Supporting the clinical use of the ICF in Japan – development of the Japanese version of the simple, intuitive descriptions for the ICF Generic-30 set, its operationalization through a rating reference guide, and interrater reliability study

Mukaino, Masahiko; Prodinger, Birgit; Yamada, Shin; Senju, Yuki; Izumi, Shin Ichi; Sonoda, Shigeru; Selb, Melissa; Saitoh, Eiichi; Stucki, Gerold

doi:10.1186/s12913-020-4911-6

Cited by 25 publications

(35 citation statements)

References 28 publications

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“…The pre-implementation retrospective audit showed that the majority of clinical concepts documented in the discharge summaries were directly or partially linked to the mPSC items. The World Health Organization (WHO) ICF ClinFIT set has exhaustive categories, in the “body function” and “activity and participation” domains ( 32 ), which describe patients’ functional status comprehensively in inpatient rehabilitation settings and across the continuum of care ( 33 ). Furthermore, it was sensitive to change over time, generating an interval score (EI) (from admission to discharge and 3-month post-discharge), which provided information on various aspects of function and disability.…”

Section: Discussionmentioning

confidence: 99%

A process evaluation of patient care needs using the Post-Stroke Checklist: A prospective study

Amatya

Elmalik²,

Lee³

et al. 2022

JRM

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Objective: To assess the utility of the modified Post-Stroke Checklist (mPSC) to identify impairments and care needs of patients with stroke (PwS) in an inpatient rehabilitation setting. Methods: Prospective observational design with consecutive admission of PwS (n = 44) at a tertiary rehabilitation facility. The post-stroke checklist was administered at hospital discharge (T1) and 3 months post-discharge (T2). Furthermore, validated questionnaires assessed function and participation, including the Clinical Functioning Information Tool (ClinFIT) on admission (T0), T1 and T2. Results: Participants’ mean age was 67.7 years (standard deviation; SD) 14.6), 58% of participants were female, and the mean length of inpatient stay was 32.7 days (SD 22.4). At T1, 80% and at T2 only 60% of participants reported ≥1 stroke-related problem (mean 5.3 (SD 3.3) and 3.6 (SD 2.8), respectively). Half of participants were referred to physiotherapy/occupational therapy, and 36% to specialist clinics following discharge. The most prevalent problems included: life after stroke (62.2%), fatigue (55.6%), activities of daily living, and mobility (51.1% each). Compared with T1, at T2 there was an observed reduction in all mPSC items, except pain and incontinence. Participants showed improved function at T1 and T2 (Extension Index, ClinFIT set), from T0 to T1 and T0 to T2 (p<0.001, with large effect sizes). Conclusion: The mPSC is feasible to implement in an inpatient rehabilitation setting and community. It can identify relevant stroke-related problems, and hence facilitate targeted intervention.

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Section: Discussionmentioning

confidence: 99%

A process evaluation of patient care needs using the Post-Stroke Checklist: A prospective study

Amatya

Elmalik²,

Lee³

et al. 2022

JRM

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“…The development of the reference guide (in combination with the guide described by Mukaino et al which was for activity and participation categories) [ 14 ] has resulted in the completion of the reference guide for all items in the ICF Generic-30 set. This development will support the clinical use of the ICF Generic-30 set and foster its clinical implementation.…”

Section: Discussionmentioning

confidence: 99%

“…The terms “acute”, “subacute”, and “chronic” mentioned above indicate time periods within 14 days, 15 to 120 days, and more than 120 days after onset of the disease, respectively. The Japanese version of the simple, intuitive descriptions of the ICF Generic-30 Set [ 14 ] was used to facilitate the understanding of the category, which also supported the determination of the ratings. The Japanese-language simple, intuitive descriptions of the ICF Generic-30 Set were developed based on an established consensus process that has been promoted by national physical and rehabilitation medicine societies worldwide [ 11 , 18 , 19 ].…”

Section: Methodsmentioning

confidence: 99%

“…To achieve this, in addition to the existing simple guidelines, the development of more concrete complementary explanations would be helpful. To identify the potential for improving the interrater reliability of clinician ratings using ICF core sets, Mukaino et al conducted a multistage study using the activities and participation categories of the ICF Generic-30 Set [ 14 ]. Specifically, a rating guide for the activities and participation categories was developed and modified based on the results of a cognitive interview of clinicians who field tested the guide.…”

Section: Introductionmentioning

confidence: 99%

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Development of a clinical tool for rating the body function categories of the ICF generic-30/rehabilitation set in Japanese rehabilitation practice and examination of its interrater reliability

Senju

Mukaino

Prodinger

et al. 2021

BMC Med Res Methodol

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Background The International Classification of Functioning, Disability, and Health (ICF) Generic-30 (Rehabilitation) Set is a tool used to assess the functioning of a clinical population in rehabilitation. The ICF Generic-30 consists of nine ICF categories from the component “body functions” and 21 from the component “activities and participation”. This study aimed to develop a rating reference guide for the nine body function categories of the ICF Generic-30 Set using a predefined, structured process and to examine the interrater reliability of the ratings using the rating reference guide. Methods The development of the first version of the rating reference guide involved the following steps: (1) a trial of rating patients by several raters; (2) cognitive interviews with each rater to analyze the thought process involved in each rating; (3) the drafting of the rating reference guide by a multidisciplinary panel; and (4) a review by ICF specialists to confirm consistency with the ICF. Subsequently, we conducted a first field test to gain insight into the use of the guide in practice. The reference guide was modified based on the raters’ feedback in the field test, and an inter-rater reliability test was conducted thereafter. Interrater agreement was evaluated using weighted kappa statistics with linear weights. Results The first version of the rating reference guide was successfully developed and tested. The weighted kappa coefficient in the field testing ranged from 0.25 to 0.92. The interrater reliability testing of the rating reference guide modified based on the field test results yielded an improved weighted kappa coefficient ranging from 0.53 to 0.78. Relative improvements in the weighted kappa coefficients were observed in seven out of the nine categories. Consequently, seven out of nine categories were found to have a weighted kappa coefficient of 0.61 or higher. Conclusions In this study, we developed and modified a rating reference guide for the body function categories of the ICF Generic-30 Set. The interrater reliability test using the final version of the rating reference guide showed moderate to substantial interrater agreement, which encouraged the use of the ICF in rehabilitation practice.

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“…Though, ICF Core Sets assist the process of defining what to assess, ICF categories alone are not operational items and may thus be difficult to assess and use in everyday clinical practice. Consequently, further specification of ICF categories in a user-friendly language is required to promote the use of ICF in daily clinical practice (30)(31)(32).…”

Section: Introductionmentioning

confidence: 99%

ICF-Based Assessment of Functioning in Daily Clinical Practice. A Promising Direction Toward Patient-Centred Care in Patients With Low Back Pain

Ibsen

Maribo

Nielsen

et al. 2021

Front. Rehabilit. Sci.

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Background: Patient-centred care has received increased attention in recent years. Patient-Reported Outcomes (PROs) and shared decision-making are key components of Patient-Centred care. Low back pain (LBP) is a complex symptom affected by multiple, interacting factors. Therefore, evidence strongly recommend a biopsychosocial and patient-centred approach in the assessment and management. The International Classification of Functioning, Disability and Health (ICF) provide a biopsychosocial model for describing functioning and disability. ICF is widely acknowledged, but implementation into clinical practice is lacking. To support the use of a biopsychosocial and patient-centred approach in daily clinical practice among patients with LBP we developed a practice-friendly tool based on ICF; the LBP assessment tool.Objective: To compare an ICF-based assessment facilitated by the LBP assessment tool with standard care in terms of the use of PROs and shared decision-making in order to promote patient-centred care in patients with LBP.Methods: A non-randomized controlled design was used. Eligible patients were allocated to one of two groups: the ICF group, assessed with the LBP assessment tool or the control group, assessed with a conventional LBP assessment. Primary outcome includes use of PROs. Secondary outcomes include use of a graphical overview displaying the patient profile and shared decision-making. A patient evaluation questionnaire was used to collect data.Results: Seven hundred ten patients were assessed for eligibility of whom 531 were allocated to the ICF group (n = 299) or the control group (n = 232). A significantly higher use of PRO data (p < 0.00) and the patient profile (p < 0.00) was reported in favor of the ICF group. Patients in the ICF group also experienced being more involved in decision-making (p = 0.01).Conclusions: This study showed that a functioning assessment, by means of the LBP assessment tool, increased use of PROs and shared decision-making when compared to a conventional LBP assessment. Additionally, this study demonstrated that routine use of ICF-based PRO data and shared decision-making promoted patient-centred care in patients with LBP. The LBP assessment tool may be a strong candidate for a user-friendly ICF-based tool with the potential to support health professionals in a shift toward a biopsychosocial and patient-centred approach to patients with LBP.

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Supporting the clinical use of the ICF in Japan – development of the Japanese version of the simple, intuitive descriptions for the ICF Generic-30 set, its operationalization through a rating reference guide, and interrater reliability study

Cited by 25 publications

References 28 publications

A process evaluation of patient care needs using the Post-Stroke Checklist: A prospective study

A process evaluation of patient care needs using the Post-Stroke Checklist: A prospective study

Development of a clinical tool for rating the body function categories of the ICF generic-30/rehabilitation set in Japanese rehabilitation practice and examination of its interrater reliability

ICF-Based Assessment of Functioning in Daily Clinical Practice. A Promising Direction Toward Patient-Centred Care in Patients With Low Back Pain

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