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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Published on: January 15, 2017

The ICF Core Set for stroke from the perspective of physicians: a worldwide validation study using the Delphi

I Lemberg1, I Kirchberger, G Stucki

  • 1Institute for Health and Rehabilitation Sciences (IHRS), Ludwig Maximilian University, Munich, Germany.

European Journal of Physical and Rehabilitation Medicine
|October 8, 2010
PubMed

Insights

Physicians validated the International Classification of Functioning, Disability and Health (ICF) Core Set for stroke. The study confirmed the ICF Core Set

Area of Science:

  • Rehabilitation Medicine
  • Health Services Research
  • Disability Studies

Background:

  • The International Classification of Functioning, Disability and Health (ICF) Core Set for stroke identifies typical functioning problems in stroke patients.
  • This framework aids in standardizing the assessment and management of stroke-related disabilities.

Purpose of the Study:

  • To validate the ICF Core Set for stroke from the perspective of physicians.
  • To assess the relevance and comprehensiveness of the ICF Core Set in clinical practice for stroke patients.

Main Methods:

  • An observational study utilizing the Delphi technique via a three-round electronic mail survey.
  • Eighty-eight physicians experienced in stroke treatment from 30 countries participated.
  • Responses were linked to ICF categories, with agreement assessed using Kappa statistic.

Main Results:

  • Physicians identified 2142 patient problems across all ICF components, linked to 277 ICF categories.
  • High agreement was found (Kappa = 0.68).
  • While 28 ICF categories were not in the core set, only four were deemed important by over 75% of physicians, highlighting minor gaps in specific sensory and functional areas.

Conclusions:

  • The validity of ICF components for Body Structures, Activities and Participation, and Environmental Factors was confirmed.
  • Minor gaps were identified in specific body functions, suggesting areas for future investigation and potential refinement of the ICF Core Set for stroke.
Abstract

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