Madden Rosamond H, Dune Tinashe, Lukersmith Sue, Hartley Sally, Kuipers Pim, Gargett Alexandra, Llewellyn Gwynnyth
Centre for Disability Research and Policy, University of Sydney , Australia .
Disabil Rehabil. 2014;36(10):826-37. doi: 10.3109/09638288.2013.821182. Epub 2013 Aug 14.
To examine the relevance of the International Classification of Functioning, Disability and Health (ICF) to CBR monitoring and evaluation by investigating the relationship between the ICF and information in published CBR monitoring and evaluation reports.
A three-stage literature search and analysis method was employed. Studies were identified via online database searches for peer-reviewed journal articles, and hand-searching of CBR network resources, NGO websites and specific journals. From each study "information items" were extracted; extraction consistency among authors was established. Finally, the resulting information items were coded to ICF domains and categories, with consensus on coding being achieved.
Thirty-six articles relating to monitoring and evaluating CBR were selected for analysis. Approximately one third of the 2495 information items identified in these articles (788 or 32%) related to concepts of functioning, disability and environment, and could be coded to the ICF. These information items were spread across the entire ICF classification with a concentration on Activities and Participation (49% of the 788 information items) and Environmental Factors (42%).
The ICF is a relevant and potentially useful framework and classification, providing building blocks for the systematic recording of information pertaining to functioning and disability, for CBR monitoring and evaluation. Implications for Rehabilitation The application of the ICF, as one of the building blocks for CBR monitoring and evaluation, is a constructive step towards an evidence-base on the efficacy and outcomes of CBR programs. The ICF can be used to provide the infrastructure for functioning and disability information to inform service practitioners and enable national and international comparisons.
通过调查国际功能、残疾和健康分类（ICF）与已发表的社区康复（CBR）监测与评估报告中的信息之间的关系，探讨ICF与CBR监测和评估的相关性。
采用三阶段文献检索与分析方法。通过在线数据库搜索同行评审期刊文章、手工检索CBR网络资源、非政府组织网站和特定期刊来识别研究。从每项研究中提取“信息项目”；确定作者之间的提取一致性。最后，将所得信息项目编码到ICF领域和类别，并在编码上达成共识。
选择了36篇与CBR监测和评估相关的文章进行分析。在这些文章中确定的2495个信息项目中，约三分之一（788个或32%）与功能、残疾和环境概念相关，可编码到ICF。这些信息项目分布在整个ICF分类中，集中在活动与参与（788个信息项目中的49%）和环境因素（42%）。
ICF是一个相关且可能有用的框架和分类，为CBR监测和评估提供了用于系统记录与功能和残疾相关信息的构建要素。对康复的启示 将ICF作为CBR监测和评估的构建要素之一加以应用，是朝着建立CBR项目有效性和成果的证据基础迈出的建设性一步。ICF可用于提供功能和残疾信息的基础设施，为服务从业者提供信息，并实现国家和国际层面的比较。
