Validation of the Comprehensive ICF Core Set for Osteoarthritis: the perspective of physical therapists

Physiotherapy ◽  
2011 ◽  
Vol 97 (1) ◽  
pp. 3-16 ◽  
Author(s):  
Tanja Bossmann ◽  
Inge Kirchberger ◽  
Andrea Glaessel ◽  
Gerold Stucki ◽  
Alarcos Cieza
2011 ◽  
Vol 16 (4) ◽  
pp. 364-372 ◽  
Author(s):  
Michaela Kirschneck ◽  
Inge Kirchberger ◽  
Edda Amann ◽  
Alarcos Cieza

2008 ◽  
Vol 88 (7) ◽  
pp. 841-851 ◽  
Author(s):  
Klaus Starrost ◽  
Szilvia Geyh ◽  
Anke Trautwein ◽  
Jutta Grunow ◽  
Andres Ceballos-Baumann ◽  
...  

Background and PurposeThe World Health Organization's International Classification of Functioning, Disability and Health (ICF) is gaining recognition in physical therapy. The Extended ICF Core Set for Stroke is a practical tool that represents a selection of categories from the whole classification and can be used along with the ICF qualifier scale to describe patients’ functioning and disability following stroke. The application of the ICF qualifier scale poses the question of interrater reliability. The primary objective of this investigation was to study the agreement between physical therapists’ ratings of subjects’ functioning and disability with the Extended ICF Core Set for Stroke and with the ICF qualifier scale. Further objectives were to explore the relationships between agreement and rater confidence and between agreement and physical therapists’ areas of core competence.Subjects and MethodsA monocentric, cross-sectional reliability study was conducted. A consecutive sample of 30 subjects after stroke participated. Two physical therapists rated the subjects’ functioning in 166 ICF categories.ResultsThe interrater agreement of the 2 physical therapists was moderate across all judgments (observed agreement=51%, kappa=.41). Interrater reliability was not related to rater confidence or to the physical therapists’ areas of core competence.Discussion and ConclusionThe present study suggests potential improvements to enhance the implementation of the ICF and the Extended ICF Core Set for Stroke in practice. The results hint at the importance of the operationalization of the ICF categories and the standardization of the rating process, which might be useful in controlling for rater effects and increasing reliability.


2011 ◽  
Vol 91 (8) ◽  
pp. 1211-1222 ◽  
Author(s):  
Andrea Glässel ◽  
Inge Kirchberger ◽  
Barbara Kollerits ◽  
Edda Amann ◽  
Alarcos Cieza

2016 ◽  
Vol 96 (8) ◽  
pp. 1262-1275 ◽  
Author(s):  
Veronika M. Kaech Moll ◽  
Reuben Escorpizo ◽  
Ruth Portmann Bergamaschi ◽  
Monika E. Finger

Abstract Background The Comprehensive ICF Core Set for vocational rehabilitation (VR) is a list of essential categories on functioning based on the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF), which describes a standard for interdisciplinary assessment, documentation, and communication in VR. Objective The aim of this study was to examine the content validity of the Comprehensive ICF Core Set for VR from the perspective of physical therapists. Design A 3-round email survey was performed using the Delphi method. Methods A convenience sample of international physical therapists working in VR with work experience of ≥2 years were asked to identify aspects they consider as relevant when evaluating or treating clients in VR. Responses were linked to the ICF categories and compared with the Comprehensive ICF Core Set for VR. Results Sixty-two physical therapists from all 6 WHO world regions responded with 3,917 statements that were subsequently linked to 338 ICF categories. Fifteen (17%) of the 90 categories in the Comprehensive ICF Core Set for VR were confirmed by the physical therapists in the sample. Twenty-two additional ICF categories were identified that were not included in the Comprehensive ICF Core Set for VR. Limitations Vocational rehabilitation in physical therapy is not well defined in every country and might have resulted in the small sample size. Therefore, the results cannot be generalized to all physical therapists practicing in VR. Conclusion The content validity of the ICF Core Set for VR is insufficient from solely a physical therapist perspective. The results of this study could be used to define a physical therapy–specific set of ICF categories to develop and guide physical therapist clinical practice in VR.


2012 ◽  
Vol 92 (6) ◽  
pp. 799-820 ◽  
Author(s):  
Andrea Conrad ◽  
Michaela Coenen ◽  
Henriette Schmalz ◽  
Jürg Kesselring ◽  
Alarcos Cieza

BackgroundThe Comprehensive ICF Core Set for Multiple Sclerosis (MS) is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in the functioning of people with MS.ObjectivesThe objective of this study was to validate the Comprehensive ICF Core Set for MS from the perspective of physical therapists.DesignA 3-round survey based on the Delphi technique was used.MethodsPhysical therapists experienced in the management of MS were asked about problems and resources of people with MS as well as environmental aspects treated by physical therapists (eg, use of assistive devices, support). Statements were linked to the ICF and compared with the Comprehensive ICF Core Set for MS.ResultsEighty physical therapists from 23 countries mentioned 2,133 issues that covered all of the ICF components. Two hundred thirty-eight ICF categories were linked to the statements. Forty-six categories in the Comprehensive ICF Core Set for MS were confirmed by physical therapists at the same level or a more specific level of classification. Nineteen additional ICF categories were reported by at least 75% of the participants.ConclusionsThe results of this study support the content and face validity of the Comprehensive ICF Core Set for MS. Areas of functioning and health that physical therapists believe should be assessed were identified. The findings of this study as well as the results of completed and ongoing validation studies will further elucidate the validity of the Comprehensive ICF Core Set for MS from different perspectives.


2007 ◽  
Vol 87 (4) ◽  
pp. 368-384 ◽  
Author(s):  
Inge Kirchberger ◽  
Andrea Glaessel ◽  
Gerold Stucki ◽  
Alarcos Cieza

Background and PurposeThe Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Rheumatoid Arthritis (RA) represents the typical spectrum of problems in the functioning of patients with RA. The objective of this study was to validate this ICF Core Set from the perspective of physical therapists.MethodsPhysical therapists were asked about their intervention goals in a 3-round Delphi survey. Intervention goals were compiled, and the physical therapists were asked whether they considered the goal classes to be relevant. The goal classes then were linked to the ICF.ResultsA total of 82 physical therapists in 12 countries named 562 intervention goals. A total of 45 goal classes covering all ICF components were identified. The goal classes addressing muscle tone, balance and coordination, and psychological distress were not represented in the ICF Core Set for RA.Discussion and ConclusionThe validity of the ICF Core Set for RA was largely supported. However, some categories currently not covered by the ICF Core Set for RA will need to be investigated further.


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