Nuño Laura, Guilera Georgina, Rojo Emilio, Gómez-Benito Juana, Barrios Maite
Clinical Institute of Neuroscience (ICN), Hospital Clinic, 08036 Barcelona, Spain.
Department of Social Psychology and Quantitative Psychology, University of Barcelona, 08007 Barcelona, Spain.
J Clin Med. 2021 Sep 17;10(18):4223. doi: 10.3390/jcm10184223.
An integrated and interdisciplinary care system for individuals with schizophrenia is essential, which implies the need for a tool that assesses the difficulties and contextual factors of relevance to their functioning, and facilitates coordinated working across the different professions involved in their care. The International Classification of Functioning, Disability and Health Core Sets (ICF-CS) cover these requirements. This study aimed to evaluate the content validity of the ICF-CSs for schizophrenia from the perspective of experts. Six three-round Delphi studies were conducted with expert panels from different professional backgrounds which have played a significant role in the treatment of individuals with schizophrenia (psychiatry, psychology, nursing, occupational therapy, social work and physiotherapy). In total, 790 experts from 85 different countries participated in the first round. In total, 90 ICF categories and 28 Personal factors reached expert consensus (reached consensus from four or more professional perspectives). All the categories in the brief version of the ICF-CS for schizophrenia reached consensus from all the professional perspectives considered. As for the comprehensive version, 89.7% of its categories reached expert consensus. The results support the worldwide content validity of the ICF-CSs for schizophrenia from an expert perspective and underline the importance of assessing functioning by considering all the components implied.
为精神分裂症患者建立一个综合的、跨学科的护理系统至关重要，这意味着需要一种工具来评估与他们的功能相关的困难和背景因素，并促进参与其护理的不同专业之间的协同工作。《国际功能、残疾和健康分类核心集》（ICF-CS）满足了这些要求。本研究旨在从专家的角度评估ICF-CS对精神分裂症的内容效度。对来自不同专业背景、在精神分裂症患者治疗中发挥重要作用的专家小组进行了六轮德尔菲研究（精神病学、心理学、护理、职业治疗、社会工作和物理治疗）。第一轮共有来自85个不同国家的790名专家参与。共有90个ICF类别和28个个人因素达成了专家共识（从四个或更多专业角度达成共识）。精神分裂症ICF-CS简版中的所有类别在所有考虑的专业角度都达成了共识。至于综合版，其89.7%的类别达成了专家共识。结果从专家角度支持了ICF-CS对精神分裂症的全球内容效度，并强调了通过考虑所有隐含成分来评估功能的重要性。
