Mapping the rehabilitation interventions of a community stroke team to the extended International Classification of Functioning, Disability and Health Core Set for Stroke

Evans, Melissa; Hocking, Clare; Kersten, Paula

doi:10.1080/09638288.2016.1239763

Cited by 8 publications

(9 citation statements)

References 28 publications

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“…The importance of using outcome measures providing a more complete and comprehensive picture of recovery is in accordance with a growing number of studies that underline application of the International Classification of Functions (ICF) framework [39] when targeting rehabilitation goals for individual patients in terms of function, capabilities and participation [40][41][42][43].…”

Section: Discussionmentioning

confidence: 99%

Recovery in cognitive motor dissociation after severe brain injury: A cohort study

Jöhr¹,

Halimi²,

Pasquier

et al. 2020

PLoS ONE

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Objective To investigate the functional and cognitive outcomes during early intensive neurorehabilitation and to compare the recovery patterns of patients presenting with cognitive motor dissociation (CMD), disorders of consciousness (DOC) and non-DOC. Methods We conducted a single center observational cohort study of 141 patients with severe acquired brain injury, consecutively admitted to an acute neurorehabilitation unit. We divided patients into three groups according to initial neurobehavioral diagnosis at admission using the Coma Recovery Scale-Revised (CRS-R) and the Motor Behavior Tool (MBT): potential clinical CMD, [N = 105]; DOC [N = 19]; non-DOC [N = 17]). Functional and cognitive outcomes were assessed at admission and discharge using the Glasgow Outcome Scale, the Early Rehabilitation Barthel Index, the Disability Rating Scale, the Rancho Los Amigos Levels of Cognitive Functioning, the Functional Ambulation Classification Scale and the modified Rankin Scale. Confirmed recovery of conscious awareness was based on CRS-R criteria. Results CMD patients were significantly associated with better functional outcomes and potential for improvement than DOC. Furthermore, outcomes of CMD patients did not differ significantly from those of non-DOC. Using the CRS-R scale only; approximatively 30% of CMD patients did not recover consciousness at discharge. Interpretation Our findings support the fact that patients presenting with CMD condition constitute a separate category, with different potential for improvement and functional outcomes than patients suffering from DOC. This reinforces the need for CMD to be urgently recognized, as it may directly affect patient care, influencing life-or-death decisions.

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Section: Discussionmentioning

confidence: 99%

Recovery in cognitive motor dissociation after severe brain injury: A cohort study

Jöhr¹,

Halimi²,

Pasquier

et al. 2020

PLoS ONE

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“…Other significant exclusions were d415 maintaining body position and d410 changing basic body position in ICF Brief Core Set for stroke, d430 lifting and carrying in ICF Brief Core Set for COPD and d640 Doing housework in ICF Brief Core Set for musculoskeletal condition musculoskeletal condition for early post-acute rehabilitation. These findings are unlikely to be unique to a Nepali context since the ICF Activities and Participation categories derived from this sample are comparable to categories reported in participants with SCI in China [33], stroke in India [16] and New Zealand [34], and musculoskeletal conditions in New Zealand [22]. However, important categories included in the Brief or Comprehensive Core Sets, such as d240 Handling stress or other psychological demands or d770 Intimate relationships, were not mentioned by participants.…”

Section: Discussionmentioning

confidence: 71%

Content validity of the Brief and Comprehensive ICF Core Sets for common disabling conditions in a developing country

Pathak

Abbott

Sharma

et al. 2021

International Journal of Rehabilitation Research

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The International Classification of Functioning, Disability and Health (ICF) features associated tools, the Brief and Comprehensive ICF Core Sets. These are designed to be universally applicable, but have limited evidence of content validity (i.e. comprehensiveness and relevance) in low income, non-Western countries. In this cross-sectional study, we aimed to assess the content validity of the ICF Core Sets in Nepal. We interviewed 161 participants with stroke, spinal cord injury (SCI), chronic obstructive pulmonary disease (COPD), and musculoskeletal conditions and asked them to identify activities they had difficulty performing due to their health condition. We mapped 544 participant responses to the ICF and assessed if these ICF categories were represented in the respective ICF core sets. The Comprehensive Core Sets for stroke, COPD, SCI, and musculoskeletal conditions contained more items identified by participants than the respective Brief Core Sets (e.g., 89% vs. 26% in stroke). Among ICF categories that represented at least 5% of participants’ responses, the Brief Core Sets covered 40%–71% of participants’ responses whereas the Comprehensive Core Sets covered 67%–100% of responses. This is the first study to evaluate the content validity of the ICF Brief and Comprehensive core sets in Nepali individuals with stroke, SCI, MSK conditions, and COPD. The Comprehensive Core Sets for stroke, COPD, and SCI have adequate content validity for use in clinical practice and research in Nepal; the Brief Core Sets may not adequately meet local and individual needs unless supplemented with additional ICF categories.

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“…The action of selecting an intervention target automatically selected an EICSS code. The list of intervention targets and pre-determined ICF codes were drawn from an earlier study by ME and colleagues that investigated interventions and targets of intervention in a similar community stroke service (6). There could be more than one target function per intervention.…”

Section: Data Extraction and Codingmentioning

confidence: 99%

“…This type of issue would not have occurred if linkers had discussed how to interpret the aim of the intervention prior to coding or if linkers had regular meetings to compare coding of the same patient file. (6) The Excel spread sheet used to record the intervention, and select the target of the intervention from a drop down list, may have increased the complexity of coding. This is because the wording in the drop down list was written in natural language rather than ICF terminology.…”

Section: Interventionsmentioning

confidence: 99%

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Inter-rater agreement when linking stroke interventions to the extended international classification of functioning, disability and health core set for stroke

Evans

Sykes

Hocking

et al. 2021

Disability and Rehabilitation

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Method: Using 10 patient files, two linkers independently extracted interventions and linked the target of the intervention to relevant functions in the ICF. The percentage agreement of extracted interventions and the ICF codes was calculated. Non-matching interventions and codes were further analysed to determine the reasons for poor agreement. Results: 518 interventions were extracted, with 44.01% agreement between the two linkers. Of the non-agree codes and interventions, 43.79 % were due to mismatched ICF codes and 56.20% were due to mismatched interventions. Differences were due to linkers a) extracting interventions from different parts of the patient note b) differences in interpreting the target of the intervention, and c) choosing a different code with similar meaning. Conclusion:Greater reliability when linking interventions to ICF codes can be achieved by; health services using a consistent progress note that uses ICF language, recording the intervention aim, linkers knowing the aims of each discipline's interventions and using multiple reliability checks and analysis to inform the linking method.

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Mapping the rehabilitation interventions of a community stroke team to the extended International Classification of Functioning, Disability and Health Core Set for Stroke

Cited by 8 publications

References 28 publications

Recovery in cognitive motor dissociation after severe brain injury: A cohort study

Recovery in cognitive motor dissociation after severe brain injury: A cohort study

Content validity of the Brief and Comprehensive ICF Core Sets for common disabling conditions in a developing country

Inter-rater agreement when linking stroke interventions to the extended international classification of functioning, disability and health core set for stroke

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