Gómez-Benito Juana, Guilera Georgina, Barrios Maite, Rojo Emilio, Pino Oscar, Gorostiaga Arantxa, Balluerka Nekane, Hidalgo María Dolores, Padilla José Luis, Benítez Isabel, Selb Melissa
a Department of Behavioral Sciences Methods , University of Barcelona , Barcelona , Spain.
b Institute of Neurosciences , University of Barcelona , Barcelona , Spain.
Disabil Rehabil. 2018 Nov;40(23):2756-2766. doi: 10.1080/09638288.2017.1356384. Epub 2017 Jul 30.
Based on the International Classification of Functioning, Disability and Health (ICF), this paper presents the results of the process to develop the Comprehensive and Brief Core Sets for schizophrenia that allow to comprehensively describe functioning in persons with schizophrenia.
Twenty health professionals from diverse backgrounds participated in a formal and iterative decision-making process during an international consensus conference to develop these Core Sets. The conference was carried out based on evidence gathered from four preparatory studies (systematic literature review, qualitative study, expert survey, and empirical study). The first step of this decision-making and consensus process comprised of discussions and voting in working groups and plenary sessions to develop the comprehensive version. The categories of the Comprehensive ICF Core Set for schizophrenia served as the basis for the second step -a ranking and cutoff procedure to decide on the brief version.
Of the 184 candidate categories identified in the preparatory studies, 97 categories were included in the Comprehensive Core Set for schizophrenia. A total of 25 categories were selected to constitute the Brief Core Set.
The formal decision-making and consensus process integrating evidence from four preparatory studies and expert opinion led to the first version of the Core Sets for schizophrenia. Comprehensive and Brief Core Sets for schizophrenia may provide a common language among different health professionals and researchers, and a basic international standard of what to measure, report, and assess the functioning of persons with schizophrenia. Implications for rehabilitation Schizophrenia is a chronic mental disorder that has a tremendous impact on functioning and daily life of persons living with the disorder. The International Classification of Functioning, Disability and Health (ICF) offers an internationally recognized standard for describing the functioning status of these individuals. The Core Sets for schizophrenia have potential use in supporting rehabilitation practice such as for planning mental health services and other interventions or defining rehabilitation goals, and documenting patient care. The Core Sets for schizophrenia may also be used to promote interdisciplinary coordination and facilitate communication between members of a multidisciplinary rehabilitation team. Rehabilitation research is another potential area of application of the Core Sets for schizophrenia. This is valuable, since rehabilitation research provides crucial evidence for optimizing rehabilitation practice.
基于《国际功能、残疾和健康分类》（ICF），本文介绍了用于全面描述精神分裂症患者功能状况的精神分裂症综合核心集和简要核心集的制定过程结果。
来自不同背景的20名卫生专业人员在一次国际共识会议期间参与了一个正式且反复的决策过程，以制定这些核心集。该会议是基于从四项预备性研究（系统文献综述、定性研究、专家调查和实证研究）中收集的证据开展的。这个决策和共识过程的第一步包括在工作组和全体会议中进行讨论和投票，以制定综合版本。精神分裂症综合ICF核心集的类别作为第二步的基础——一个用于确定简要版本的排序和截断程序。
在预备性研究中确定的184个候选类别中，97个类别被纳入精神分裂症综合核心集。总共选择了25个类别构成简要核心集。
整合四项预备性研究的证据和专家意见的正式决策和共识过程产生了精神分裂症核心集的第一版。精神分裂症综合核心集和简要核心集可为不同卫生专业人员和研究人员提供一种通用语言，以及衡量、报告和评估精神分裂症患者功能状况的基本国际标准。对康复的意义精神分裂症是一种慢性精神障碍，对患者的功能和日常生活有巨大影响。《国际功能、残疾和健康分类》（ICF）为描述这些个体的功能状况提供了国际公认的标准。精神分裂症核心集在支持康复实践方面具有潜在用途，例如用于规划心理健康服务和其他干预措施、确定康复目标以及记录患者护理情况。精神分裂症核心集还可用于促进跨学科协调，并便利多学科康复团队成员之间的沟通。精神分裂症核心集的另一个潜在应用领域是康复研究。这很有价值，因为康复研究为优化康复实践提供了关键证据。
