Department of Medical Informatics, Biometry and Epidemiology, Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-Universität, Munich, Germany.
Phys Ther. 2012 Jun;92(6):799-820. doi: 10.2522/ptj.20110056. Epub 2012 Mar 8.
The Comprehensive ICF Core Set for Multiple Sclerosis (MS) is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in the functioning of people with MS.
The objective of this study was to validate the Comprehensive ICF Core Set for MS from the perspective of physical therapists.
A 3-round survey based on the Delphi technique was used.
Physical therapists experienced in the management of MS were asked about problems and resources of people with MS as well as environmental aspects treated by physical therapists (eg, use of assistive devices, support). Statements were linked to the ICF and compared with the Comprehensive ICF Core Set for MS.
Eighty physical therapists from 23 countries mentioned 2,133 issues that covered all of the ICF components. Two hundred thirty-eight ICF categories were linked to the statements. Forty-six categories in the Comprehensive ICF Core Set for MS were confirmed by physical therapists at the same level or a more specific level of classification. Nineteen additional ICF categories were reported by at least 75% of the participants.
The results of this study support the content and face validity of the Comprehensive ICF Core Set for MS. Areas of functioning and health that physical therapists believe should be assessed were identified. The findings of this study as well as the results of completed and ongoing validation studies will further elucidate the validity of the Comprehensive ICF Core Set for MS from different perspectives.
多发性硬化症综合国际功能、残疾和健康分类（ICF）核心集是 ICF 的应用，代表了多发性硬化症患者功能障碍的典型范围。
本研究的目的是从物理治疗师的角度验证多发性硬化症综合 ICF 核心集。
采用基于德尔菲技术的 3 轮调查。
经验丰富的多发性硬化症管理物理治疗师被要求对多发性硬化症患者的问题和资源以及物理治疗师治疗的环境方面（例如，使用辅助器具、支持）进行评估。这些陈述与 ICF 相关联，并与多发性硬化症综合 ICF 核心集进行比较。
来自 23 个国家的 80 名物理治疗师共提出了 2133 个问题，涵盖了 ICF 的所有组成部分。有 238 个 ICF 类别与陈述相关联。46 个多发性硬化症综合 ICF 核心集类别得到了具有相同或更具体分类水平的物理治疗师的确认。另外 19 个 ICF 类别至少有 75%的参与者报告。
本研究的结果支持多发性硬化症综合 ICF 核心集的内容和表面效度。确定了物理治疗师认为应评估的功能和健康领域。本研究的结果以及已完成和正在进行的验证研究的结果将进一步从不同角度阐明多发性硬化症综合 ICF 核心集的有效性。
