Abstract
Objective:
To validate the International Classification of Functioning, Disability and Health (ICF) core sets for individuals with spinal cord injury (SCI) in the early post-acute and long-term context from the perspective of occupational therapists (OTs).
Setting:
International
Methods:
OTs experienced in the treatment in SCI were asked about problems, resources and aspects of the environment treated by them, in a three-round electronic mail survey using the Delphi technique. Responses were linked to the ICF by two researchers; kappa coefficient was calculated as statistical measure of agreement.
Results:
In total, 67 experts from 27 countries named 2586 different concepts. For the early post-acute context, 223 concepts were linked to ICF categories. Three ICF categories from the component body function, three ICF categories from the component body structures and five ICF categories from the component activities and participation were not represented in the ICF core set for the early post-acute context with an expert agreement of more than 75%. For the long-term context, 205 concepts were linked to ICF categories. Two ICF categories from the component body function, four ICF categories from the component body structures and two ICF categories from the component activities and participation were not represented in the ICF core set with an expert agreement of more than 75%.
Conclusion:
OTs addressed a vast variety of problems that they take care of in their interventions in persons with SCI. The Comprehensive ICF core sets covered a high percentage of these problems. Further research is necessary on a few aspects that are not included in the ICF core sets for SCI.
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Acknowledgements
This project was funded by Swiss Paraplegic Research, Nottwil, Switzerland. We like to thank the participants in the Delphi survey for their valuable contribution and their time in responding to the demanding questionnaires: Helena Aagaard, Meenakshi Batra, Vijay Batra, Aileen Bergström, Susanne Berner Nielson, Sarah Bogner, Alison Camp, Amanda Carr, Cathy Cooper, Tu Dang Van, Allie Di Marco, Elena Donoso-Brown, Brian Dudgeon, Kimberly Eberhard, Monika Edenhofer, Bettina Enders, Lydia Engelbrecht, Joaquim Faias, Valeria Finarelli, Henrica Fransen-Jaïbi, Sigrun Gardarsdottir, Mireille Goy, Hanne Gregersen, Theresa Gregorio-Torres, Karen Hammell, Cindy Hartley, Martha Horn, Iqbal Hossain, Gera Hulting, Mary Hutchison, Yuh Jang, Raimonda Kavaliauskaitë, Sabine Kerlin, Juliane Kirsch, Zdenko Koscak, Ruth Krahl, Mirijana Kucina, Lene Laier, Laleh Lajevardi, Anne Marie Langan, Rafferty Laredo, Emma Linley, Jana Löhr, Carola Lösel, Caroline Lovey, Angelika Lusser-Gantzer, Alison Mannion, Hui-Fen Mao, Cynthia Nead, Clare Nixon, Soo Oh, Shangdar Maring Ronglo, Vardi Rubin, Claudia Rudhe, Annelie Schedin Leiulfsrud, Ellen Severe, Narges Shafaroudi, Ulla Stoll, Narumon Sumin, Dorinda Taylor, Laura Valsecchi, Michelle Verdonck, Molly Verrier, Johanna Wangdell, Eric Weerts, Wachiraporn Wittayanin, Verena Zappe, Stephanie Zuk. The authors also thank Cristina Bostan from the ICF Research Branch in Munich for her contribution to calculate the kappa coefficient and Anita Henniger for her most helpful support regarding the linking process.
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Herrmann, K., Kirchberger, I., Stucki, G. et al. The comprehensive ICF core sets for spinal cord injury from the perspective of occupational therapists: a worldwide validation study using the Delphi technique. Spinal Cord 49, 600–613 (2011). https://doi.org/10.1038/sc.2010.168
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DOI: https://doi.org/10.1038/sc.2010.168
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