Towards the system-wide implementation of the International Classification of Functioning, Disability, and Health in routine clinical practice: Empirical findings of a pilot study from Mainland China

The aims of this study were to evaluate the feasibility of using the International Classification of Functioning, Disability and Health (ICF) Generic Set in routine clinical practice, and of creating a functioning score based on it, and, subsequently, to examine its sensitivity to change. In this pr...

Full description

Saved in:
Bibliographic Details
Published in:Journal of rehabilitation medicine 2016-06, Vol.48 (6), p.515-521
Main Authors: Reinhardt, Jan D, Zhang, Xia, Prodinger, Birgit, Ehrmann-Bostan, Cristina, Selb, Melissa, Stucki, Gerold, Li, Jianan
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult
China
Classification
Clinical medicine
Cohort analysis
Confidence intervals
Disability
Disability Evaluation
Disabled Persons - rehabilitation
Employment
Feasibility
Hospitalization
Humans
International Classification of Functioning, Disability and Health - classification
Pilot Projects
Prospective Studies
Rasch model
Statistical significance
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The aims of this study were to evaluate the feasibility of using the International Classification of Functioning, Disability and Health (ICF) Generic Set in routine clinical practice, and of creating a functioning score based on it, and, subsequently, to examine its sensitivity to change. In this prospective cohort study, data from 761 adult inpatients from 21 Chinese hospitals were analysed. Each patient was assessed at admission and discharge. Feasibility was evaluated by analysing mean assessment time. The Rasch model was used to create a metric of functioning. Sensitivity to change was analysed with mixed-effects regression and by calculating standardized effect size based on Cohen's f2. Mean duration of assessment was 5.3 min, with a significant decrease between admission and discharge. After removal of the item remunerative employment, the remaining ICF Generic Set categories fitted the Rasch model well. With a mean improvement in functioning of 12.1 (95% confidence interval (95% CI): 11.5-12.6), this metric proved sensitive to change, both in terms of statistical significance (p 
ISSN:1650-1977
1651-2081
DOI:10.2340/16501977-2102