Queri Silvia, Eggart Michael, Wendel Maren, Peter Ulrike
Steinbeis Transferzentrum für Gesundheits- und Sozialforschung, Ravensburg-Weingarten.
Rehabilitation (Stuttg). 2018 Dec;57(6):346-354. doi: 10.1055/s-0043-120903. Epub 2017 Nov 28.
An instrument should have been developed to measure participation as one possible criterion to evaluate inclusion of elderly people with intellectual disability. The ICF was utilized, because participation is one part of health related functioning, respectively disability. Furthermore ICF includes environmental factors (contextual factors) and attaches them an essentially influence on health related functioning, in particular on participation. Thus ICF Checklist additionally identifies environmental barriers for elimination.
A linking process with VINELAND-II yielded 138 ICF items for the Checklist. The sample consists of 50 persons with a light or moderate intellectual disability. Two-thirds are female and the average age is 68. They were directly asked about their perceived quality of life. Additionally, proxy interviews were carried out with responsible staff members concerning necessary support and behavioral deviances. The ICF Checklist was administered twice, once (t2) the current staff member should rate health related functioning at the given time and in addition, a staff member who knows the person at least 10 years before (t1) should rate the former functioning. Content validity was investigated with factor analysis and criterion validity with correlational analysis related to supports need, behavioral deviances and perceived quality of life. Quantitative analysis was validated by qualitative content analysis of patient documentation.
Factor analysis shows logical variable clusters across the extracted factors but neither interpretable factors. The Checklist is reliable, valid related to the chosen criterions and shows the expected age-related shifts. Qualitative analysis corresponds with quantitative data.
CONSEQUENCES/CONCLUSION: ICF Checklist is appropriate to manage and evaluate patient-centered care.
应该开发一种工具来衡量参与度，作为评估智障老年人融入情况的一个可能标准。采用了国际功能、残疾和健康分类（ICF），因为参与是健康相关功能的一部分，也就是残疾的一部分。此外，ICF包括环境因素（背景因素），并认为它们对健康相关功能，特别是对参与有重要影响。因此，ICF清单还能识别出需要消除的环境障碍。
与《温兰德适应行为量表第二版》（VINELAND-II）的关联过程产生了138个用于该清单的ICF项目。样本包括50名轻度或中度智障人士。三分之二为女性，平均年龄为68岁。直接询问他们对生活质量的感受。此外，还与负责的工作人员进行了代理访谈，了解必要的支持和行为偏差情况。ICF清单进行了两次评估，一次（t2）由当前的工作人员对给定时间的健康相关功能进行评分，此外，由至少在10年前就认识该人的工作人员（t1）对其以前的功能进行评分。通过因子分析研究内容效度，通过与支持需求、行为偏差和感知生活质量相关的相关分析研究标准效度。通过对患者文档的定性内容分析对定量分析进行验证。
因子分析显示了提取因子之间的逻辑变量聚类，但没有可解释的因子。该清单可靠，与所选标准相关有效，并显示出预期的年龄相关变化。定性分析与定量数据相符。
结果/结论：ICF清单适用于管理和评估以患者为中心的护理。
