Rojas M, Guilera G, Arias-Patiño E, Barrios M, Gómez-Benito J
Department of Social Psychology and Quantitative Psychology, Faculty of Psychology, University of Barcelona, Barcelona, Spain.
Group on Measurement Invariance and Analysis of Change (GEIMAC), Institute of Neurosciences, University of Barcelona, Barcelona, Spain.
Disabil Rehabil. 2025 Apr;47(8):1912-1931. doi: 10.1080/09638288.2024.2390047. Epub 2024 Aug 20.
To describe and analyze the methodological characteristics and quality of cross-sectional studies that have validated an ICF-CS.
A systematic review was conducted to identify empirical studies published in English that validated any ICF-CS using a cross-sectional design. Databases searched included Web of Science, Scopus, CINAHL, PubMed, Embase, and PsycINFO. The search was conducted in November 2022 with an update in October 2023. Two independent reviewers coded studies that met the inclusion criteria and assessed their methodological quality and risk of bias using the AXIS tool. Synthesis was performed by calculating frequencies and percentages.
87 articles validating 24 ICF-CSs were analyzed. Most articles showed strengths in consistency between study objectives and the outcome variables measured. However, a large majority did not report sample size calculation (up to 94.2% in Delphi studies), and few validation studies were conducted in the WHO regions of Africa and the Eastern Mediterranean.
The quality of cross-sectional studies validating ICF-CSs was satisfactory, although several articles did not describe aspects such as sample size calculation. Validity evidence for ICF-CS studies could be improved by conducting more multicenter studies, replicating ICF-CS validation studies in different WHO regions, and through synthesis of existing research.
描述和分析已验证国际功能、残疾和健康分类儿童青少年版（ICF-CS）的横断面研究的方法学特征和质量。
进行了一项系统综述，以识别用横断面设计验证任何ICF-CS的英文发表的实证研究。检索的数据库包括科学网、Scopus、护理学与健康领域数据库、PubMed、Embase和心理学文摘数据库。检索于2022年11月进行，并于2023年10月更新。两名独立评审员对符合纳入标准的研究进行编码，并使用AXIS工具评估其方法学质量和偏倚风险。通过计算频率和百分比进行综合分析。
分析了87篇验证24个ICF-CS的文章。大多数文章在研究目标与所测量的结果变量之间的一致性方面表现出优势。然而，绝大多数文章未报告样本量计算（德尔菲研究中高达94.2%），且在世卫组织非洲和东地中海区域进行的验证研究很少。
验证ICF-CS的横断面研究质量令人满意，尽管有几篇文章未描述样本量计算等方面。通过开展更多多中心研究、在世卫组织不同区域重复ICF-CS验证研究以及综合现有研究，可以提高ICF-CS研究的有效性证据。
