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Does the Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Breast Cancer capture the problems in functioning treated by physiotherapists in women with breast cancer?

Does the Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Breast Cancer capture the problems in functioning treated by physiotherapists in women with breast cancer?
Does the Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Breast Cancer capture the problems in functioning treated by physiotherapists in women with breast cancer?
Objective. The Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Breast Cancer is an application of the ICF, and represents the typical spectrum of problems in functioning and contextual factors that may influence functioning of patients with breast cancer. The objective of this study was to examine the content validity of this ICF core set from the perspective of physiotherapists.

Design. Physiotherapists from around the world experienced in the treatment of patients with breast cancer were interviewed about patients' problems, patients' resources and environmental aspects that physiotherapists take care of in a three-round survey using the Delphi technique. The responses were linked to the ICF. The degree of agreement was calculated by means of the Kappa statistic.

Participants. Physiotherapists experienced in breast cancer treatment.

Results. Fifty-nine physiotherapists from 19 countries named 769 problems treated by physiotherapists in patients with breast cancer. One hundred and sixty-six ICF categories were linked to these answers. Nineteen ICF categories reached >75% agreement among the physiotherapists but are not represented in the Comprehensive ICF Core Set for Breast Cancer. Ten concepts were linked to the not-yet-classified personal factors component. Eleven concepts are not covered by the ICF. The Kappa coefficient for the agreement between the two persons who performed the linking was 0.66 (95% bootstrapped confidence interval 0.63 to 0.68).

Conclusions. The content validity of the Comprehensive ICF Core Set for Breast Cancer was largely supported by the physiotherapists. However, several issues were raised which were not covered and these need to be investigated further.
comprehensive icf core set for breast cancer, international classification of functioning, disability and health (icf), physiotherapy, rehabilitation, breast cancer, delphi technique
0031-9406
33-46
Glaessel, Andrea
9019b431-bb90-4233-a15d-31bad1e9c43d
Kirchberger, Inge
910fb097-a8f1-472e-8863-421e458523e1
Stucki, Gerold
0534525c-103b-45be-b0a5-061d8867ef0d
Cieza, Alarcos
a0df25c5-ee2c-4580-82b3-d0a75591580e
Glaessel, Andrea
9019b431-bb90-4233-a15d-31bad1e9c43d
Kirchberger, Inge
910fb097-a8f1-472e-8863-421e458523e1
Stucki, Gerold
0534525c-103b-45be-b0a5-061d8867ef0d
Cieza, Alarcos
a0df25c5-ee2c-4580-82b3-d0a75591580e

Glaessel, Andrea, Kirchberger, Inge, Stucki, Gerold and Cieza, Alarcos (2011) Does the Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Breast Cancer capture the problems in functioning treated by physiotherapists in women with breast cancer? Physiotherapy, 97 (1), 33-46. (doi:10.1016/j.physio.2010.08.010). (PMID:21295236)

Record type: Article

Abstract

Objective. The Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Breast Cancer is an application of the ICF, and represents the typical spectrum of problems in functioning and contextual factors that may influence functioning of patients with breast cancer. The objective of this study was to examine the content validity of this ICF core set from the perspective of physiotherapists.

Design. Physiotherapists from around the world experienced in the treatment of patients with breast cancer were interviewed about patients' problems, patients' resources and environmental aspects that physiotherapists take care of in a three-round survey using the Delphi technique. The responses were linked to the ICF. The degree of agreement was calculated by means of the Kappa statistic.

Participants. Physiotherapists experienced in breast cancer treatment.

Results. Fifty-nine physiotherapists from 19 countries named 769 problems treated by physiotherapists in patients with breast cancer. One hundred and sixty-six ICF categories were linked to these answers. Nineteen ICF categories reached >75% agreement among the physiotherapists but are not represented in the Comprehensive ICF Core Set for Breast Cancer. Ten concepts were linked to the not-yet-classified personal factors component. Eleven concepts are not covered by the ICF. The Kappa coefficient for the agreement between the two persons who performed the linking was 0.66 (95% bootstrapped confidence interval 0.63 to 0.68).

Conclusions. The content validity of the Comprehensive ICF Core Set for Breast Cancer was largely supported by the physiotherapists. However, several issues were raised which were not covered and these need to be investigated further.

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More information

e-pub ahead of print date: 30 October 2010
Published date: March 2011
Keywords: comprehensive icf core set for breast cancer, international classification of functioning, disability and health (icf), physiotherapy, rehabilitation, breast cancer, delphi technique
Organisations: Psychology

Identifiers

Local EPrints ID: 341090
URI: http://eprints.soton.ac.uk/id/eprint/341090
ISSN: 0031-9406
PURE UUID: 12323803-cbc2-450a-9321-bc4852bea8c1

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Date deposited: 13 Jul 2012 08:48
Last modified: 14 Mar 2024 11:34

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Contributors

Author: Andrea Glaessel
Author: Inge Kirchberger
Author: Gerold Stucki
Author: Alarcos Cieza

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