TY - JOUR
T1 - Developing an ICF core set for post-stroke disability assessment and verification in Taiwan
T2 - A preliminary study
AU - Chang, Kwang Hwa
AU - Chen, Hung Chou
AU - Lin, Yen-Nung
AU - Chen, Shih Ching
AU - Chiou, Hung Yi
AU - Liou, Tsan Hon
N1 - Funding Information:
Declaration of Interest: This study was supported by grant DOH 99M4080 from the Department of Health, Executive Yuan, Taiwan. The authors report no conflicts of interest.
PY - 2012
Y1 - 2012
N2 - Purpose: The purpose of this study was to develop an ICF core set for post-stroke disability assessment and verification of bio-psycho-social problems. Method: Using the Delphi method, a consensus process was conducted. In total, 24 multidisciplinary experts from different institutions completed the consensus process. The questionnaire for the study comprised 144 ICF second-level, stroke-relevant categories. A 5-point Likert-type scale was used by participants to weight the impact of each category on activities of daily life after a stroke. Consensus of ratings was assessed with Spearman's rho and semi-interquartile range indices. The core set for post-stroke disability assessment and verification was developed from those categories with a mean score ≥4.0 found in the third round of the Delphi exercise. Results: The core set for post-stroke disability assessment and verification contained 51 categories. Of these, 18 categories were from the component body functions, one from body structures, 22 from activities and participation, and 10 from environmental factors. The mean (standard deviation) Spearman's rho was 0.72 (0.14), and Cronbach's α was 0.98. Conclusions: The preliminary core set for post-stroke disability assessment and verification can offer comprehensive information on the performance of daily-life activities of chronic stroke survivors. Further validation is required. Implications for Rehabilitation To identify stroke patients with permanent difficulties in Taiwan, the ICF core set for post-stroke disability assessment and verification (PSDV) focused on chronic stroke survivors in the community. The PSDV core set which is closely linked to the Barthel Index and Functional Independence Measure can offer comprehensive information on activities of daily living in stroke patients in Taiwan. With the PSDV core set, stroke patients with hemineglect or dysphagia can be assessed.
AB - Purpose: The purpose of this study was to develop an ICF core set for post-stroke disability assessment and verification of bio-psycho-social problems. Method: Using the Delphi method, a consensus process was conducted. In total, 24 multidisciplinary experts from different institutions completed the consensus process. The questionnaire for the study comprised 144 ICF second-level, stroke-relevant categories. A 5-point Likert-type scale was used by participants to weight the impact of each category on activities of daily life after a stroke. Consensus of ratings was assessed with Spearman's rho and semi-interquartile range indices. The core set for post-stroke disability assessment and verification was developed from those categories with a mean score ≥4.0 found in the third round of the Delphi exercise. Results: The core set for post-stroke disability assessment and verification contained 51 categories. Of these, 18 categories were from the component body functions, one from body structures, 22 from activities and participation, and 10 from environmental factors. The mean (standard deviation) Spearman's rho was 0.72 (0.14), and Cronbach's α was 0.98. Conclusions: The preliminary core set for post-stroke disability assessment and verification can offer comprehensive information on the performance of daily-life activities of chronic stroke survivors. Further validation is required. Implications for Rehabilitation To identify stroke patients with permanent difficulties in Taiwan, the ICF core set for post-stroke disability assessment and verification (PSDV) focused on chronic stroke survivors in the community. The PSDV core set which is closely linked to the Barthel Index and Functional Independence Measure can offer comprehensive information on activities of daily living in stroke patients in Taiwan. With the PSDV core set, stroke patients with hemineglect or dysphagia can be assessed.
KW - Cerebrovascular accident
KW - Classification
KW - Disability
KW - ICF
KW - Stroke
KW - Taiwan
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U2 - 10.3109/09638288.2011.638033
DO - 10.3109/09638288.2011.638033
M3 - Article
C2 - 22149140
AN - SCOPUS:84861644867
SN - 0963-8288
VL - 34
SP - 1254
EP - 1261
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
IS - 15
ER -