Kaech Moll Veronika M, Escorpizo Reuben, Portmann Bergamaschi Ruth, Finger Monika E
V.M. Kaech Moll, PT, MScPT, School of Health Professions, Institute of Physiotherapy, Zurich University of Applied Sciences, Winterthur, Switzerland, and ICF Unit, Swiss Paraplegic Research (SPF), Guido A. Zäch Strasse 2, 6207 Nottwil/LU, Switzerland.
R. Escorpizo, PT, DPT, MSc, ICF Unit, Swiss Paraplegic Research (SPF), and Department of Rehabilitation and Movement Science, University of Vermont, Burlington, Vermont.
Phys Ther. 2016 Aug;96(8):1262-75. doi: 10.2522/ptj.20150365. Epub 2016 Feb 4.
The Comprehensive ICF Core Set for vocational rehabilitation (VR) is a list of essential categories on functioning based on the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF), which describes a standard for interdisciplinary assessment, documentation, and communication in VR.
The aim of this study was to examine the content validity of the Comprehensive ICF Core Set for VR from the perspective of physical therapists.
A 3-round email survey was performed using the Delphi method.
A convenience sample of international physical therapists working in VR with work experience of ≥2 years were asked to identify aspects they consider as relevant when evaluating or treating clients in VR. Responses were linked to the ICF categories and compared with the Comprehensive ICF Core Set for VR.
Sixty-two physical therapists from all 6 WHO world regions responded with 3,917 statements that were subsequently linked to 338 ICF categories. Fifteen (17%) of the 90 categories in the Comprehensive ICF Core Set for VR were confirmed by the physical therapists in the sample. Twenty-two additional ICF categories were identified that were not included in the Comprehensive ICF Core Set for VR.
Vocational rehabilitation in physical therapy is not well defined in every country and might have resulted in the small sample size. Therefore, the results cannot be generalized to all physical therapists practicing in VR.
The content validity of the ICF Core Set for VR is insufficient from solely a physical therapist perspective. The results of this study could be used to define a physical therapy-specific set of ICF categories to develop and guide physical therapist clinical practice in VR.
职业康复综合国际功能、残疾和健康分类（ICF）核心集是一份基于世界卫生组织（WHO）国际功能、残疾和健康分类（ICF）的功能基本类别清单，它描述了职业康复中跨学科评估、记录和沟通的标准。
本研究旨在从物理治疗师的角度检验职业康复综合ICF核心集的内容效度。
采用德尔菲法进行三轮电子邮件调查。
选取有≥2年工作经验的从事职业康复工作的国际物理治疗师作为便利样本，要求他们确定在职业康复中评估或治疗客户时认为相关的方面。将回答与ICF类别相关联，并与职业康复综合ICF核心集进行比较。
来自世界卫生组织所有6个世界区域的62名物理治疗师回复了3917条陈述，这些陈述随后与338个ICF类别相关联。职业康复综合ICF核心集中90个类别中的15个（17%）得到了样本中物理治疗师的确认。另外还确定了22个未包含在职业康复综合ICF核心集中的ICF类别。
物理治疗中的职业康复在每个国家的定义并不明确，这可能导致样本量较小。因此，结果不能推广到所有从事职业康复的物理治疗师。
仅从物理治疗师的角度来看，职业康复ICF核心集的内容效度不足。本研究结果可用于定义一套特定于物理治疗的ICF类别，以发展和指导物理治疗师在职业康复中的临床实践。
