Grill Eva, Stucki Gerold
Institute for Health and Rehabilitation Sciences, Ludwig Maximilian University, Munich, Germany.
J Clin Epidemiol. 2009 Sep;62(9):891-8. doi: 10.1016/j.jclinepi.2008.02.003. Epub 2008 Jul 10.
The aim of the study was to examine whether clinical ratings of International Classification of Functioning, Disability and Health categories can be integrated into parametric scales, which provide a reliable estimation of specified patient problems and rehabilitation goals using the example of mobility of the upper and lower extremities in the acute hospital situation.
Psychometrical study based on data from a prospective multicentric cohort study in patients with musculoskeletal conditions in the acute hospital.
Two hundred thirty-four patients were included (mean age 56, 50% female. Forty-four percent with a diagnosis involving lower extremities, 18% with a diagnosis involving the hip, 18% with a diagnosis involving upper extremities, 16% with a diagnosis involving the spine). After adjustment for differential item functioning two separate scales for upper and lower extremity mobility could be constructed. The constructed scales had 10 (upper) and eight (lower) items displaying adequate to good fit.
The results of this study indicate that it could be possible to develop scales based on categories of the International Classification of Functioning, Disability and Health Core Sets. This may be a promising approach for areas where psychometrically sound measures are not available.
本研究旨在探讨《国际功能、残疾和健康分类》（ICF）类别的临床评定是否能够整合到参数量表中，以急性医院环境中上下肢活动能力为例，该量表可对特定患者问题和康复目标进行可靠评估。
基于急性医院中肌肉骨骼疾病患者的前瞻性多中心队列研究数据进行的心理测量学研究。
纳入234例患者（平均年龄56岁，50%为女性。44%的诊断涉及下肢，18%涉及髋部，18%涉及上肢，16%涉及脊柱）。在对项目功能差异进行调整后，可构建两个分别用于上下肢活动能力的独立量表。构建的量表分别有10项（上肢）和8项（下肢），显示出良好至优的拟合度。
本研究结果表明，有可能基于《国际功能、残疾和健康分类》核心集的类别开发量表。对于缺乏心理测量学上可靠测量方法的领域，这可能是一种有前景的方法。
