Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig-Maximilians-University, Munich, Germany.
Psychooncology. 2010 Jun;19(6):594-605. doi: 10.1002/pon.1608.
The 'Comprehensive ICF Core Set for Head and Neck Cancer (HNC)' is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning of patients with HNC. The objective of this study was to explore the content validity of this Core Set from the perspective of psychologists.
Psychologists experienced in HNC treatment were asked about the patients' problems, resources and aspects of environment they treat in HNC patients in a three-round Delphi survey. First round responses were linked to the ICF. In round two a list of all identified ICF categories was sent to the participants and they were asked whether the listed ICF categories represent the patients' problems, resources and the aspects of the environment psychologists treat in HNC patients. In round three the participants were requested to reconsider their decisions based on the group response. Kappa statistics was used to describe the agreement between the two health care professionals who performed the linking.
34 psychologists from 15 countries named 728 concepts covering all ICF components. 98 ICF categories were linked to these answers. 27 concepts were linked to the not yet developed ICF component 'personal factors'. Kappa coefficient reached 0.71 (95% bootstrapped CI 0.64-0.77).
The validity of the Comprehensive ICF Core Set for HNC was largely supported by the perspective of psychologists. However, some categories considered relevant for psychologists but currently not covered by the Comprehensive ICF Core Set for HNC require further investigation.
《头颈部癌症综合国际功能、残疾和健康分类（ICF）核心集》是国际功能、残疾和健康分类（ICF）的应用，代表了头颈部癌症（HNC）患者功能障碍的典型范围。本研究的目的是从心理学家的角度探讨该核心集的内容效度。
在三轮德尔菲调查中，我们向具有 HNC 治疗经验的心理学家询问了 HNC 患者的问题、资源和他们在 HNC 患者中治疗的环境方面。第一轮的回答与 ICF 相关联。在第二轮中，将所有确定的 ICF 类别列表发送给参与者，并要求他们确定列出的 ICF 类别是否代表患者的问题、资源以及心理学家在 HNC 患者中治疗的环境方面。在第三轮中，要求参与者根据小组的反应重新考虑他们的决定。Kappa 统计用于描述进行链接的两名卫生保健专业人员之间的一致性。
来自 15 个国家的 34 名心理学家共提出了涵盖所有 ICF 成分的 728 个概念。将这些答案与 98 个 ICF 类别相关联。27 个概念与尚未开发的 ICF 组成部分“个人因素”相关联。Kappa 系数达到 0.71（95%Bootstrapped CI 0.64-0.77）。
头颈部癌症综合国际功能、残疾和健康分类（ICF）核心集的有效性在很大程度上得到了心理学家的支持。然而，一些被认为与心理学家相关但目前未包含在头颈部癌症综合国际功能、残疾和健康分类（ICF）核心集中的类别需要进一步研究。
