Jobst Andrea, Kirchberger Inge, Cieza Alarcos, Stucki Gerold, Stucki Armin
Institute for Health and Rehabilitation Sciences (IHRS), Ludwig Maximilians Universität, Munich, Germany ; ICF Research Branch, WHO FIC CC Germany (DIMDI) at SPF, Nottwil, Switzerland and at IHRS, Ludwig Maximilians Universität, Munich, Germany.
Open Respir Med J. 2013 Apr 5;7:33-45. doi: 10.2174/1874306401307010033. Print 2013.
The "Comprehensive ICF Core Set for Chronic Obstructive Pulmonary Diseases (COPD)" 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 COPD. The objective of this study was to validate this ICF Core Set from the perspective of physicians.
Physicians experienced in COPD treatment were asked about the patients' problems treated by physicians in patients with COPD in a three-round electronic mail survey using the Delphi technique. Responses were linked to the ICF.
Seventy-six physicians in 44 countries gave a total of 1330 responses that were linked to 148 different ICF categories. Nine ICF categories were not represented in the Comprehensive ICF Core Set for COPD although at least 75% of the participants have rated them as important. Nineteen concepts were linked to the not yet developed ICF component personal factors and seventeen concepts were not covered by the ICF.
The high percentage of ICF categories represented in the ICF Core Set for COPD indicates satisfactory content validity from the perspective of the physicians. However, some issues were raised that were not covered and need to be investigated further.
“慢性阻塞性肺疾病（COPD）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COPD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，通过三轮电子邮件调查，询问有COPD治疗经验的医生关于COPD患者经医生治疗的问题。回答与ICF相关联。
44个国家的76名医生共给出了1330份回答，这些回答与148个不同的ICF类别相关联。COPD综合ICF核心集中未包含9个ICF类别，尽管至少75%的参与者将它们评为重要类别。19个概念与尚未开发的ICF成分个人因素相关联，17个概念未被ICF涵盖。
COPD的ICF核心集中所代表的ICF类别比例较高，从医生的角度表明内容效度令人满意。然而，也提出了一些未涵盖的问题，需要进一步研究。
