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An Integrated Account of Expert Perspectives on Functioning in Schizophrenia
Laura Nuño1,2, Georgina Guilera2,3, Emilio Rojo4,5
1Clinical Institute of Neuroscience (ICN), Hospital Clinic, 08036 Barcelona, Spain.
Journal of Clinical Medicine
|September 28, 2021
Summary
The International Classification of Functioning, Disability and Health Core Sets (ICF-CS) for schizophrenia demonstrate global content validity. These tools are crucial for assessing functioning and coordinating care among professionals treating schizophrenia patients.
Area of Science:
- Rehabilitation Medicine
- Psychiatry
- Health Services Research
Background:
- Integrated, interdisciplinary care is vital for individuals with schizophrenia.
- A tool is needed to assess functioning difficulties and contextual factors for coordinated care.
- The International Classification of Functioning, Disability and Health Core Sets (ICF-CS) can meet these needs.
Purpose of the Study:
- To evaluate the content validity of the ICF-CS for schizophrenia from an expert perspective.
- To ensure the ICF-CS accurately reflects the complexities of schizophrenia care across disciplines.
Main Methods:
- Six three-round Delphi studies were conducted with international expert panels.
- Participants included professionals from psychiatry, psychology, nursing, occupational therapy, social work, and physiotherapy.
- 790 experts from 85 countries participated in the initial round.
Main Results:
- Expert consensus was reached on 90 ICF categories and 28 Personal factors.
- All categories in the brief version of the ICF-CS for schizophrenia achieved consensus from all professional perspectives.
- 89.7% of categories in the comprehensive version reached expert consensus.
Conclusions:
- The ICF-CS for schizophrenia possess worldwide content validity from an expert viewpoint.
- These findings underscore the importance of a holistic approach to assessing functioning in schizophrenia.
- The ICF-CS facilitate coordinated care and interdisciplinary collaboration for schizophrenia patients.
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