A Delphi Exercise to Help Determine a Core Set of ICF Items in 一个delphi练习帮助确定一套核心的ICF中的项目.pptVIP

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A Delphi Exercise to Help Determine a Core Set of ICF Items in 一个delphi练习帮助确定一套核心的ICF中的项目.ppt

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A Delphi Exercise to Help Determine a Core Set of ICF Items in 一个delphi练习帮助确定一套核心的ICF中的项目

A Delphi Exercise to Help Determine a Core Set of ICF Items for Psoriatic Arthritis Dr William Taylor GRAPPA, June 2005 Delphi exercise (PsA) 37 respondents (rheum, derm, rehab, OT, PT, nurse) to email-based survey First round: free-text nomination of life areas important to people with PsA These were mapped onto specific ICF categories Second round: rate the relevance of ICF item on a 9-point scale (1=no relevance) Third round: repeat rating for items where there was disagreement or uncertainty (median rating 4 to 6) Activity Participation 83 items suggested by the first round responses 41 of these were agreed to be relevant (median score 7 to 9) in the second round In the third round a further 2 were agreed to be relevant and 39 were rated as neutral (of these, 29 items scored 6); total of 72 items Conclusion Excessive number of items for a core-set (e.g. there are 32 items from Activity Participation in the RA core-set) Now need patients’ perspective Further refinement through consensus conference More manageable number of ‘participation’ items that could be used to develop a measurement questionnaire Rehabilitation Teaching Research Unit, Wellington School of Medicine Health Sciences, University of Otago BodyFunction Structure Activities Participation Environmental Factors Personal Factors Health Condition (disorder/disease) Contextual Factors b1 b130 b134 b152 b180 b1801 s299 s710 s720 s730 s73001 s73011 d170 d230 d360 d410 d415 d430 e110 e115 e120 e125 e135 e150 1424 ICF Core Set ICF Consensus conferences 2005/06 2006/07 Preliminary Studies Patients’ data Multicentre study Expert opinion Delphi exercise Study outcomes Literature reviews Phase I ICF Core Sets -- Development Process Patient opinion Focus groups Consensus conferences 2005/06 2006/07 Preliminary Studies Patients’ data Multicentre study Expert opinion Delphi exercise Study outcomes Literature reviews Phase I ICF Core Sets -- Developmen