Centre for Musculoskeletal Outcomes Research (CMOR), Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Department of Physiotherapy, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Int J Rehabil Res. 2021 Jun 1;44(2):159-165. doi: 10.1097/MRR.0000000000000470.
The International Classification of Functioning, Disability and Health (ICF) features associated tools, the Brief and Comprehensive ICF Core Sets. These are designed to be universally applicable, but have limited evidence of content validity (i.e. comprehensiveness and relevance) in low income, non-Western countries. In this cross-sectional study, we aimed to assess the content validity of the ICF Core Sets in Nepal. We interviewed 161 participants with stroke, spinal cord injury (SCI), chronic obstructive pulmonary disease (COPD), and musculoskeletal conditions and asked them to identify activities they had difficulty performing due to their health condition. We mapped 544 participant responses to the ICF and assessed if these ICF categories were represented in the respective ICF core sets. The Comprehensive Core Sets for stroke, COPD, SCI, and musculoskeletal conditions contained more items identified by participants than the respective Brief Core Sets (e.g., 89% vs. 26% in stroke). Among ICF categories that represented at least 5% of participants' responses, the Brief Core Sets covered 40%-71% of participants' responses whereas the Comprehensive Core Sets covered 67%-100% of responses. This is the first study to evaluate the content validity of the ICF Brief and Comprehensive core sets in Nepali individuals with stroke, SCI, MSK conditions, and COPD. The Comprehensive Core Sets for stroke, COPD, and SCI have adequate content validity for use in clinical practice and research in Nepal; the Brief Core Sets may not adequately meet local and individual needs unless supplemented with additional ICF categories.
《国际功能、残疾和健康分类》（ICF）配套工具有简短和全面的 ICF 核心分类。这些工具旨在普遍适用，但在低收入、非西方国家，其内容有效性（即全面性和相关性）的证据有限。在这项横断面研究中，我们旨在评估 ICF 核心分类在尼泊尔的内容有效性。我们采访了 161 名患有中风、脊髓损伤（SCI）、慢性阻塞性肺疾病（COPD）和肌肉骨骼疾病的参与者，并询问他们因健康状况而难以完成的活动。我们将 544 名参与者的反应映射到 ICF 上，并评估这些 ICF 类别是否在各自的 ICF 核心分类中得到体现。中风、COPD、SCI 和肌肉骨骼疾病的全面核心分类包含了比各自的简短核心分类更多的参与者确定的项目（例如，中风中的 89%比 26%）。在至少代表 5%的参与者反应的 ICF 类别中，简短核心分类涵盖了 40%-71%的参与者反应，而全面核心分类涵盖了 67%-100%的反应。这是第一项评估 ICF 简短和全面核心分类在尼泊尔中风、SCI、MSK 状况和 COPD 患者中的内容有效性的研究。全面核心分类在中风、COPD 和 SCI 方面具有足够的内容有效性，可在尼泊尔的临床实践和研究中使用；简短核心分类可能无法充分满足当地和个人的需求，除非补充其他 ICF 类别。
