Assessment of the external construct validity of the Brief International Classification of Functioning, Disability,

Didem Sezgin Ozcan1, Belma Fusun Koseoglu2, Sinem Kocer Akselim3

  • 1Department of Physical Medicine and Rehabilitation, Medicana International Ankara Hospital, Ankara, Türkiye.

Insights

The Brief International Classification of Functioning, Disability, and Health (ICF) Core Set for chronic ischemic heart disease (CIHD) is validated for Turkish patients. It effectively assesses the broad impact of CIHD, supporting patient-centered care.

Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Health Sciences

Background:

  • Chronic ischemic heart disease (CIHD) significantly impacts patients' daily lives and functioning.
  • A comprehensive assessment tool is needed to understand the multifaceted nature of CIHD's impact.
  • The International Classification of Functioning, Disability, and Health (ICF) provides a standardized framework for such assessments.

Purpose of the Study:

  • To validate the Brief ICF Core Set for CIHD in a Turkish patient population.
  • To identify the most common functional impairments and challenges faced by CIHD patients.
  • To test the construct validity of the Brief ICF Core Set for CIHD through correlation with clinical assessment scales.

Main Methods:

  • A cross-sectional study involving 85 patients diagnosed with CIHD was conducted.
  • The Brief ICF Core Set for CIHD, comprising 36 second-level categories, was administered.
  • Correlations between ICF categories and established clinical assessment scales were analyzed.

Main Results:

  • Key impairments in body functions included heart, blood pressure, and exercise tolerance.
  • The cardiovascular system structure was affected in 97.6% of patients.
  • Activities like moving, employment, and daily routines were frequently problematic, with environmental factors acting as both barriers and facilitators.

Conclusions:

  • The Brief ICF Core Set for CIHD is a valid instrument for evaluating the diverse effects of CIHD in Turkish patients.
  • This validation supports its application in clinical settings for comprehensive, patient-centered CIHD management.
  • A holistic approach is crucial for effectively managing patients with chronic ischemic heart disease.
Abstract

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