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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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
Summary
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.
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