scholarly journals Validation of outcome measurement instruments used in a multidisciplinary rehabilitation intervention for patients with chronic inflammatory arthritis: Linking of the International Classification of Functioning, Disability and Health, construct validity and responsiveness to change

2011 ◽  
Vol 43 (5) ◽  
pp. 411-419 ◽  
Author(s):  
S Hagel ◽  
E Lindqvist ◽  
I Petersson ◽  
J& Nilsson ◽  
A Bremander
2020 ◽  
Vol 47 (10) ◽  
pp. 1557-1564
Author(s):  
Yngve Røe ◽  
Rachelle Buchbinder ◽  
Margreth Grotle ◽  
Samuel Whittle ◽  
Sofia Ramiro ◽  
...  

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.


2019 ◽  
Vol 11 (3) ◽  
pp. 167-175
Author(s):  
Mahdi Moshki ◽  
Abdoljavad Khajavi ◽  
Farveh Vakilian ◽  
Shima Minaee ◽  
Haydeh Hashemizadeh

Introduction: Due to the necessity of assessing the health-related quality of life (HRQOL) in heart failure (HF) and the increased use of the International Classification of Functioning, Disability, and Health (ICF) for making a content comparison of measurement instruments, the present study aimed to evaluate the relationship between the instruments and ICF. To this aim, the disease-specific HRQOL instruments in HF were identified, and then psychometric properties and content comparison of included instruments were conducted by linking to ICF. Methods: Disease-specific HRQOL instruments in HF were identified through a comprehensive and systematic search strategy. Then, the psychometric properties of included instruments were determined, and their contents were analyzed and compared based on the ICF coding system. In addition, each instrument was independently linked to ICF by two researchers based on standardized linking rules, and finally their degree of agreement was assessed by the Cohen’s kappa coefficient. Results: Ten instruments including a total of 247 items and 417 concepts were linked to 124 different ICF categories. Further, 39 (31.5%), 65 (52.5%), 13 (10.4%), and 7 (5.6%) categories were linked to body function, activity and participation, environmental factors, and body structure, respectively. According to the content analysis approach and psychometric properties, the appropriate measurement instruments were Kansas City Cardiomyopathy and Minnesota living with HF questionnaires, respectively. Conclusion: Content comparison provides researchers with valuable information on the instrument heterogeneity and overlapping, which results in selecting the most appropriate measurement instrument based on a specific clinical context.


2011 ◽  
Vol 35 (3) ◽  
pp. 269-277 ◽  
Author(s):  
Merel Brehm ◽  
Sicco A Bus ◽  
Jaap Harlaar ◽  
Frans Nollet

Background: Although many core sets of measurement concepts have been published in the literature, this has not been done for the field of lower limb orthoses. Objectives: This paper provides an overview of the measurement concepts that are relevant in lower limb orthotic evaluations, and it proposes a candidate Core Set of outcome measures to be used in clinical studies on ankle-foot orthoses (AFOs) and knee-ankle-foot orthoses (KAFOs). Study Design: Literature review. Methods: The International Classification of Functioning, Disability and Health (ICF) was used as framework to select relevant concepts. Results and conclusion: Measurement concepts covering all ICF levels of functioning were identified as relevant for the Core Set, including functions of the joints and bones (b710–b729), muscle functions (b730–b749), gait pattern functions (b770), walking (b450), moving around in different locations (d460), and daily-life functioning (d5–d9). Further validation of this candidate Core Set through a formal decision-making process is needed to obtain consensus among experts in the field. Based on such a consensus, the next step will be to systematically review the literature and identify those measurement instruments that are best suited to assess the proposed concepts, based on their psychometric properties in a given sample and context. Thereafter, we suggest that this ICF Core Set of measurement instruments should be applied in orthotic studies on AFOs and KAFOs in ambulatory patients with gait problems. Clinical relevance Although many ICF Core Sets have been published, this has not been done for the field of lower limb orthoses. We feel that such a Core Set is urgently needed, to enable comparison of results, and establish evidence on the efficacy of orthotic treatment, which will improve patient care.


2013 ◽  
Vol 29 (6) ◽  
pp. 1083-1093 ◽  
Author(s):  
Flávia Nascimento de Carvalho ◽  
Rosalina Jorge Koifman ◽  
Anke Bergmann

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.


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