are possibly associated with Mercurius solubilis.
DESIGN: Blinded, inter-rater reliability study.
PARTICIPANTS: 104 subjects in a randomised, double-blind mercury proving.
OUTCOME MEASURES: 557 symptom episodes spontaneously reported by subjects were classified as 'mercury' or 'not mercury' by two homeopaths working blind to each other's conclusions and to patient allocation.
RESULTS: Initial agreement between homeopaths was 70.2%, a kappa of 0.39, (95% CI 0.31, 0.47). Some disagreements appear to have resulted from differing interpretations of the study instructions. After suitable correction, agreement was 76.5% and kappa 0.56 (95% CI 0.49, 0.63).
CONCLUSIONS: The study homeopaths had only a moderate level degree of agreement greater than that expected by chance. The main factor seems to have been differences between data from different sources. There is an urgent need for more research on the methods of choosing homoeopathic medicines in order to improve the reliability and validity of homoeopathic diagnoses.
A J Vickers; R A van Haselen; L Pang; S Berkovitz
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British homoeopathic journal     Volume:  89     ISSN:  0007-0785     ISO Abbreviation:  Br Homeopath J     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2001-01-31     Completed Date:  2001-05-31     Revised Date:  2014-07-28    
Medline Journal Info:
Nlm Unique ID:  15730430R     Medline TA:  Br Homeopath J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  188-90     Citation Subset:  IM    
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MeSH Terms
Double-Blind Method
Homeopathy / standards*
Mercury Poisoning / diagnosis*
Middle Aged
Observer Variation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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