The comprehensive Icf core set for schizophrenia from the perspective of psychiatrists: A content-validity study using the Delphi technique

2017 ◽  
Vol 41 (S1) ◽  
pp. s803-s803
Author(s):  
L. Nuño ◽  
M. Barrios ◽  
E. Rojo ◽  
J. Gomez-Benito ◽  
G. Guilera
Keyword(s):  
Content Validity ◽  
World Health ◽  
International Classification Of Functioning ◽  
Functional Impairments ◽  
Icf Core Set ◽  
The Third ◽  
Core Set ◽  
Competing Interest ◽  
Health Organization ◽  
The Impact

IntroductionSchizophrenia is a chronic mental illness associated with several functional impairments. There has been an increasing interest in the impact of schizophrenia on functioning. The development of the Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for schizophrenia, a shortlist of 97 ICF categories that are relevant for describing functioning and disability of people living with schizophrenia, has derived from this interest.ObjectivesThis study aims to explore the content validity of this core set from the perspective of psychiatrists.MethodsIn a 3-round Delphi survey, psychiatrists experienced in schizophrenia treatment were asked about patients’ problems, resources and environmental factors they treat in patients with schizophrenia.ResultsA total of 352 psychiatrists from 65 countries representing all six World Health Organization regions completed the first round questionnaire. The response rate at the third round was 86%. Answers were linked to 422 ICF categories. Of all these, 109 ICF categories reached consensus (≥ 75% agreement) at the third round. Eighty-seven out of the 97 ICF categories that form the comprehensive ICF core set for schizophrenia were represented in this list. All the comprehensive ICF core set for schizophrenia categories reached consensus except five categories.ConclusionsThe content validity of the comprehensive ICF core set for schizophrenia from the perspective of psychiatrists was largely supported. However, further research is needed including other health professionals (e.g., psychologists, nurses and occupational therapists) to further obtain new content validity evidences.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Internet-based survey applied to experts in schizophrenia: Socio-demographic and professional variables associated to response pattern

2016 ◽  
Vol 33 (S1) ◽  
pp. S570-S570
Author(s):  
G. Guilera ◽  
M. Barrios ◽  
O. Pino ◽  
D. Salas ◽  
J. Gómez-Benito
Keyword(s):  
Response Pattern ◽  
Response Rate ◽  
Occupational Therapists ◽  
World Health ◽  
International Classification Of Functioning ◽  
Cross Sectional ◽  
Core Set ◽  
Competing Interest ◽  
Health Organization

IntroductionIn the framework of the development of the International Classification of Functioning, Disability and Health Core Set for schizophrenia, we conducted a cross-sectional, internet-based survey using open-ended questions. An international pool of experts from diverse health care disciplines was surveyed to identify problems in functioning experienced by individuals with schizophrenia.ObjectivesThe purpose of the study is to explore possible associations between experts’ socio-demographic and professional profiles, and whether they answered or not the survey.MethodsOut of 307 invited experts, 189 (61.56%) filled in the survey. However, 37 experts were excluded in the data analysis as they had completed only a part of the questionnaire. Thus, there were 152 of the experts classified as “respondents” and the remaining 155 as “non-respondents”. The association between the response pattern and the socio-demographic and professional variables (i.e., gender, World Health Organization region, discipline, and years of experience) was analysed by means of Chi2 tests.ResultsThere was a statistically significant association between the response pattern and the gender of the expert (χ2(1) = 4.927, P = 0.026; V = 0.127), showing that 56.3% of female and 43.6% of male experts answered the survey. When comparing the response pattern in terms of discipline, a statistically significant association was also found (χ2(4) = 10.101, P = 0.039; V = 0.183), showing that those who tend to answer the survey are occupational therapists (71.4%), followed by psychologists (58.0%), social workers (52.6%), nurses (52.0%), and psychiatrists (41.3%).ConclusionsFemales and occupational therapists presented the higher response rate to the expert survey.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Functioning in Schizophrenia: Similarities and Differences Between Clinical, Patient and Expert Perspectives

2017 ◽  
Vol 41 (S1) ◽  
pp. S105-S105
Author(s):  
M. Barrios ◽  
G. Guilera ◽  
O. Pino ◽  
E. Rojo ◽  
S. Wright ◽  
...  
Keyword(s):  
Health Professionals ◽  
Health Condition ◽  
World Health ◽  
International Classification Of Functioning ◽  
Unique Contribution ◽  
Disability And Health ◽  
Clinical Patient ◽  
Competing Interest ◽  
Health Organization ◽  
Icf Core Sets

IntroductionIn 2001, the World Health Organization (WHO) created the International Classification of Functioning, Disability and Health (ICF) to offer a comprehensive and universally accepted framework to describe functioning, disability and health. The ICF Core Sets (ICF-CS) are a selection of categories that serve as a minimal standard for the assessment of functioning and disability in a specific health condition. The ICF-CS for schizophrenia was created in 2015 based on four preliminary studies that intend to capture different perspectives.ObjectivesThe aim of this study is to describe the similarities (i.e. overlap) and discrepancies (i.e. unique contribution) between the clinical, patient and expert perspectives on the most relevant problems in functioning of individuals with schizophrenia, being focused on the European WHO region.MethodsForty-four experts from 14 European countries participated in an expert survey, patients with schizophrenia were involved in four focus groups, and health professionals assessed 127 patients in relation to daily life functioning. Information gathered from these three preliminary studies was linked to the ICF.ResultsData showed that although a considerable number of second-level ICF categories agreed on the three preparatory studies (n = 54, 27.7%), each perspective provided a unique set of ICF categories. Specifically, experts reported 65 unique ICF categories, patients 23 and health professionals 11.ConclusionsEven though there were similarities between perspectives, each one underlined different areas of functioning, showing the importance of including different perspectives in order to get a complete view of functioning and disability in individuals with schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Community Participation as Both a Mediator and Moderator for the Relationship Between Functional Disability and Life Satisfaction of Individuals With Fibromyalgia

2020 ◽  
Vol 51 (1) ◽  
pp. 31-41
Author(s):  
Xiangli Chen ◽  
Veronica Muller ◽  
Beatrice Lee ◽  
Jia-Rung Wu ◽  
Kanako Iwanaga ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Community Participation ◽  
Functional Disability ◽  
Negative Relationship ◽  
World Health ◽  
International Classification Of Functioning ◽  
Health Organization ◽  
System Disorder ◽  
The Impact ◽  
The Relationship

BackgroundFibromyalgia (FM) is a lifelong central nervous system disorder that can have a significant impact on an individual's functionality, community participation, employment, health-related quality of life, and life satisfaction. In the present study, we adopted the World Health Organization (WHO) International Classification of Functioning, Disability, and Health (ICF) model as a research framework to examine the impact of FM on community participation and life satisfaction.PurposeThe present study investigates the moderating and mediating effects of community participation on the relationship between functional disability and life satisfaction.ResultsThe results indicated community participation is both a significant mediator and moderator for the relationship between functional disability and life satisfaction.ImplicationsThe negative relationship between functional disability and life satisfaction diminished when individuals with FM had high levels of community participation, and functional disability had indirect effects on life satisfaction through community participation. It is important to continue this particular line of research in order to identify specific interventions that can help individuals increase community participation and life satisfaction.

scholarly journals Content Validity of the Comprehensive ICF Core Set for Chronic Obstructive Pulmonary Diseases: An International Delphi Survey

2013 ◽  
Vol 7 (1) ◽  
pp. 33-45 ◽  
Author(s):  
Andrea Jobst ◽  
Inge Kirchberger ◽  
Alarcos Cieza ◽  
Gerold Stucki ◽  
Armin Stucki
Keyword(s):  
Content Validity ◽  
Electronic Mail ◽  
Mail Survey ◽  
Pulmonary Diseases ◽  
International Classification Of Functioning ◽  
Chronic Obstructive ◽  
Personal Factors ◽  
Icf Core Set ◽  
Chronic Obstructive Pulmonary Diseases ◽  
Core Set

Introduction:The “Comprehensive ICF Core Set for Chronic Obstructive Pulmonary Diseases (COPD)“ is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning of patients with COPD. The objective of this study was to validate this ICF Core Set from the perspective of physicians.Materials and Methodology:Physicians experienced in COPD treatment were asked about the patients’ problems treated by physicians in patients with COPD in a three-round electronic mail survey using the Delphi technique. Responses were linked to the ICF.Results:Seventy-six physicians in 44 countries gave a total of 1330 responses that were linked to 148 different ICF categories. Nine ICF categories were not represented in the Comprehensive ICF Core Set for COPD although at least 75% of the participants have rated them as important. Nineteen concepts were linked to the not yet developed ICF component personal factors and seventeen concepts were not covered by the ICF.Conclusion:The high percentage of ICF categories represented in the ICF Core Set for COPD indicates satisfactory content validity from the perspective of the physicians. However, some issues were raised that were not covered and need to be investigated further.

scholarly journals Interrater Reliability of the Extended ICF Core Set for Stroke Applied by Physical Therapists

2008 ◽  
Vol 88 (7) ◽  
pp. 841-851 ◽  
Author(s):  
Klaus Starrost ◽  
Szilvia Geyh ◽  
Anke Trautwein ◽  
Jutta Grunow ◽  
Andres Ceballos-Baumann ◽  
...  
Keyword(s):  
Core Competence ◽  
Interrater Reliability ◽  
Physical Therapists ◽  
Primary Objective ◽  
World Health ◽  
International Classification Of Functioning ◽  
Cross Sectional ◽  
Icf Core Set ◽  
Core Set ◽  
Practical Tool

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.

International Classification of Functioning, Disability and Health core set for vision loss: A discussion paper and invitation

2021 ◽  
pp. 026461962110559
Author(s):  
Lorenzo Billiet ◽  
Dominique Van de Velde ◽  
Olga Overbury ◽  
Ruth MA Van Nispen
Keyword(s):  
Vision Loss ◽  
International Classification ◽  
World Health ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Discussion Paper ◽  
Icf Core Set ◽  
Core Set ◽  
Common Framework

The World Health Organization created the International Classification of Functioning, Disability and Health (ICF) to provide a common framework to understand and describe functioning and disability. To make the ICF more applicable for everyday use, an ICF core set can be developed. We are going to reduce the entire ICF of 1400 categories to essential categories that can be used in a specific health context. These ICF core sets are created through a scientific process based on preparatory studies and the involvement of a multidisciplinary group of experts. The aim of this project is the development of an internationally accepted, evidence-based and valid ICF core set for irreversible vision loss. This article describes the process that is followed in detail and invites stakeholders to participate in the development.

The Creation of a Comprehensive and a Brief Core Set for Hearing Loss Using the International Classification of Functioning, Disability and Health

2013 ◽  
Vol 22 (2) ◽  
pp. 323-328 ◽  
Author(s):  
Berth Danermark ◽  
Sarah Granberg ◽  
Sophia E. Kramer ◽  
Melissa Selb ◽  
Claes Möller
Keyword(s):  
Hearing Loss ◽  
International Classification ◽  
World Health ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Icf Core Set ◽  
Core Set ◽  
Core Sets ◽  
The Creation

Purpose In May 2001, to integrate biological, psychological, and social aspects of human functioning, the World Health Assembly endorsed the International Classification of Functioning, Disability and Health (ICF). The aim of this article is to describe the creation of Comprehensive and Brief ICF Core Sets for Hearing Loss. The core sets consist of the most relevant ICF categories for hearing loss. Method and Results Four preparatory studies were carried out and presented at a consensus conference, resulting in a Comprehensive ICF Core Set for Hearing Loss, consisting of 117 ICF categories, and a Brief ICF Core Set for Hearing Loss, consisting of 27 categories (of the 117). Conclusion The Comprehensive ICF Core Set for Hearing Loss can be a user-friendly tool for conducting comprehensive, multidisciplinary assessments. The Brief ICF Core Set can be used for many purposes, such as research and population studies. However, its most common use is by individuals seeking to provide a brief description and assessment of functioning of a person with hearing loss.

scholarly journals Construction and validation of content of one instrument to assess falls in the elderly

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Michele Bittencourt Silveira ◽  
Ricardo Pedrozo Saldanha ◽  
José Carlos de Carvalho Leite ◽  
Thamyres Oliveira Ferreira da Silva ◽  
Thiago Silva ◽  
...  
Keyword(s):  
Content Validity ◽  
Fall Risk ◽  
The Elderly ◽  
World Health ◽  
International Classification Of Functioning ◽  
Online Questionnaire ◽  
Validity Coefficient ◽  
Elderly Health ◽  
Health Organization

ABSTRACT Objective To develop and validate the content of the online Questionnaire for Fall Risk Assessment in the Elderly. Methods The instrument was developed based on the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization. Initially, the set of items was submitted to evaluation of judges (healthcare professionals with experience in elderly health), who could suggest inclusion or exclusion of questions from the instrument; they were also asked to rate each question according to the expected scope. At this stage, clarity and relevance levels for each item were evaluated, generating a total of Content Validity Coefficient (CtVC). Results Content Validity Coefficient values were satisfactory for both clarity (CtVC=0.76) and relevance (CtVC=0.82) of the questions. Next, a group of elderly volunteers participating in a socializing group evaluated the questionnaire for comprehension. The level of comprehension for each item was identified on a Likert scale, ranging from 0 to 5. The questionnaire was considered easy to understand by most participants (95%), with a mean of 4.75 (±0.11) points for each item. Conclusion The instrument showed acceptable psychometric qualities for screening fall risk among the elderly population. Future studies shall investigate different validation aspects of construct for this measure.

The Development of ICF Core Sets for Hearing Loss

2010 ◽  
Vol 6 (1) ◽  
pp. 20-23 ◽  
Author(s):  
Sarah Granberg ◽  
Berth Danermark ◽  
Jean-Pierre Gagné
Keyword(s):  
Hearing Loss ◽  
Consensus Conference ◽  
World Health ◽  
International Classification Of Functioning ◽  
Clinical Settings ◽  
Icf Core Set ◽  
The Core ◽  
Core Set ◽  
Core Sets ◽  
Icf Core Sets

The International Classification of Functioning, Disability and Health (ICF), adopted by the World Health Organization (WHO) in 2001, offers a framework for a comprehensive understanding of health. One of the main goals of the ICF is to provide a conceptual framework of health that can be applied both for research purposes and in clinical settings. In order to promote the use of the ICF in clinical settings, the WHO initiated the Core Sets project. Core Sets, targeting a specific health condition, consist of a set of ICF categories that can serve as minimal standards (Brief ICF Core Set) or as standards for comprehensive assessment (Comprehensive ICF Core Set). In 2009, a process of developing ICF Core Sets for Hearing Loss was initiated. This process involves three phases of development. In the first phase, four scientific studies are conducted to collect evidence for relevant ICF categories to be used in the Core Sets. In phase two, a consensus conference is held to establish relevant ICF categories, and in the third phase, the Core Sets that are retained are tested and validated. This paper describes the process of developing ICF Core Sets for Hearing Loss as well as an invitation to participate in the project.

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