scholarly journals International Classification of Functioning, Disability, and Health in women with breast cancer: a proposal for measurement instruments

2013 ◽  
Vol 29 (6) ◽  
pp. 1083-1093 ◽  
Author(s):  
Flávia Nascimento de Carvalho ◽  
Rosalina Jorge Koifman ◽  
Anke Bergmann
Keyword(s):  
Breast Cancer ◽  
Cancer Diagnosis ◽  
Breast Cancer Diagnosis ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Measurement Instruments ◽  
Therapeutic Approaches ◽  
Disability And Health ◽  
Core Set

The International Classification of Functioning, Disability, and Health (ICF) aims at standardization, but its applicability requires consistent instruments. In Brazil, invasive therapeutic approaches are frequent, leading to functional alterations. The current study thus aimed to identify and discuss instruments capable of measuring ICF core set codes for breast cancer. The review included ICF studies in women with breast cancer diagnosis and studies with the objective of translating and validating instruments for the Brazilian population, and consistent with the codes. Review studies, systematic or not, were excluded. Eight instruments were selected, and the WHOQOL-Bref was the most comprehensive. The use of various instruments showed 19 coinciding codes, and the instruments as a whole covered 58 of the total of 81 codes. The use of multiple instruments is time-consuming, so new studies are needed to propose parsimonious tools capable of measuring functioning in women treated for breast cancer.

scholarly journals What Do the OMERACT Shoulder Core Set Candidate Instruments Measure? An Analysis Using the Refined International Classification of Functioning, Disability, and Health Linking Rules

2020 ◽  
Vol 47 (10) ◽  
pp. 1557-1564
Author(s):  
Yngve Røe ◽  
Rachelle Buchbinder ◽  
Margreth Grotle ◽  
Samuel Whittle ◽  
Sofia Ramiro ◽  
...  
Keyword(s):  
Physical Function ◽  
Outcome Measurement ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Measurement Instruments ◽  
Disability And Health ◽  
Response Options ◽  
Core Set ◽  
Function Activity

Objective.The objective of this paper is to assess the content and measurement constructs of the candidate instruments for the domains of “pain” and “physical function/activity” in the Outcome Measures in Rheumatology (OMERACT) shoulder core set. The results of this International Classification of Functioning, Disability, and Health (ICF)–based analysis may inform further decisions on which instruments should ultimately be included in the core set.Methods.The materials for the analysis were the 13 candidate measurement instruments within pain and physical function/activity in the shoulder core domain set, which either passed or received amber ratings (meaning there were some issues with the instrument) in the OMERACT filtering process. The content of the candidate instruments was extracted and linked to the ICF using the refined linking rules. The linking rules enhance the comparability of instruments by providing a comprehensive overview of the content of the instruments, the context in which the measurements take place, the perspectives adopted, and the types of response options.Results.The ICF content analysis showed a large variation in content and measurement constructs in the candidate instruments for the shoulder core outcome measurement set.Conclusion.Two of 6 pain instruments include constructs other than pain. Within the physical function/activity domain, 2 candidate instruments matched the domain, 3 included additional content, and 2 included meaningful concepts in the response options, suggesting that they should be omitted as candidate instruments. The analyses show that the content in most existing instruments of shoulder pain and functioning extends across core set domains.

scholarly journals Developing a Delphi-Based Comprehensive Core Set from the International Classification of Functioning, Disability, and Health Framework for the Rehabilitation of Patients with Burn Injuries

2021 ◽  
Vol 18 (8) ◽  
pp. 3970
Author(s):  
Yu-Ru Lin ◽  
Jr-Yi Wang ◽  
Shun-Cheng Chang ◽  
Kwang-Hwa Chang ◽  
Hung-Chou Chen ◽  
...  
Keyword(s):  
Burn Injury ◽  
Functional Limitations ◽  
Rehabilitation Program ◽  
International Classification ◽  
Burn Injuries ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
The Core ◽  
Core Set

Burn injuries cause disability and functional limitations in daily living. In a 2015 fire explosion in Taiwan, 499 young people sustained burn injuries. The construction of an effective and comprehensive rehabilitation program that enables patients to regain their previous function is imperative. The International Classification of Functioning, Disability, and Health (ICF) includes multiple dimensions that can contribute to meeting this goal. An ICF core set was developed in this study for Taiwanese patients with burns. A consensus process using three rounds of the Delphi technique was employed. A multidisciplinary team of 30 experts from various institutions was formed. The questionnaire used in this study comprised 162 ICF second-level categories relevant to burn injuries. A 5-point Likert scale was used, and participants assigned a weight to the effect of each category on daily activities after burns. The consensus among ratings was assessed using Spearman’s ρ and semi-interquartile range indices. The core set for post-acute SCI was developed from categories that attained a mean score of ≥4.0 in the third round of the Delphi exercise. The core ICF set contained 68 categories. Of these, 19 comprised the component of body functions, 5 comprised body structures, 37 comprised activities and participation, and 7 comprised environmental factors. This preliminary core set offers a comprehensive system for disability assessment and verification following burn injury. The core set provides information for effective rehabilitation strategy setting for patients with burns. Further feasibility and validation studies are required in the future.

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