Glocker Catherine, Kirchberger Inge, Gläßel Andrea, Fincziczki Agnes, Stucki Gerold, Cieza Alarcos
Department of Medical Informatics, Biometry and Epidemiology, Chair for Public Health and Health Care Research, Unit for Biopsychosocial Health, Ludwig-Maximilians Universität, Munich, Germany.
Chronic Illn. 2013 Mar;9(1):57-72. doi: 10.1177/1742395312451280. Epub 2012 Jun 11.
The 'Comprehensive ICF Core Set for low back pain (LBP)' 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 LBP. The objective of this study was to validate this ICF Core Set from the perspective of physicians.
Physicians experienced in the treatment of LBP were asked about the patients' problems, patients' resources and aspects of environment that physicians take care of in a three-round survey using the Delphi technique. Responses were linked to the ICF.
Seventy-one physicians in 36 countries named 707 concepts that covered all ICF components. One hundred ninety-three ICF categories were linked to these answers. Three ICF categories were not represented in the Comprehensive ICF Core Set for LBP although at least 75% of the participants have rated them as important. Twenty-six concepts were linked to the not yet developed ICF component personal factors and 21 issues were not covered by the ICF.
The high percentage of ICF categories represented in the ICF Core Set for LBP indicates good content validity from the perspective of the physicians. However, some issues were raised that were not covered and need to be investigated further.
“腰痛综合ICF核心集”是国际功能、残疾和健康分类（ICF）的一种应用，代表了腰痛患者功能问题的典型范围。本研究的目的是从医生的角度验证这个ICF核心集。
采用德尔菲技术，通过三轮调查，询问有腰痛治疗经验的医生有关患者的问题、患者的资源以及医生关注的环境方面。回答与ICF相关联。
来自36个国家的71名医生列出了707个涵盖所有ICF组件的概念。193个ICF类别与这些答案相关联。尽管至少75%的参与者认为三个ICF类别很重要，但它们未在腰痛综合ICF核心集中体现。26个概念与尚未开发的ICF组件个人因素相关联，21个问题未被ICF涵盖。
腰痛ICF核心集中所呈现的ICF类别比例很高，从医生的角度表明了良好的内容效度。然而，也提出了一些未涵盖的问题，需要进一步研究。
