Laura Nuño, PhD, is Clinical Psychologist, Clinical Institute of Neurosciences, Hospital Clinic of Barcelona, Barcelona, Spain;
Georgina Guilera, PhD, is Professor, Institute of Neurosciences and Department of Social Psychology and Quantitative Psychology, University of Barcelona, Barcelona, Spain.
Am J Occup Ther. 2021 Mar-Apr;75(2):7502205060p1-7502205060p10. doi: 10.5014/ajot.2021.041509.
The International Classification of Functioning, Disability and Health (ICF) Core Sets (CSs) for schizophrenia are sets of ICF categories that are relevant specifically to the functioning and disability of people with schizophrenia.
To identify the problems occupational therapists commonly encounter when treating people with schizophrenia and to validate the ICF-CSs for schizophrenia from their perspective.
Three-round Delphi study using online surveys distributed to occupational therapists worldwide. Participants were asked which problems with functioning they considered most relevant when treating people with schizophrenia.
Occupational therapists experienced in the treatment of people with schizophrenia.
Responses were linked to the ICF categories by two trained health professionals, and a statistical measure of agreement and κ coefficient were calculated.
Ninety-two occupational therapists from 29 countries in all six World Health Organization regions named 2,527 meaningful concepts. After the linking process, 121 ICF categories and 31 Personal Factors were presented to the expert panel, who reached consensus (agreement of ≥75%) on 97 ICF categories and 27 Personal Factors. Consensus was reached on the 25 categories in the Brief ICF-CS for schizophrenia and 89 of the 97 categories in the Comprehensive ICF-CS for schizophrenia.
The ICF Core Sets for schizophrenia were validated from the perspective of occupational therapists and are potentially useful tools for clinical practice because they cover a wide variety of problems that occupational therapists deal with in interventions with people with schizophrenia.
The ICF-CSs for schizophrenia are useful guides for describing and classifying functioning, disability, and health to aid occupational therapy intervention with people with schizophrenia. Occupational therapists are essential in the rehabilitation of this client population, and their perspective has contributed to the development and enrichment of the ICF-CSs for schizophrenia.
《国际功能、残疾和健康分类（ICF）精神分裂症核心分类集（CSs）》是一组与精神分裂症患者的功能和残疾特别相关的 ICF 类别。
确定职业治疗师在治疗精神分裂症患者时通常遇到的问题，并从他们的角度验证精神分裂症的 ICF-CSs。
这是一项三轮在线调查的德尔菲研究，向全球的职业治疗师发放。参与者被要求在治疗精神分裂症患者时，考虑哪些功能障碍问题最相关。
具有精神分裂症患者治疗经验的职业治疗师。
两名经过培训的健康专业人员将回复与 ICF 类别联系起来，并计算了一致性的统计测量和κ系数。
来自六大世界卫生组织区域的 29 个国家的 92 名职业治疗师共命名了 2527 个有意义的概念。在链接过程之后，121 个 ICF 类别和 31 个个人因素呈现给专家小组，专家小组对 97 个 ICF 类别和 27 个个人因素达成了共识（同意率≥75%）。共识达成了对精神分裂症简短 ICF-CS 中的 25 个类别和精神分裂症全面 ICF-CS 中的 89 个类别的共识。
从职业治疗师的角度验证了精神分裂症的 ICF 核心集，并且它们是临床实践的潜在有用工具，因为它们涵盖了职业治疗师在与精神分裂症患者进行干预时遇到的各种问题。
精神分裂症的 ICF-CSs 是描述和分类功能、残疾和健康的有用指南，有助于职业治疗师对精神分裂症患者进行干预。职业治疗师是这一患者群体康复的重要组成部分，他们的观点为精神分裂症的 ICF-CSs 的发展和丰富做出了贡献。
