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Linking the Pre-Assessment Information Form (PIF) to the ICF: Enhancing Standardized Functional Assessment in
Fernanda Botta Tarallo Rogatto1, Érica Tardelli Neves Guelfi1, Vívian Elaine Vargas Alflen2
1Department of Physiotherapy, Associação Brasil Parkinson, São Paulo, São Paulo, Brazil.
Summary
This study links the Pre-Assessment Information Form (PIF) items to the International Classification of Functioning, Disability and Health (ICF) categories. This provides a standardized framework for documenting functioning in people with Parkinson's disease (pwPD).
Area of Science:
- Rehabilitation Science
- Health Informatics
- Medical Classification Systems
Background:
- Standardized documentation of functioning in people with Parkinson's disease (pwPD) is crucial for cross-service and international comparability.
- The International Classification of Functioning, Disability and Health (ICF) offers a standardized framework for this purpose.
- Existing European Physiotherapy Guideline recommended instruments for pwPD have not been previously mapped to ICF categories.
Purpose of the Study:
- To systematically link items from the Pre-Assessment Information Form (PIF) to ICF categories.
- To utilize refined linking rules for accurate and consistent mapping.
- To establish a structured description of functioning relevant to pwPD.
Main Methods:
- A methodological study involving two independent evaluators with ICF expertise.
- Application of 10 refined ICF linking rules to 26 PIF items.
- Independent and blinded evaluation, with disagreements resolved by a third evaluator.
Main Results:
- Moderate initial inter-rater agreement (Kappa = 0.42-0.54) across ICF taxonomy levels.
- 26 PIF items were linked to 25 unique ICF categories and 34 concepts.
- The majority of linked categories fell under Activities and Participation (84.0%), particularly Mobility (d4, 66.7%), and Body Functions (16.0%).
Conclusions:
- The established 25 ICF categories provide a structured representation of mobility and body functions for pwPD.
- This linkage facilitates a more standardized approach to assessing and documenting patient functioning.
- Future steps include applying ICF qualifiers to assess severity and validating in clinical settings.
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