Department of Speech-Language Pathology and Audiology, Chung Shan Medical University, Taichung City, Taiwan.
Speech and Language Therapy Room, Chung Shan Medical University Hospital, Taichung City, Taiwan.
Disabil Rehabil Assist Technol. 2024 Apr;19(3):658-670. doi: 10.1080/17483107.2022.2115564. Epub 2022 Aug 28.
This study aimed to develop an ICF core set to profile communicative competence in dyadic communication among adults who use communication devices in Taiwan.
The study was conducted following the release of a manual by the World Health Organisation (WHO) on how to develop the International Classification of Functioning, Disability and Health (ICF) core set in three phases: , , and . The helped collect and sort second-level ICF codes into a candidate list based on different perspectives, including (i.e., researchers' perspectives), (i.e., clinical perspectives), (i.e., perspectives of individuals with a health condition), and (i.e., health professionals' perspectives). An ICF core set was developed from the candidate list in through the Delphi technique, and the content validity of this core set was assessed in .
Altogether, 94 s-level ICF codes in the candidate list from the were included in the three rounds of the Delphi technique for . Finally, these 94 s-level ICF codes were validated and included in the core set for , including 28 in , 0 in , 42 in , and 24 in .
The developed ICF core set provides an evaluation tool to profile communicative competence in dyadic communication among adults using communication devices. This core set identifies the gap and future opportunities for further examining the care providers' roles, together with exploring the environmental facilitators and barriers. The implications concerning rehabilitation, limitations, and the way forward are discussed.Implications to RehabilitationThis core set was first developed in the context of Taiwan from the perspectives of adults and professionals who used communication devices to profile communicative competence in dyadic communication.This core set, which can be utilised across health care disciplines, can serve as the foundation for more holistic evaluation, profiling levels of communicative competence in daily dyadic communication among adults who use communication devices.Rehabilitation providers may decide, based on this core set, if communication devices should be proposed for adults again in order to minimise the abandonment of subsidised communication devices.Levels of communicative competence in daily dyadic communication among adults who use communication devices can be profiled through this ICF core set.
本研究旨在为台湾使用沟通辅具之成人的二对二沟通,拟定国际功能、失能与健康分类(ICF)核心组合以描绘沟通能力。
研究遵循世界卫生组织(WHO)发布的手册进行,手册内容为如何分三个阶段发展国际分类系统:、、。这份帮助研究者从不同观点(如研究人员观点、临床观点、有健康状况者观点和健康专业人员观点)收集和整理第二级国际分类系统码至候选清单。候选清单中的项目是透过专家会议(Delphi)技术从清单中选出 ICF 核心组合,并在中评估其内容效度。
共计有 94 个候选清单中的第一级国际分类系统码进入专家会议技术的三回合,最后这 94 个第一级国际分类系统码被验证并包含在核心组合中,其中 28 个在活动与参与领域、0 个在身体结构与功能领域、42 个在身体状况领域、24 个在环境因素领域。
所发展的 ICF 核心组合为评估使用沟通辅具之成人二对二沟通提供一个沟通能力的评估工具。这个核心组合可以确认照护者角色的差距与未来机会,并进一步探讨环境的促进与限制因素。讨论包含康复、限制和未来方向的影响。
这个核心组合首先是从使用沟通辅具的成人和专业人员的观点在台湾发展而来,以描绘使用沟通辅具之成人的二对二沟通的沟通能力。
这个核心组合可以跨医疗照护领域使用,可以作为更全面评估的基础,描绘使用沟通辅具之成人的日常二对二沟通的沟通能力层级。
康复提供者可以根据这个核心组合决定是否再次为成人建议使用沟通辅具,以减少对补助沟通辅具的放弃。
可以使用这个 ICF 核心组合来描绘使用沟通辅具之成人的日常二对二沟通中的沟通能力层级。