School of Public Health and Community Medicine, Faculty of Medicine, University of NSW, Sydney, Australia.
J Rehabil Med. 2013 Sep;45(9):881-7. doi: 10.2340/16501977-1194.
The categories of the International Classification of Functioning , Disability and Health (ICF) could potentially be used as components of outcome measures. Literature demonstrating the psychometric properties of ICF categories is limited.
Determine the agreement and reliability of ICF activities of daily living category scores and compare these to agreement and reliability of the Functional Independence Measure (FIM) item scores.
Two investigators independently reviewed the clinical notes to score the ICF activities of daily living cate-gories, of 100 patients using ICF qualifiers with additional scoring guidelines. The percentage agreement, interrater and intrarater reliability were compared with the matched FIM items scored by a separate set of two investigators using the same methodology. Kappa Statistic was calculated using Med Calc.
ICF interrater reliability as indicated by Kappa values ranging from 0.42 to 0.81 was moderate or better for the eleven self care and mobility categories. The language ICF categories and problem solving generally have fair agreement, with Kappa values ranging from 0.21 for receiving verbal messages to 0.44 for basic social interactions. Absolute agreement was above 72% for all categories. Reliability and agreement of the FIM items was generally lower than the corresponding ICF categories.
The inter-rater and intra-rater reliability and agreement of the ICF activities of daily living categories were comparable or better than the corresponding FIM items. The results of this study provide an indication that the ICF categories could be used as components of rehabilitation outcome measures.
国际功能、残疾和健康分类（ICF）的类别可能可用作结果衡量标准的组成部分。证明 ICF 类别的心理测量特性的文献有限。
确定 ICF 日常生活活动类别评分的一致性和可靠性，并将其与功能性独立性测量（FIM）项目评分的一致性和可靠性进行比较。
两名研究人员独立审查临床记录，使用 ICF 限定词和额外的评分指南对 100 名患者的 ICF 日常生活活动类别进行评分。使用 Med Calc 计算 Kappa 统计量，比较了百分率一致性、组内和组间可靠性与使用相同方法由另一组两名研究人员评分的匹配 FIM 项目。
ICF 组内可靠性的 Kappa 值范围为 0.42 至 0.81，表明 11 个自我护理和移动类别具有中等或更高的可靠性。语言 ICF 类别和解决问题的能力通常具有良好的一致性，Kappa 值范围从接收口头信息的 0.21 到基本社交互动的 0.44。所有类别的绝对一致性均高于 72%。FIM 项目的可靠性和一致性通常低于相应的 ICF 类别。
ICF 日常生活活动类别的组内和组间可靠性和一致性与相应的 FIM 项目相当或更好。这项研究的结果表明，ICF 类别可以用作康复结果衡量标准的组成部分。
