Aiachini Beatrice, Cremascoli Sonia, Escorpizo Reuben, Pistarini Caterina
a Spinal Unit, IRCCS S. Maugeri Foundation , Pavia , Italy .
b Department of Rehabilitation and Movement Science, University of Vermont , Burlington , VT , USA , and.
Disabil Rehabil. 2016;38(4):337-45. doi: 10.3109/09638288.2015.1041611. Epub 2015 Apr 29.
The International Classification of Functioning, Disability and Health (ICF) Core Set for Vocational Rehabilitation is an application of the ICF of the World Health Organization with the purpose of identifying problems and resources relevant for people in a vocational rehabilitation given a health condition.
The objective of the study was to validate the Comprehensive ICF Core Set for Vocational Rehabilitation from the perspective of patients with spinal cord injury (SCI). The specific aims were to explore the aspects of functioning and health important to patients with SCI regarding return to work and to examine to what extent these aspects are represented by the current version of the Comprehensive ICF Core Set for Vocational Rehabilitation.
Focus group interviews were conducted. The sampling of patients followed the maximum variation strategy. Sample size satisfied saturation criterion. The focus groups were digitally recorded and transcribed verbatim. The meaning condensation procedure was used for the data analysis. After qualitative data analysis, the resulting concepts were linked to ICF categories according to established linking rules.
Twenty-four SCI patients participated in seven focus groups. Sixty-three ICF categories out of 90 ICF categories contained in the Comprehensive ICF Core Set for Vocational Rehabilitation were reported by the patients. Forty-two additional categories that are not covered in the Comprehensive ICF Core Set for Vocational Rehabilitation were found but adding the health condition-specific ICF Core Set for SCI in long-term context, only 11 categories were not covered.
The existing version of the Comprehensive ICF Core Set for Vocational Rehabilitation was confirmed almost entirely by the focus groups to explore the vocational situation of patients with SCI. Implications for Rehabilitation Validation of the ICF Core Set for Vocational Rehabilitation as a useful tool to facilitate social reintegration and rehabilitation of patients with SCI. Return to work is a key outcome in vocational rehabilitation of patients with SCI including those who are young with long-term employment prospects. The results of this study could provide a foundation in utilizing the ICF Core Set for Vocational Rehabilitation to guide rehabilitation goals, service planning and evaluation, and fostering an engaging relationship with employers in the context of SCI rehabilitation. SCI patients have specific needs, not entirely covered by the both ICF Core Set for SCI long-term context and for Vocational Rehabilitation. Our results underline some of the second level categories, probably related to specific SCI impairment, which can be useful to plan specific rehabilitation programs to improve the return to work after SCI.
《国际功能、残疾和健康分类》（ICF）职业康复核心集是世界卫生组织ICF的一种应用，旨在识别在健康状况下与职业康复人群相关的问题和资源。
本研究的目的是从脊髓损伤（SCI）患者的角度验证职业康复综合ICF核心集。具体目标是探讨对SCI患者重返工作重要的功能和健康方面，并检查职业康复综合ICF核心集的当前版本在多大程度上体现了这些方面。
进行了焦点小组访谈。患者抽样遵循最大差异策略。样本量满足饱和标准。焦点小组进行了数字录音并逐字转录。数据分析采用意义浓缩程序。定性数据分析后，根据既定的关联规则将所得概念与ICF类别相关联。
24名SCI患者参加了7个焦点小组。职业康复综合ICF核心集中包含的90个ICF类别中的63个被患者报告。发现了职业康复综合ICF核心集中未涵盖的另外42个类别，但从长期来看，加上针对SCI的特定健康状况ICF核心集，只有11个类别未被涵盖。
职业康复综合ICF核心集的现有版本几乎完全得到焦点小组的认可，可用于探索SCI患者的职业状况。对康复的启示 验证职业康复ICF核心集作为促进SCI患者社会重新融入和康复的有用工具。重返工作是SCI患者职业康复的关键结果，包括那些年轻且有长期就业前景的患者。本研究结果可为利用职业康复ICF核心集指导康复目标、服务规划和评估以及在SCI康复背景下与雇主建立积极关系提供基础。SCI患者有特定需求，这在针对SCI的长期ICF核心集和职业康复ICF核心集中都未完全涵盖。我们的结果强调了一些二级类别，可能与特定的SCI损伤有关，这对于规划特定的康复计划以改善SCI后的重返工作可能有用。
