Related Experiment Video
Updated: Jun 6, 2026

Isokinetic Robotic Device to Improve Test-Retest and Inter-Rater Reliability for Stretch Reflex Measurements in Stroke Patients with Spasticity
Published on: June 12, 2019
The INTERMED Japanese version: inter-rater reliability and internal consistency
Yasuhiro Kishi1, Maki Matsuki, Hidetoshi Mizushima
1Department of Psychiatry, Saitama Medical Center, Saitama Medical University, Kawagoe-shi, Saitama, Japan. yk1228@gmail.com
Objective:
The intent of this study was to establish the inter-rater reliability and the internal consistency of the Japanese version of the INTERMED.
Methods:
The study included a series of patients referred to psychiatric consultation service or palliative care service. The study participants were independently scored using the INTERMED by the raters.
Results:
The INTERMED-Japanese version had high inter-rater reliability (intraclass correlation coefficient=0.98) and high internal consistency (alpha=.89). All four domains (biological, psychological, social, and health care domains) were positively correlated. Based on a cutoff score of 20/21, a κ of 0.79 was found.
Conclusions:
The INTERMED is an easy and useful proactive biopsychosocial screening tool, which could be a reasonable utility under the current Japanese health care situations. Future studies focusing on the INTERMED utility in improving health care delivery for patients with complex biopsychosocial care needs has to be demonstrated in various medical settings in Japan.
Related Concept Videos
Reliability and Validity
Kendall's Coefficient of Concordance
Correlations
Spearman's Rank Correlation Test
Spearman's test calculates correlation by...
Self-Evaluation Maintenance Model
Confidence Coefficient
