Audiological Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Disabil Rehabil. 2022 Jul;44(14):3736-3748. doi: 10.1080/09638288.2021.1878562. Epub 2021 Feb 3.
To investigate and summarize the literature on the validation of International Classification of Functioning, Disability and Health (ICF) core sets from 2001 to 2019 and explore what research methods have been used when validating ICF core sets. The current study is a scoping review using a structured literature search. In total, 66 scientific articles were included, of which 23 ICF core sets were validated. Most validation studies were conducted in Europe using a quantitative methodology and were validated from the perspective of patients. Analysis methods differed considerably between the studies, and most ICF core sets were validated only once for a single target population or from a single perspective. The comprehensive core sets were validated more often than the brief core sets, and core sets for stroke and low back pain were validated most often. The results of the current study show that only 66% of the existing ICF core sets are validated. Many of the validation studies are conducted in a European context and from a single perspective. More validation studies of ICF core sets from the perspective of both patients and professionals are needed.Implications for rehabilitationICF core sets aim to facilitate assessments in clinical settings and research.Validation studies indicate in general that the ICF core sets are valid and relevant for patients and professionals in the specific areas explored and thus can be used in rehabilitation settings.To improve the quality of ICF core sets, more validation studies are needed for ICF core sets not yet tested and for ICF core sets that have been validated only in one study or for one specific population or target group.
调查和总结 2001 年至 2019 年期间《国际功能、残疾和健康分类》（ICF）核心组验证的文献，并探讨在验证 ICF 核心组时使用了哪些研究方法。本研究采用结构化文献检索，对文献进行了范围界定综述。共纳入 66 篇科学文章，其中验证了 23 个 ICF 核心组。大多数验证研究在欧洲进行，采用定量方法，从患者角度进行验证。研究之间的分析方法差异很大，大多数 ICF 核心组仅针对单一目标人群或单一角度进行了一次验证。综合核心组比简短核心组更常被验证，而针对中风和腰痛的核心组则最常被验证。本研究结果表明，现有 ICF 核心组中只有 66%经过验证。许多验证研究是在欧洲背景下和从单一角度进行的。需要更多从患者和专业人员的角度对 ICF 核心组进行验证研究。
ICF 核心组旨在促进临床环境和研究中的评估。验证研究表明，在特定领域探索的情况下，ICF 核心组通常对患者和专业人员有效且相关，因此可以在康复环境中使用。为了提高 ICF 核心组的质量，需要对尚未经过测试的 ICF 核心组以及仅在一项研究中或针对特定人群或目标群体进行过验证的 ICF 核心组进行更多验证研究。
