Institute for Health and Rehabilitation Sciences, Ludwig-Maximilians-Universität München, DE-813 77 Munich, Germany.
J Rehabil Med. 2011 Jan;43(2):162-73. doi: 10.2340/16501977-0642.
To operationalize items based on categories of the International Classification of Functioning, Disability and Health (ICF) relevant to patient problems that are addressed by physiotherapeutic interventions in the acute hospital, and to test the reliability of these items when applied by physiotherapists.
A selection of 124 ICF categories was operation-alized in a formal decision-making and consensus process. The reliability of the newly operationalized item list was tested with a cross-sectional study with repeated measurements.
The item writing process resulted in 94 dichotomous and 30 polytomous items. Data were collected in a convenience sample of 28 patients with neurological, musculoske-letal, cardiopulmonary, or internal organ conditions, requiring physical therapy in an acute hospital. Fifty-six percent of the polytomous and 68% of the dichotomous items had a raw agreement of 0.7 or above, whereas 36% of all polytomous and 34% of all dichotomous items had a kappa coefficient of 0.7 and above.
The study supports that the ICF is adaptable to professional and setting-specific needs of physiotherapists. Further research towards the development of reliable instruments for physiotherapists based on the ICF seems justified. :
基于与理疗干预针对的急性医院患者问题相关的国际功能、残疾和健康分类（ICF）类别来操作项目，并测试理疗师应用这些项目时的可靠性。
通过正式的决策和共识过程对 124 个 ICF 类别进行了操作化。通过横断面研究和重复测量来测试新操作化项目列表的可靠性。
项目编写过程产生了 94 个二分法和 30 个多分法项目。数据是在一个便利的样本中收集的，该样本包括 28 名患有神经、肌肉骨骼、心肺或内部器官疾病的患者，他们需要在急性医院进行物理治疗。56%的多分法项目和 68%的二分法项目的原始一致性为 0.7 或以上，而所有多分法项目的 36%和所有二分法项目的 34%的kappa 系数为 0.7 或以上。
该研究支持 ICF 可以适应理疗师的专业和特定环境需求。进一步研究基于 ICF 为理疗师开发可靠的工具似乎是合理的。
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