European validation of The Comprehensive International Classification of Functioning, Disability and Health Core Set for Osteoarthritis from the perspective of patients with osteoarthritis of the knee or hip

Weigl, Martin; Wild, Heike

doi:10.1080/09638288.2017.1377295

Cited by 12 publications

(4 citation statements)

References 28 publications

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“…These results align with previous studies suggesting the removal of fine hand use (d440) and hand and arm use (d445) for patients undergoing hip or knee arthroplasty. 28 It is noteworthy that all previous assessments of the ICF core set for OA [57][58][59][60] were conducted using the second level categories/items. Our study was the first to use the third level of the OA core set which captures a more comprehensive understanding of patients' functioning in various aspects of daily life.…”

Section: Discussionmentioning

confidence: 99%

“…27,28 Also, it has been validated from both physiotherapists and patient perspectives. 57,60 The OA core set addresses second-level categories, but the survey included third-level activities to ensure a thorough exploration of the individual's participation in diverse life activities using original ICF wording. It is worth noting that an ICF core set for total knee arthroplasty was recently developed, 29 however patients were not involved in the development process.…”

Section: Methodsmentioning

confidence: 99%

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Development and content validation of a questionnaire identifying patients’ functional priorities and abilities after hip or knee arthroplasty

Karimijashni,

Westby,

Ramsay

et al. 2024

Preprint

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Background: To develop a self-report questionnaire evaluating functional priorities after hip or knee arthroplasty and evaluate patients' understanding of its items and conceptual relevance. Methods: A self-report questionnaire was first developed based on the International Classification of Functioning, Disability, and Health (ICF) core set for osteoarthritis (OA). In the second stage, two research physiotherapists thoroughly reviewed and refined the questionnaire, and another physiotherapist conducted cognitive think-aloud interviews with 18 patients to assess the face and content validity of the questionnaire. Results: All categories and corresponding activities of ICF core set for OA were used to develop the questionnaire. Several questionnaire issues were identified and addressed. Most challenges were related to comprehension, followed by item ordering and visual elements. Patients identified ambiguous wording which we subsequently simplified. Ten activities of the core set were excluded due to lack of face validity, two activities were added, and four activities were modified. Conclusion and implication: The findings suggest that the ICF core set for OA needs to be adjusted for patients undergoing hip or knee arthroplasty and highlight the feasibility of applying a modified core set to assess functional priorities after hip or knee arthroplasty.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Development and content validation of a questionnaire identifying patients’ functional priorities and abilities after hip or knee arthroplasty

Karimijashni,

Westby,

Ramsay

et al. 2024

Preprint

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“…As noted by Cieza et al (18), the ICF Core Sets are provisional until they are validated from the various perspectives involved in patient care. Although criteria for validating comprehensive ICF Core Sets have been established by Grill & Stucki (19), methodological variability has been observed in similar studies (20)(21)(22)(23)(24).…”

Section: Lay Abstractmentioning

confidence: 99%

Multicentre cross-sectional study assessing content validity of the International Classification of Functioning, disability and health core set for post-acute musculoskeletal conditions in primary care physiotherapy services

Hernández-Lázaro,

Jiménez-del Barrio,

Ceballos-Laita

et al. 2023

JRM

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Objective: To assess content validity of the comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for post-acute musculoskeletal conditions in primary care physiotherapy services. Design: Multicentre cross-sectional study. Subjects: Patients with musculoskeletal disorders referred to primary care physiotherapy services. Methods: Structured interviews were conducted using categories from the ICF Core Set, and their relevance was assessed using a visual analogue scale. An ICF category had to represent a problem for at least 5% of the sample in order to be validated. Results: The study sample comprised 274 patients. All categories in the ICF Core Set were confirmed. Body functions related to pain and movement were the most commonly impaired, with ICF categories “b280 Sensation of pain” and “b710 Mobility of joint functions” having the highest prevalence (87.2% and 84.7%, respectively). Activity limitations and participation restrictions were concentrated in chapters “d4 Mobility” (63.5% for “d430 Lifting and carrying objects”) and “d2 General tasks and demands” (59.5% for “d240 Handling stress and other psychological demands”). The most relevant environmental factors were “e225 Climate” (55.8%) and “e580 Health services, systems and policies” (39.4%). Conclusion: The ICF Core Set for post-acute musculoskeletal conditions shows appropriate content validity for primary care physiotherapy services.

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“…The impacts of KOA are multidimensional as described by the International Classification of Functioning Disability and Health (ICF), with high prevalence of the following secondary-level categories being reported: sensation of pain (96.3%) and mobility of joint (94.9%) for body function, lower extremity in body structure (93.2%), moving around (93.8%), changing basic body (90.1%), and walking (88.3%) for activity [ 7 ]. Therefore, a variety of tools have been proposed to characterize the impact of KOA for clinical practice, including patient-reported outcomes, clinical features, physical function outcomes and modifiable lifestyle-related outcomes [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Validity of the Osteoarthritis Research Society International (OARSI) recommended performance-based tests of physical function in individuals with symptomatic Kellgren and Lawrence grade 0–2 knee osteoarthritis

Lee

Kao

Liang

et al. 2022

BMC Musculoskelet Disord

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Background Performance-based physical tests have been widely used as objective assessments for individuals with knee osteoarthritis (KOA), and the core set of tests recommended by the Osteoarthritis Research Society International (OARSI) aims to provide reliable, valid, feasible and standardized measures for clinical application. However, few studies have documented their validity in roentgenographically mild KOA. Our goal was to test the validity of five performance-based tests in symptomatic KOA patients with X-ray findings of Kellgren and Lawrence (K-L) grade 0–2. Methods We recruited a convenience sample of thirty KOA patients from outpatient clinics and 30 age- and sex-matched asymptomatic controls from the community. They performed five OARSI-recommended physical tests and the KOA group answered the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index. The tests included the 9-step stair-climbing test (9 s-SCT), timed up and go (TUG) test, 30-second chair-stand test (30sCST), 40-m fast walking-test (40MFPW) and 6-minute walking test (6MWT). The discriminant validity of these physical tests were assessed by comparisons between the KOA and control groups, receiver operating curve and multivariate logistic regression analysis. The convergent/divergent validity was assessed by correlation between the physical tests results and the three subscale scores of the WOMAC in the KOA group. Results The KOA group had significantly worse performance than the control group. The percentage of difference was the largest in the 9 s-SCT (57.2%) and TUG tests (38.4%). Meanwhile, Cohen’s d was above 1.2 for the TUG test and 6MWT (1.2 ~ 2.0), and between 0.8 and 1.2 for the other tests. The areas under the curve to discriminate the two groups were mostly excellent to outstanding, except for the 30sCST. Convergent validity was documented with a moderate correlation between the 9 s-SCT and the physical function (WOMAC-PF) subscale scores (Spearman’s ρ = 0.60). Conclusions The OARSI recommended core set was generally highly discriminative between people with K-L grade 0–2 KOA and their controls, but convergent/divergent validity was observed only in the 9 s-SCT. Further studies are required to evaluate the responsiveness of these tests and understand the discordance of physical performance and self-reported measures.

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European validation of The Comprehensive International Classification of Functioning, Disability and Health Core Set for Osteoarthritis from the perspective of patients with osteoarthritis of the knee or hip

Cited by 12 publications

References 28 publications

Development and content validation of a questionnaire identifying patients’ functional priorities and abilities after hip or knee arthroplasty

Development and content validation of a questionnaire identifying patients’ functional priorities and abilities after hip or knee arthroplasty

Multicentre cross-sectional study assessing content validity of the International Classification of Functioning, disability and health core set for post-acute musculoskeletal conditions in primary care physiotherapy services

Validity of the Osteoarthritis Research Society International (OARSI) recommended performance-based tests of physical function in individuals with symptomatic Kellgren and Lawrence grade 0–2 knee osteoarthritis

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