Identifying and linking prosthetic outcomes to the ICF framework: a step to inform the benefits measured in prosthetic health economic evaluations

Clarke, Leigh; Ridgewell, Emily; Dillon, Michael P.

doi:10.1080/09638288.2022.2049902

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…A number of refinements were made to the studyspecific linking rules, particularly at the end of round 1, which helped improve agreement in subsequent rounds (13). We provide the following insights of refinements and lessons learnt from adopting the sequential iterative linking method.…”

Section: Refinements To the Study-specific Linking Rules To Improve I...mentioning

confidence: 99%

“…A summary of the Part 1 method has been reported here; acknowledge that a more comprehensive description has previously been published (13).…”

Section: Part 1: Identify Outcomes Measured In Prosthetic Researchmentioning

confidence: 99%

“…linking rule 2), ensuring researchers considered the context in which the outcome was used (4). The customized ICF linking rules have been published previously (13).…”

Section: Customization Of International Classification Of Functioning...mentioning

confidence: 99%

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Inter-Rater Reliability of Novice Linkers Using an Innovative Sequential Iterative Linking Method to Link Prosthetic Outcomes to The International Classification of Functioning, Disability and Health

Clarke¹,

Ridgewell²,

Li³

et al. 2023

JRM

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Objective: When linking outcomes to the International Classification of Functioning, Disability and Health (ICF), inter-rater reliability is typically assessed at the conclusion of the linking process. This method does not allow for iterative evaluation and adaptations that would improve inter-rater reliability as novices gain experience. This pilot study aims to quantify the inter-rater reliability of novice linkers when using an innovative, sequential, iterative linking method to link prosthetic outcomes to the ICF.Methods: Across 5 sequential rounds, 2 novices independently linked outcomes to the ICF. A consensus discussion followed each round that informed refinement of the customized ICF linking rules. The inter-rater reliability was calculated for each round using Gwet’s agreement coefficient (AC1).Results: A total of 1,297 outcomes were linked across 5 rounds. At the end of round 1 inter-rater reliability was high (AC1 = 0.74, 95% confidence interval (95% CI) 0.68–0.80). At the end of round 3, interrater reliability (AC1 = 0.84, 95% CI 0.80–0.88) was significantly improved and marked the point of consistency where further improvements in inter-rater reliability were not statistically significant.Conclusion: A sequential iterative linking method provides a learning curve that allows novices to achieve high-levels of agreement through consensus discussion and iterative refinement of the customized ICF linking rules. LAY ABSTRACTOutcomes are commonly used in healthcare and research to evaluate the effect of an intervention or treatment, such as the effect a prosthesis has on the ability to walk in the community or participate in activities. Cataloguing outcomes using well-established classification systems, such as the International Classification of Functioning, Disability and Health, is important, as it allows outcomes and research to be described using an internationally understood and agreed language. This study aimed to describe an innovative approach to cataloguing outcomes to the ICF, using a method that provides novices with a learning opportunity. In using this innovative method novices were able to catalogue outcomes to the ICF framework with a similar degree of reliability as experts. This will reduce the barriers to novices conducting this type of research in the future.

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Section: Refinements To the Study-specific Linking Rules To Improve I...mentioning

confidence: 99%

“…A summary of the Part 1 method has been reported here; acknowledge that a more comprehensive description has previously been published (13).…”

Section: Part 1: Identify Outcomes Measured In Prosthetic Researchmentioning

confidence: 99%

See 1 more Smart Citation

Inter-Rater Reliability of Novice Linkers Using an Innovative Sequential Iterative Linking Method to Link Prosthetic Outcomes to The International Classification of Functioning, Disability and Health

Clarke¹,

Ridgewell²,

Li³

et al. 2023

JRM

View full text Add to dashboard Cite

show abstract

Development of a Core Outcome Set for users and funders of lower-limb prosthetic interventions (PI-COS): a step to inform the benefits measured in prosthetic health economic evaluations

Clarke,

Ridgewell,

Dillon

2023

Disability and Rehabilitation

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Content comparison of utility and effectiveness instruments to the Prosthetic Interventions Core Outcome Set: a step to inform the benefits measured in lower-limb prosthetic health economic evaluations

Clarke,

Ridgewell,

Dillon

2024

Disability and Rehabilitation

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Identifying and linking prosthetic outcomes to the ICF framework: a step to inform the benefits measured in prosthetic health economic evaluations

Cited by 4 publications

References 23 publications

Inter-Rater Reliability of Novice Linkers Using an Innovative Sequential Iterative Linking Method to Link Prosthetic Outcomes to The International Classification of Functioning, Disability and Health

Inter-Rater Reliability of Novice Linkers Using an Innovative Sequential Iterative Linking Method to Link Prosthetic Outcomes to The International Classification of Functioning, Disability and Health

Development of a Core Outcome Set for users and funders of lower-limb prosthetic interventions (PI-COS): a step to inform the benefits measured in prosthetic health economic evaluations

Content comparison of utility and effectiveness instruments to the Prosthetic Interventions Core Outcome Set: a step to inform the benefits measured in lower-limb prosthetic health economic evaluations

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