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Mapping two measures to the International Classification of Functioning, Disability and Health and the brief ICF core set for spinal cord injury in the post-acute context

JOSEPH C; PHILLIPS J; WAHMAN K; NILSSON WIKMAR L
DISABIL REHABIL , 2016, vol. 38, n° 17, p. 1730-1738
Doc n°: 182914
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2015.1107762
Descripteurs : AE21 - ORIGINE TRAUMATIQUE

OBJECTIVE: To evaluate the extent to which the rehabilitation outcome levels
(ROL) and the spinal cord independence measure (SCIM) III could be mapped to the
International Classification of Functioning, Disability and Health (ICF) and the
brief core set for spinal cord injury (SCI) in the post-acute context. METHODS:
Two professionals used the published protocol to map the concepts derived from
both measures to the ICF categories. Further, the endorsed categories at the
second level of the ICF were used to determine the coverage of the Brief ICF Core
Set for SCI. RESULTS: Three items of the ROL could not be conceptualised within
the ICF, while the rest were mapped to 42 second-level categories, mainly to the
activity and participation domain. All the items of the SCIM III were mapped,
yielding 52 ICF categories, mostly at the third level (32).
For the mapping to
the Core Set for SCI, the ROL covered five and the SCIM III all nine categories
of 'activities and participation' included as the candidate categories of the
brief version. CONCLUSION: In terms of content, the ROL appears to be a more
global measure of functioning, compared with the SCIM III that covers specific
'activity' aspects as proposed in the Brief Core Set for SCI. It is thus
recommended that standardised measures, such as the SCIM III, be used due to its
conceptual underpinnings and coverage of important aspects. Implications for
Rehabilitation Rehabilitation professionals should select appropriately validated
outcome measures specific to the health condition in order to evaluate the
effectiveness of rehabilitation. Rehabilitation professional working with outcome
measures should be aware of the limitations of measures, in terms of content, and
supplement the evaluation with appropriate standardised measures or the use of
the Core Sets. To enhance evidence-based practise in routine clinical practise,
standardised outcome measures should be used.

Langue : ANGLAIS

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