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Operationalization and reliability testing of ICF categories relevant for physiotherapists' interventions in the acute hospital


Grill, E; Gloor-Juzi, T; Huber, E O; Stucki, G (2011). Operationalization and reliability testing of ICF categories relevant for physiotherapists' interventions in the acute hospital. Journal of Rehabilitation Medicine, 43(2):162-173.

Abstract

Objective: To operationalize items based on categories of
the International Classification of Functioning, Disability
and Health (ICF) relevant to patient problems that are addressed by physiotherapeutic interventions in the acute hospital, and to test the reliability of these items when applied by physiotherapists.

Methods: A selection of 124 ICF categories was operationalized in a formal decision-making and consensus process. The reliability of the newly operationalized item list was tested with a cross-sectional study with repeated measurements.

Results: The item writing process resulted in 94 dichotomous
and 30 polytomous items. Data were collected in a convenience sample of 28 patients with neurological, musculoskeletal, cardiopulmonary, or internal organ conditions, requiring physical therapy in an acute hospital. Fifty-six percent of the polytomous and 68% of the dichotomous items had a raw agreement of 0.7 or above, whereas 36% of all polytomous and 34% of all dichotomous items had a kappa coefficient of 0.7 and above.

Conclusion: The study supports that the ICF is adaptable to
professional and setting-specific needs of physiotherapists.
Further research towards the development of reliable instruments for physiotherapists based on the ICF seems justified.

Key words: ICF; classification; reliability; outcome measures; health status assessment.

Objective: To operationalize items based on categories of
the International Classification of Functioning, Disability
and Health (ICF) relevant to patient problems that are addressed by physiotherapeutic interventions in the acute hospital, and to test the reliability of these items when applied by physiotherapists.

Methods: A selection of 124 ICF categories was operationalized in a formal decision-making and consensus process. The reliability of the newly operationalized item list was tested with a cross-sectional study with repeated measurements.

Results: The item writing process resulted in 94 dichotomous
and 30 polytomous items. Data were collected in a convenience sample of 28 patients with neurological, musculoskeletal, cardiopulmonary, or internal organ conditions, requiring physical therapy in an acute hospital. Fifty-six percent of the polytomous and 68% of the dichotomous items had a raw agreement of 0.7 or above, whereas 36% of all polytomous and 34% of all dichotomous items had a kappa coefficient of 0.7 and above.

Conclusion: The study supports that the ICF is adaptable to
professional and setting-specific needs of physiotherapists.
Further research towards the development of reliable instruments for physiotherapists based on the ICF seems justified.

Key words: ICF; classification; reliability; outcome measures; health status assessment.

Citations

8 citations in Web of Science®
8 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Rheumatology Clinic and Institute of Physical Medicine
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2011
Deposited On:24 Jun 2011 08:33
Last Modified:05 Apr 2016 14:56
Publisher:Foundation for Rehabilitation Information
ISSN:1650-1977
Additional Information:Alternativer Titel: Assessment of functioning in the acute hospital: operationalisation and reliability testing of ICF categories relevant for physical therapists interventions
Publisher DOI:10.2340/16501977-0642
PubMed ID:21234517
Permanent URL: http://doi.org/10.5167/uzh-48482

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