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Validation of the brief International Classification of Functioning, Disability, and Health (ICF) core set for hand
Sandra Kus1, Cornelia Oberhauser, Alarcos Cieza
1Department of Medical Informatics, Biometry and Epidemiology - IBE, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University, Munich, Germany. sandra.kus@med.lmu.de
Insights
The Brief ICF Core Set for Hand Conditions (HC) partially validates functioning, but clinicians should add sleep, nail structure, climate, and attitudes for comprehensive patient assessment.
Area of Science:
- Rehabilitation Medicine
- Health Sciences
- Disability Studies
Background:
- The International Classification of Functioning, Disability and Health (ICF) Core Sets for Hand Conditions (HC) aim to standardize the description of patient functioning.
- The Brief ICF Core Set for HC is a condensed version designed for efficient assessment.
Purpose of the Study:
- To evaluate the content validity of the Brief ICF Core Set for Hand Conditions (HC).
- To determine if the existing categories adequately capture the functioning of patients with hand conditions.
Main Methods:
- A cross-sectional, multi-center study was conducted.
- Patients with hand conditions were interviewed using the Comprehensive ICF Core Set for HC.
- Multiple regression analysis identified ICF categories that explained general health variations.
Main Results:
- 12 out of 23 categories in the Brief ICF Core Set for HC demonstrated content validity.
- Specific categories like 'Sleep functions', 'Structure of nails', 'Climate', and 'Attitudes' were found to be significant.
Conclusions:
- The Brief ICF Core Set for HC is partially validated but may require supplementation.
- Clinicians should consider adding 'sleep functions', 'structure of nails', 'climate', and 'attitudes' for a more holistic assessment, especially in longitudinal patient monitoring.
Study Design:
Cross-sectional multi-centre study.
Introduction:
The ICF Core Sets for Hand Conditions (HC) have been developed to describe functioning of patients with HC.
Purpose Of The Study:
To study the content validity of the Brief ICF Core Set for HC.
Methods:
Patients with HC were interviewed using the Comprehensive ICF Core Set for HC. ICF categories that best explained variation in patients' general health were identified using multiple regression methods.
Results:
Overall, 12 of the 23 ICF categories of the Brief ICF Core Set could be validated. Our analyzes further revealed that the categories "b134 Sleep functions", "s830 Structure of nails", "e225 Climate" as well as categories referring to "e4 Attitudes" also deserve consideration when assessing functioning in patients with HC.
Conclusions:
Clinicians are encouraged to complement the Brief ICF Core Set for HC by adding sleep functions, structure of nails, climate and attitudes, especially when following patients over time.
Level Of Evidence:
Level 3.
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