Geyh Szilvia, Cieza Alarcos, Schouten Jan, Dickson Hugh, Frommelt Peter, Omar Zaliha, Kostanjsek Nenad, Ring Haim, Stucki Gerold
ICF Research Branch, WHO FIC Collaborating Center (DIMDI), IMBK, Ludwig-Maximilians-University, Munich, Germany.
J Rehabil Med. 2004 Jul(44 Suppl):135-41. doi: 10.1080/16501960410016776.
To report on the results of the consensus process integrating evidence from preliminary studies to develop the first version of the Comprehensive ICF Core Set and the Brief ICF Core Set for stroke.
A formal decision-making and consensus process integrating evidence gathered from preliminary studies was followed. Preliminary studies included a Delphi exercise, a systematic review, and an empirical data collection. After training in the ICF and based on these preliminary studies relevant ICF categories were identified in a formal consensus process by international experts from different backgrounds.
The preliminary studies identified a set of 448 ICF categories at the second, third and fourth ICF levels with 193 categories on body functions, 26 on body structures, 165 on activities and participation, and 64 on environmental factors. Thirty-nine experts from 12 different countries attended the consensus conference on stroke. Altogether 130 second-level categories were included in the Comprehensive ICF Core Set with 41 categories from the component body functions, 5 from body structures, 51 from activities and participation, and 33 from environmental factors. The Brief ICF Core Set included a total of 18 second-level categories (6 on body functions, 2 on body structures, 7 on activities and participation, and 3 on environmental factors).
A formal consensus process integrating evidence and expert opinion based on the ICF framework and classification led to the definition of ICF Core Sets for stroke. Both the Comprehensive ICF Core Set and the Brief ICF Core Set were defined.
报告整合初步研究证据以制定中风综合国际功能、残疾和健康分类(ICF)核心集及简短ICF核心集第一版的共识过程结果。
遵循整合从初步研究中收集证据的正式决策和共识过程。初步研究包括德尔菲法、系统评价和实证数据收集。在接受ICF培训后,基于这些初步研究,不同背景的国际专家在正式共识过程中确定了相关的ICF类别。
初步研究在ICF第二、第三和第四级别确定了一组448个ICF类别,其中身体功能方面有193个类别,身体结构方面有26个类别,活动与参与方面有165个类别,环境因素方面有64个类别。来自12个不同国家的39位专家参加了中风共识会议。综合ICF核心集共纳入130个二级类别,其中身体功能部分有41个类别,身体结构部分有5个类别,活动与参与部分有51个类别,环境因素部分有33个类别。简短ICF核心集共包括18个二级类别(身体功能方面6个,身体结构方面2个,活动与参与方面7个,环境因素方面3个)。
基于ICF框架和分类整合证据与专家意见的正式共识过程,促成了中风ICF核心集的定义。综合ICF核心集和简短ICF核心集均已确定。