The International Classification of Functioning, Disability and Health: development of capacity and performance scales

被引：27

作者：

Almansa, Josue ^{[1
]}

Luis Ayuso-Mateos, Jose ^{[2
,3
]}

Garin, Olatz ^{[1
,4
]}

Chatterji, Somnath ^{[5
]}

Kostanjsek, Nenad ^{[5
]}

Alonso, Jordi ^{[1
,4
]}

Maria Valderas, Jose ^{[4
,6
]}

Cieza, Alarcos ^{[7
]}

Raggi, Alberto ^{[8
]}

Svestkova, Olga ^{[9
]}

Burger, Helena ^{[10
]}

Racca, Vittorio ^{[11
]}

Vieta, Eduard ^{[3
,12
]}

Leonardi, Matilde ^{[8
]}

Ferrer, Montserrat ^{[1
,4
,13
]}

机构：

[1] IMIM Hosp Mar, Hlth Serv Res Unit, Barcelona, Spain

[2] Univ Autonoma Madrid, Dept Psiquiatria, Hosp Univ Princesa, Madrid, Spain

[3] CIBERSAM, Ctr Invest Red Salud Mental, Inst Salud Carlos III, Madrid, Spain

[4] CIBERESP, Madrid, Spain

[5] WHO, CH-1211 Geneva, Switzerland

[6] Univ Oxford, Dept Primary Hlth Care, Hlth Serv & Policy Res Grp, Natl Inst Hlth Res,Sch Primary Care Res, Oxford OX1 2JD, England

[7] Univ Munich, Munich, Germany

[8] C Besta IRCCS Fdn, Neurol Inst, Publ Hlth & Disabil Unit, Milan, Italy

[9] Charles Univ Prague, Dept Rehabil Med, Fac Med 1, Prague, Czech Republic

[10] Univ Rehabil Inst, Ljubljana, Slovenia

[11] Fdn Don C Gnocchi, IRCCS S Maria Nascente, Unit Cardiac Rehabil, Milan, Italy

[12] Univ Barcelona, Hosp Clin, IDIBAPS, CIBERSAM, Barcelona, Spain

[13] Univ Autonoma Barcelona, Bellaterra, Spain

来源：

JOURNAL OF CLINICAL EPIDEMIOLOGY | 2011年 / 64卷 / 12期

关键词：

Disability evaluation; Health; Public health; Reliability; Validity; Factor analysis; STATUS INFORMATION; RATING-SCALE; CORE SETS; RELIABILITY; ICF; QUESTIONNAIRE; VALIDITY; BIFACTOR; MODEL;

D O I：

10.1016/j.jclinepi.2011.03.005

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: There has been no attempt to obtain a continuous summary measure of disability from the checklist of the International Classification of Functioning, Disability and Health (ICF). Our objective was to assess whether valid scales of Capacity and Performance could be developed from the "Activities and Participation" domain of the ICF checklist. Study Design and Setting: A multicenter, observational study of 1,092 patients with 12 different chronic conditions from five European countries was conducted. Exploratory and confirmatory factor analyses were performed to assess the underlying factor structure. Reliability and validity of the Capacity and Performance scales were evaluated. Construct validity was assessed calculating effect size coefficients between extreme severity groups (discriminant ability). Results: The good fit of the confirmatory factor model supported the global scales of Capacity and Performance and their "Psychosocial" and "Physical" subscales. Reliability was excellent (coefficients = 0.79-0.92). Effect sizes of most conditions were large for the Capacity global scale (0.50-3.05), and slightly lower for the Performance global scale (0.45-2.57). Conclusions: Our findings support the measurement model, reliability, and validity of the Capacity and Performance scales. Summary measures of functioning based on the ICF can be obtained using these scales, which should facilitate their incorporation in clinical and epidemiological studies. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：1400 / 1411

页数：12

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