Institute for Health and Rehabilitation Sciences, ICF Research Branch WHO FIC Collaborating Center (DIMDI), Ludwig Maximilian University, Munich, Germany.
Spinal Cord. 2010 Apr;48(4):297-304. doi: 10.1038/sc.2009.128. Epub 2009 Sep 29.
A formal decision-making and consensus process integrating evidence gathered from preparatory studies was followed.
The aim of this study was to report on the results of the consensus process to develop the first version of a Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set and a Brief ICF Core Set for individuals with spinal cord injury (SCI) in the early post-acute context.
The consensus conference took place in Switzerland. Preparatory studies were performed worldwide.
Preparatory studies included an expert survey, a systematic literature review, a qualitative study and empirical data collection involving people with SCI. ICF categories were identified in a formal consensus process by international experts from different backgrounds.
The preparatory studies identified a set of 531 ICF categories at the second, third and fourth levels. From 30 countries, 33 SCI experts attended the consensus conference (11 physicians, 6 physical therapists, 5 occupational therapists, 6 nurses, 3 psychologists and 2 social workers). Altogether 162 second-, third- or fourth-level categories were included in the Comprehensive ICF Core Sets with 63 categories from the component Body Functions, 14 from Body Structures, 53 from Activities and Participation and 32 from Environmental Factors. The Brief Core Set included a total of 25 second-level categories with 8 on Body Functions, 3 on Body Structures, 9 on Activities and Participation, and 5 on Environmental Factors.
A formal consensus process-integrating evidence and expert opinion based on the ICF led to the ICF Core Sets for individuals with SCI in the early post-acute context. Further validation of this first version is needed.
采用正式的决策和共识程序，整合来自预备研究的证据。
本研究旨在报告制定首个全面国际功能、残疾和健康分类（ICF）核心组和脊髓损伤（SCI）早期急性后简明 ICF 核心组的共识过程结果。
共识会议在瑞士举行。预备研究在全球范围内进行。
预备研究包括专家调查、系统文献综述、定性研究和涉及 SCI 患者的实证数据收集。国际专家在正式共识过程中通过不同背景确定 ICF 类别。
预备研究确定了一套 531 个第二、三、四级 ICF 类别。来自 30 个国家的 33 名 SCI 专家参加了共识会议（11 名医生、6 名物理治疗师、5 名职业治疗师、6 名护士、3 名心理学家和 2 名社会工作者）。共有 162 个第二、三或四级类别被纳入全面 ICF 核心组，其中 63 个来自身体功能组成部分，14 个来自身体结构，53 个来自活动和参与，32 个来自环境因素。简明核心组共包括 25 个第二级类别，其中 8 个与身体功能有关，3 个与身体结构有关，9 个与活动和参与有关，5 个与环境因素有关。
基于 ICF 的正式共识程序——整合证据和专家意见，导致了早期急性后 SCI 患者的 ICF 核心组。需要进一步验证这第一个版本。
