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

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.

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

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1552 ◽

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.

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

British Journal of Visual Impairment ◽

10.1177/02646196211055954 ◽

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.

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Functioning of active postmenopausal women with osteoporosis

Fisioterapia em Movimento ◽

10.1590/1980-5918.030.004.ao15 ◽

2017 ◽

Vol 30 (4) ◽

pp. 797-803

Author(s):

Aline Cristiane Binda ◽

Andersom Ricardo Fréz ◽

Christiane Riedi Daniel ◽

Gladson Ricardo Flor Bertolini ◽

João Afonso Ruaro ◽

...

Keyword(s):

Postmenopausal Women ◽

Cross Sectional Study ◽

Community Dwelling ◽

International Classification Of Functioning ◽

Cross Sectional ◽

Icf Core Set ◽

Core Set ◽

High Level ◽

Functional Profiles ◽

Community Dwelling Older Adults

Abstract Introduction: The multiple aspects of disability in patients with osteoporosis require comprehensive tool for their assessment. The International Classification of Functioning, Disability and Health (ICF) is designed to describe the experience of such patients with theirs functioning. Objective: This study aimed to describe the functioning in a sample of active postmenopausal women with osteoporosis according to the brief ICF core set for osteoporosis. Methods: This cross-sectional study was conducted among active community-dwelling older adults in a southern Brazilian city. Participants were enrolled by convenience sampling from a group conducting supervised aquatic and land-based exercises. Active postmenopausal women with osteoporosis were included. Thirty-two women (mean age 68.0 ± 5.1 years old) participated in the evaluation. The brief ICF core set for osteoporosis was used to establish functional profiles. The categories were considered valid when ≥20% of participants showed some disability (according to ICF qualifiers). Results: No category showed a high level of disability, as >50% of women rated by qualifiers .3 or .4. Only the category e580 was considered by all participants as a facilitator. Conclusion: The brief ICF core set for osteoporosis results demonstrated that this classification system is representative to describe the functional profile of the sample. Active postmenopausal women with osteoporosis presented few impairments related to body functions and structures, activities and participation and environmental factors.

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

American Journal of Audiology ◽

10.1044/1059-0889(2013/12-0052) ◽

2013 ◽

Vol 22 (2) ◽

pp. 323-328 ◽

Cited By ~ 33

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.

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

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.2112 ◽

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.

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The Development of ICF Core Sets for Hearing Loss

Perspectives on Audiology ◽

10.1044/poa6.1.20 ◽

2010 ◽

Vol 6 (1) ◽

pp. 20-23 ◽

Cited By ~ 1

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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Validation of the Comprehensive ICF Core Set for Vocational Rehabilitation From the Perspective of Physical Therapists: International Delphi Survey

Physical Therapy ◽

10.2522/ptj.20150365 ◽

2016 ◽

Vol 96 (8) ◽

pp. 1262-1275 ◽

Cited By ~ 4

Author(s):

Veronika M. Kaech Moll ◽

Reuben Escorpizo ◽

Ruth Portmann Bergamaschi ◽

Monika E. Finger

Keyword(s):

Physical Therapy ◽

Vocational Rehabilitation ◽

Content Validity ◽

Physical Therapists ◽

Physical Therapist ◽

Small Sample ◽

World Health ◽

Convenience Sample ◽

Icf Core Set ◽

Core Set

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.

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Validation of the Comprehensive ICF Core Set for Multiple Sclerosis From the Perspective of Physical Therapists

Physical Therapy ◽

10.2522/ptj.20110056 ◽

2012 ◽

Vol 92 (6) ◽

pp. 799-820 ◽

Cited By ~ 11

Author(s):

Andrea Conrad ◽

Michaela Coenen ◽

Henriette Schmalz ◽

Jürg Kesselring ◽

Alarcos Cieza

Keyword(s):

Multiple Sclerosis ◽

Physical Therapists ◽

Face Validity ◽

International Classification Of Functioning ◽

Environmental Aspects ◽

Specific Level ◽

Icf Core Set ◽

Core Set ◽

Study Support

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.

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Validation of the Comprehensive International Classification of Functioning, Disability and Health Core Set for Rheumatoid Arthritis: The Perspective of Physical Therapists

Physical Therapy ◽

10.2522/ptj.20050237 ◽

2007 ◽

Vol 87 (4) ◽

pp. 368-384 ◽

Cited By ~ 26

Author(s):

Inge Kirchberger ◽

Andrea Glaessel ◽

Gerold Stucki ◽

Alarcos Cieza

Keyword(s):

Rheumatoid Arthritis ◽

Psychological Distress ◽

Physical Therapists ◽

Muscle Tone ◽

International Classification ◽

International Classification Of Functioning ◽

Disability And Health ◽

Icf Core Set ◽

Core Set

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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