Department of Neurology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Eur J Phys Rehabil Med. 2013 Apr;49(2):179-87. Epub 2012 Nov 21.
Understanding of the consequences of a neuromuscular disease (NMD) can improve when a valid sample of disease-specific categories based on the International Classification of Functioning, Disabilities, and Health (ICF) is available.
To examine the content validity of the initial ICF Core Set for neuromuscular diseases (NMDs). The initial ICF Core Set was developed for three chronic neurological diseases.
A qualitative method.
To examine the content validity of the initial ICF Core Set for NMD, concepts in established disease-specific health-related Quality of Life Questionnaires (HRQOL) were compared with ICF categories. Next, the selected ICF categories were linked to the ICF categories in the initial ICF Core Set.
All concepts in the HRQOL questionnaires, except one body function concept, were covered by the initial ICF Core Set. However, the NMD Core Set reflects a broader scope concerning health problems than the concepts in the HRQOL questionnaires do, especially concerning the "Participation" and "Environmental Factors" components.
The NMD Core Set, as well as a measurement based on this Core Set, can contribute to a better understanding of the consequences of NMDs and can also serve as a basis for clinical practice, research, social security systems, and educational programs.
The newly developed NMD Core Set can be a basis for enhancing the development of rehabilitation interventions and improving overall health care for patients with a NMD.
当基于国际功能、残疾和健康分类(ICF)有一个有效的疾病特异性类别样本时,可以更好地了解神经肌肉疾病(NMD)的后果。
检查最初用于神经肌肉疾病(NMD)的国际功能、残疾和健康分类(ICF)核心集的内容效度。最初的 ICF 核心集是为三种慢性神经系统疾病开发的。
定性方法。
为了检查最初用于 NMD 的 ICF 核心集的内容效度,将既定疾病特异性健康相关生活质量问卷(HRQOL)中的概念与 ICF 类别进行了比较。接下来,将选定的 ICF 类别与初始 ICF 核心集中的 ICF 类别联系起来。
HRQOL 问卷中的所有概念(除了一个身体功能概念)都被初始 ICF 核心集所涵盖。然而,NMD 核心集反映了比 HRQOL 问卷中的概念更广泛的健康问题范围,特别是在“参与”和“环境因素”部分。
NMD 核心集以及基于该核心集的测量方法可以帮助更好地了解 NMD 的后果,也可以作为临床实践、研究、社会保障系统和教育计划的基础。
新开发的 NMD 核心集可以作为增强康复干预措施发展和改善 NMD 患者整体医疗保健的基础。