Inter-rater reliability

Measure of consensus in ratings given by multiple observers

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In statistics, inter-rater reliability (also called by various similar names, such as inter-rater agreement, inter-rater concordance, inter-observer reliability, inter-coder reliability, and so on) is the degree of agreement among independent observers who rate, code, or assess the same phenomenon.

Assessment tools that rely on ratings must exhibit good inter-rater reliability, otherwise they are not valid tests.

There are a number of statistics that can be used to determine inter-rater reliability. Different statistics are appropriate for different types of measurement. Some options are joint-probability of agreement, such as Cohen's kappa, Scott's pi and Fleiss' kappa; or inter-rater correlation, concordance correlation coefficient, intra-class correlation, and Krippendorff's alpha.

## Concept[edit]

There are several operational definitions of "inter-rater reliability," reflecting different viewpoints about what is a reliable agreement between raters.[1] There are three operational definitions of agreement:

1. Reliable raters agree with the "official" rating of a performance.
2. Reliable raters agree with each other about the exact ratings to be awarded.
3. Reliable raters agree about which performance is better and which is worse.

These combine with two operational definitions of behavior:

1. Reliable raters are automatons, behaving like "rating machines". This category includes rating of essays by computer[2] This behavior can be evaluated by generalizability theory.
2. Reliable raters behave like independent witnesses. They demonstrate their independence by disagreeing slightly. This behavior can be evaluated by the Rasch model.

## Statistics[edit]

### Joint probability of agreement[edit]

The joint-probability of agreement is the simplest and the least robust measure. It is estimated as the percentage of the time the raters agree in a nominal or categorical rating system. It does not take into account the fact that agreement may happen solely based on chance. There is some question whether or not there is a need to 'correct' for chance agreement; some suggest that, in any case, any such adjustment should be based on an explicit model of how chance and error affect raters' decisions.[3]

When the number of categories being used is small (e.g. 2 or 3), the likelihood for 2 raters to agree by pure chance increases dramatically. This is because both raters must confine themselves to the limited number of options available, which impacts the overall agreement rate, and not necessarily their propensity for "intrinsic" agreement (an agreement is considered "intrinsic" if it is not due to chance).

Therefore, the joint probability of agreement will remain high even in the absence of any "intrinsic" agreement among raters. A useful inter-rater reliability coefficient is expected (a) to be close to 0 when there is no "intrinsic" agreement and (b) to increase as the "intrinsic" agreement rate improves. Most chance-corrected agreement coefficients achieve the first objective. However, the second objective is not achieved by many known chance-corrected measures.[4]

### Kappa statistics[edit]

Main articles: Cohen's kappa and Fleiss' kappa

Four sets of recommendations for interpreting level of inter-rater agreement

Kappa is a way of measuring agreement or reliability, correcting for how often ratings might agree by chance. Cohen's kappa,[5] which works for two raters, and Fleiss' kappa,[6] an adaptation that works for any fixed number of raters, improve upon the joint probability in that they take into account the amount of agreement that could be expected to occur through chance. The original versions had the same problem as the joint-probability in that they treat the data as nominal and assume the ratings have no natural ordering; if the data actually have a rank (ordinal level of measurement), then that information is not fully considered in the measurements.

Later extensions of the approach included versions that could handle "partial credit" and ordinal scales.[7] These extensions converge with the family of intra-class correlations (ICCs), so there is a conceptually related way of estimating reliability for each level of measurement from nominal (kappa) to ordinal (ordinal kappa or ICC—stretching assumptions) to interval (ICC, or ordinal kappa—treating the interval scale as ordinal), and ratio (ICCs). There also are variants that can look at agreement by raters across a set of items (e.g., do two interviewers agree about the depression scores for all of the items on the same semi-structured interview for one case?) as well as raters x cases (e.g., how well do two or more raters agree about whether 30 cases have a depression diagnosis, yes/no—a nominal variable).

Kappa is similar to a correlation coefficient in that it cannot go above +1.0 or below -1.0. Because it is used as a measure of agreement, only positive values would be expected in most situations; negative values would indicate systematic disagreement. Kappa can only achieve very high values when both agreement is good and the rate of the target condition is near 50% (because it includes the base rate in the calculation of joint probabilities). Several authorities have offered "rules of thumb" for interpreting the level of agreement, many of which agree in the gist even though the words are not identical.[8][9][10][11]

### Correlation coefficients[edit]

Main articles: Pearson product-moment correlation coefficient and Spearman's rank correlation coefficient

Either Pearson's  r {\displaystyle r} , Kendall's τ, or Spearman's  ρ {\displaystyle \rho } can be used to measure pairwise correlation among raters using a scale that is ordered. Pearson assumes the rating scale is continuous; Kendall and Spearman statistics assume only that it is ordinal. If more than two raters are observed, an average level of agreement for the group can be calculated as the mean of the  r {\displaystyle r} , τ, or  ρ {\displaystyle \rho } values from each possible pair of raters.

### Intra-class correlation coefficient[edit]

Main article: Intra-class correlation coefficient

Another way of performing reliability testing is to use the intra-class correlation coefficient (ICC).[12] There are several types of this and one is defined as, "the proportion of variance of an observation due to between-subject variability in the true scores".[13] The range of the ICC may be between 0.0 and 1.0 (an early definition of ICC could be between −1 and +1). The ICC will be high when there is little variation between the scores given to each item by the raters, e.g. if all raters give the same or similar scores to each of the items. The ICC is an improvement over Pearson's  r {\displaystyle r} and Spearman's  ρ {\displaystyle \rho } , as it takes into account the differences in ratings for individual segments, along with the correlation between raters.

### Limits of agreement[edit]

Bland–Altman plot

Another approach to agreement (useful when there are only two raters and the scale is continuous) is to calculate the differences between each pair of the two raters' observations. The mean of these differences is termed bias and the reference interval (mean ± 1.96 × standard deviation) is termed limits of agreement. The limits of agreement provide insight into how much random variation may be influencing the ratings.

If the raters tend to agree, the differences between the raters' observations will be near zero. If one rater is usually higher or lower than the other by a consistent amount, the bias will be different from zero. If the raters tend to disagree, but without a consistent pattern of one rating higher than the other, the mean will be near zero. Confidence limits (usually 95%) can be calculated for both the bias and each of the limits of agreement.

There are several formulae that can be used to calculate limits of agreement. The simple formula, which was given in the previous paragraph and works well for sample size greater than 60,[14] is

x ¯ ± 1.96 s {\displaystyle {\bar {x}}\pm 1.96s}

For smaller sample sizes, another common simplification[15] is

x ¯ ± 2 s {\displaystyle {\bar {x}}\pm 2s}

However, the most accurate formula (which is applicable for all sample sizes)[14] is

x ¯ ± t 0.05 , n − 1 s 1 + 1 n {\displaystyle {\bar {x}}\pm t_{0.05,n-1}s{\sqrt {1+{\frac {1}{n}}}}}

Bland and Altman[15] have expanded on this idea by graphing the difference of each point, the mean difference, and the limits of agreement on the vertical against the average of the two ratings on the horizontal. The resulting Bland–Altman plot demonstrates not only the overall degree of agreement, but also whether the agreement is related to the underlying value of the item. For instance, two raters might agree closely in estimating the size of small items, but disagree about larger items.

When comparing two methods of measurement, it is not only of interest to estimate both bias and limits of agreement between the two methods (inter-rater agreement), but also to assess these characteristics for each method within itself. It might very well be that the agreement between two methods is poor simply because one of the methods has wide limits of agreement while the other has narrow. In this case, the method with the narrow limits of agreement would be superior from a statistical point of view, while practical or other considerations might change this appreciation. What constitutes narrow or wide limits of agreement or large or small bias is a matter of a practical assessment in each case.

### Krippendorff's alpha[edit]

Main article: Krippendorff's alpha

Krippendorff's alpha[16][17] is a versatile statistic that assesses the agreement achieved among observers who categorize, evaluate, or measure a given set of objects in terms of the values of a variable. It generalizes several specialized agreement coefficients by accepting any number of observers, being applicable to nominal, ordinal, interval, and ratio levels of measurement, being able to handle missing data, and being corrected for small sample sizes.

Alpha emerged in content analysis where textual units are categorized by trained coders and is used in counseling and survey research where experts code open-ended interview data into analyzable terms, in psychometrics where individual attributes are tested by multiple methods, in observational studies where unstructured happenings are recorded for subsequent analysis, and in computational linguistics where texts are annotated for various syntactic and semantic qualities.

## Disagreement[edit]

For any task in which multiple raters are useful, raters are expected to disagree about the observed target. By contrast, situations involving unambiguous measurement, such as simple counting tasks (e.g. number of potential customers entering a store), often do not require more than one person performing the measurement.

Measurement involving ambiguity in characteristics of interest in the rating target are generally improved with multiple trained raters. Such measurement tasks often involve subjective judgment of quality. Examples include ratings of physician 'bedside manner', evaluation of witness credibility by a jury, and presentation skill of a speaker.

Variation across raters in the measurement procedures and variability in interpretation of measurement results are two examples of sources of error variance in rating measurements. Clearly stated guidelines for rendering ratings are necessary for reliability in ambiguous or challenging measurement scenarios.

Without scoring guidelines, ratings are increasingly affected by experimenter's bias, that is, a tendency of rating values to drift towards what is expected by the rater. During processes involving repeated measurements, correction of rater drift can be addressed through periodic retraining to ensure that raters understand guidelines and measurement goals.

## See also[edit]

* Cronbach's alpha
* Rating (pharmaceutical industry)

## References[edit]

1. ^ Saal, F.E.; Downey, R.G.; Lahey, M.A. (1980). "Rating the ratings: Assessing the psychometric quality of rating data". Psychological Bulletin. 88 (2): 413. doi:10.1037/0033-2909.88.2.413.
2. ^ Page, E.B.; Petersen, N.S. (1995). "The computer moves into essay grading: Updating the ancient test". Phi Delta Kappan. 76 (7): 561.
3. ^ Uebersax, J.S. (1987). "Diversity of decision-making models and the measurement of interrater agreement". Psychological Bulletin. 101 (1): 140–146. doi:10.1037/0033-2909.101.1.140. S2CID 39240770.
4. ^ "Correcting Inter-Rater Reliability for Chance Agreement: Why?". www.agreestat.com. Archived from the original on 2018-04-02. Retrieved 2018-12-26.
5. ^ Cohen, J. (1960). "A coefficient of agreement for nominal scales" (PDF). Educational and Psychological Measurement. 20 (1): 37–46. doi:10.1177/001316446002000104. S2CID 15926286.
6. ^ Fleiss, J.L. (1971). "Measuring nominal scale agreement among many raters". Psychological Bulletin. 76 (5): 378–382. doi:10.1037/h0031619.
7. ^ Landis, J. Richard; Koch, Gary G. (1977). "The Measurement of Observer Agreement for Categorical Data". Biometrics. 33 (1): 159–74. doi:10.2307/2529310. JSTOR 2529310. PMID 843571. S2CID 11077516.
8. ^ Landis, J. Richard; Koch, Gary G. (1977). "An Application of Hierarchical Kappa-type Statistics in the Assessment of Majority Agreement among Multiple Observers". Biometrics. 33 (2): 363–74. doi:10.2307/2529786. JSTOR 2529786. PMID 884196.
9. ^ Cicchetti, D. V.; Sparrow, S. A. (1981). "Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior". American Journal of Mental Deficiency. 86 (2): 127–137. PMID 7315877.
10. ^ Fleiss, J. L. (1981-04-21). Statistical methods for rates and proportions. 2nd ed. Wiley. ISBN 0-471-06428-9. OCLC 926949980.
11. ^ Regier, Darrel A.; Narrow, William E.; Clarke, Diana E.; Kraemer, Helena C.; Kuramoto, S. Janet; Kuhl, Emily A.; Kupfer, David J. (2013). "DSM-5 Field Trials in the United States and Canada, Part II: Test-Retest Reliability of Selected Categorical Diagnoses". American Journal of Psychiatry. 170 (1): 59–70. doi:10.1176/appi.ajp.2012.12070999. ISSN 0002-953X. PMID 23111466.
12. ^ Shrout, P.E.; Fleiss, J.L. (1979). "Intraclass correlations: uses in assessing rater reliability". Psychological Bulletin. 86 (2): 420–428. doi:10.1037/0033-2909.86.2.420. PMID 18839484. S2CID 13168820.
13. ^ Everitt, B.S. (1996). Making sense of statistics in psychology: A second-level course. Oxford University Press. ISBN 978-0-19-852365-9.
14. ^ a b Ludbrook, J. (2010). Confidence in Altman–Bland plots: a critical review of the method of differences. Clinical and Experimental Pharmacology and Physiology, 37(2), 143-149.
15. ^ a b Bland, J. M., & Altman, D. (1986). Statistical methods for assessing agreement between two methods of clinical measurement. The Lancet, 327(8476), 307-310.
16. ^ Krippendorff, Klaus (2018). Content analysis : an introduction to its methodology (4th ed.). Los Angeles. ISBN 9781506395661. OCLC 1019840156.`{{cite book}}`: CS1 maint: location missing publisher (link)
17. ^ Hayes, A.F.; Krippendorff, K. (2007). "Answering the call for a standard reliability measure for coding data". Communication Methods and Measures. 1 (1): 77–89. doi:10.1080/19312450709336664. S2CID 15408575.

## Further reading[edit]

* Gwet, Kilem L. (2014). Handbook of Inter-Rater Reliability (4th ed.). Gaithersburg: Advanced Analytics. ISBN 978-0970806284. OCLC 891732741.
* Gwet, K.L. (2008). "Computing inter-rater reliability and its variance in the presence of high agreement" (PDF). British Journal of Mathematical and Statistical Psychology. 61 (Pt 1): 29–48. doi:10.1348/000711006X126600. PMID 18482474. S2CID 13915043. Archived from the original (PDF) on 2016-03-03. Retrieved 2010-06-16.
* Johnson, R.; Penny, J.; Gordon, B. (2009). Assessing performance: Developing, scoring, and validating performance tasks. Guilford. ISBN 978-1-59385-988-6.
* Shoukri, M.M. (2010). Measures of Interobserver Agreement and Reliability (2nd ed.). CRC Press. ISBN 978-1-4398-1080-4. OCLC 815928115.

## External links[edit]

Wikimedia Commons has media related to Inter-rater reliability.

* AgreeStat 360: cloud-based inter-rater reliability analysis, Cohen's kappa, Gwet's AC1/AC2, Krippendorff's alpha, Brennan-Prediger, Fleiss generalized kappa, intraclass correlation coefficients
* Statistical Methods for Rater Agreement by John Uebersax
* Inter-rater Reliability Calculator by Medical Education Online
* Online (Multirater) Kappa Calculator Archived 2009-02-28 at the Wayback Machine
* Online calculator for Inter-Rater Agreement Archived 2016-04-10 at the Wayback Machine