Department of Internal Medicine, Istituto Auxologico Italiano, Ospedale San Giuseppe IRCCS, Piancavallo, Verbania, Italy.
Disabil Rehabil. 2010;32(5):417-23. doi: 10.3109/09638280903171535.
To evaluate a multidisciplinary clinical protocol for obesity treatment by mapping it against the International Classification of Functioning, Disability and Health (ICF) and to determine the areas, defined by the ICF, in which no standardized assessment tools are available.
Assessment instruments used by a multidisciplinary team were linked to ICF categories and compared with a list of ICF categories composed by the ICF checklist and the comprehensive ICF core-set for obesity. Other relevant ICF categories were added, and not relevant ones were deleted when appropriate.
Five ICF categories were deleted and 11 were added, and 166 ICF categories were linked to assessment tools and to semi-structured interviews. The majority were linked to assessment tools, but within the domain of the environmental factors all ICF categories were mapped using semi-structured interviews.
Our results show that an extended list of ICF categories is adequate to cover a wide spectrum of clinical and functional information, and it could be employed to describe, disability profiles of obese patients, to develop preventive measures and to identify what factors in the environment need to be changed to improve rehabilitation's outcomes.
通过将肥胖治疗的多学科临床方案与国际功能、残疾和健康分类（ICF）进行对照，评估其效果，并确定 ICF 中没有标准化评估工具的领域。
将多学科团队使用的评估工具与 ICF 类别联系起来，并与 ICF 清单和肥胖综合核心分类表组成的 ICF 类别列表进行比较。在适当的情况下，删除了 5 个不相关的 ICF 类别，添加了 11 个 ICF 类别，并将 166 个 ICF 类别与评估工具和半结构化访谈联系起来。大多数 ICF 类别都与评估工具联系在一起，但在环境因素领域，所有 ICF 类别都使用半结构化访谈进行了映射。
我们的结果表明，扩展的 ICF 类别列表足以涵盖广泛的临床和功能信息，可以用来描述肥胖患者的残疾状况，制定预防措施，并确定需要改变环境中的哪些因素来改善康复效果。
