Programa de Pós-Graduação de Tecnologia em Saúde, Pontifícia Universidade Católica do Paraná. R. Imaculada Conceição 1155, Prado Velho. 80215-901 Curitiba PR Brasil.
Cien Saude Colet. 2021 Mar;26(3):1137-1152. doi: 10.1590/1413-81232021263.03502019. Epub 2019 Jun 9.
The Visual Analogue Scale (VAS), Roland Morris Disability Questionnaire (RMDQ), Short Form Health Survey (SF-36) are broadly used and had their content linked to ICF by the linking rules of 2002 and 2005. In 2016 were refined and were not applied yet. To apply the refinements of ICF linking rules to VAS, RMDQ, and SF-36. Two health professionals identified the meaningful concepts and linked to the most precise ICF categories and a third triggered in divergences. The degree of agreement was calculated by kappa statistic. There was almost perfect agreement (Kappa=0.93 p<0,001). The main concept of VAS was linked to ICF category b280, the 24 main concepts of RMDQ linked to b28013, and 27 additional linked to other categories. The SF-36 had 36 main concepts and 30 additional concepts identified which 27 were definable by the ICF and 17 do not. From the total of ICF linked concepts, 39 refer to Body Functions, 57 to Activities and Participation and 4 to Environmental Factors. The refinements of linking rules propitiated more clarity in the process to identify, to link instruments content with ICF and to expose the results. Thus, increased the number of identified and linked concepts as well as the categories in the instruments.
视觉模拟评分法（VAS）、罗兰莫里斯残疾问卷（RMDQ）和简明健康调查量表（SF-36）应用广泛，其内容通过 2002 年和 2005 年的链接规则与国际功能、残疾和健康分类（ICF）相联系。2016 年进行了细化，但尚未应用。为了将 ICF 链接规则的细化应用于 VAS、RMDQ 和 SF-36，两名健康专业人员确定了有意义的概念，并将其与 ICF 最精确的类别相联系，第三名专业人员在出现分歧时进行干预。通过 Kappa 统计计算了一致性程度。几乎存在完美的一致性（Kappa=0.93，p<0.001）。VAS 的主要概念与 ICF 类别 b280 相联系，RMDQ 的 24 个主要概念与 b28013 相联系，另外 27 个与其他类别相联系。SF-36 有 36 个主要概念和 30 个额外概念，其中 27 个可由 ICF 定义，17 个不可定义。在与 ICF 相联系的概念中，有 39 个涉及身体功能，57 个涉及活动和参与，4 个涉及环境因素。链接规则的细化在识别、将工具内容与 ICF 联系起来并揭示结果的过程中提供了更多的清晰度。因此，增加了所识别和联系的概念以及工具中类别的数量。
