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Intraclass correlation – A discussion and demonstration of basic features

Open access
Liljequist, David, Elfving, Britt, Skavberg Roaldsen, Kirsti·2019·PLOS ONE

Abstract

A re-analysis of intraclass correlation (ICC) theory is presented together with Monte Carlo simulations of ICC probability distributions. A partly revised and simplified theory of the single-score ICC is obtained, together with an alternative and simple recipe for its use in reliability studies. Our main, practical conclusion is that in the analysis of a reliability study it is neither necessary nor convenient to start from an initial choice of a specified statistical model. Rather, one may impartially use all three single-score ICC formulas. A near equality of the three ICC values indicates the absence of bias (systematic error), in which case the classical (one-way random) ICC may be used. A consistency ICC larger than absolute agreement ICC indicates the presence of non-negligible bias; if so, classical ICC is invalid and misleading. An F-test may be used to confirm whether biases are present. From the resulting model (without or with bias) variances and confidence intervals may then be calculated. In presence of bias, both absolute agreement ICC and consistency ICC should be reported, since they give different and complementary information about the reliability of the method. A clinical example with data from the literature is given.

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Metadata

Authors
Liljequist, D., Elfving, B., & Skavberg Roaldsen, K.
Venue
PLOS ONE
Published
2019-07-22
Volume
14
Issue
7
Pages
e0219854
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2963121203
Cited by
905
References
31
FWCI
36.72
Type
journal article
Language
en
Open access
gold

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Liljequist, D., Elfving, B., & Skavberg Roaldsen, K. (2019). Intraclass correlation – A discussion and demonstration of basic features. PLOS ONE. https://doi.org/10.1371/journal.pone.0219854

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