Developing a Delphi-Based Comprehensive Core Set from the International Classification of Functioning, Disability, and Health Framework for the Rehabilitation of Patients with Burn Injuries
Yu-Ru Lin,
Jr-Yi Wang,
Shun-Cheng Chang,
Kwang-Hwa Chang,
Hung-Chou Chen,
Reuben Escorpizo,
Shih-Wei Huang and
Tsan-Hon Liou
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Yu-Ru Lin: Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan
Jr-Yi Wang: Department of Orthopedic Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan
Shun-Cheng Chang: Division of Plastic Surgery, Department of Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan
Kwang-Hwa Chang: Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei 11031, Taiwan
Hung-Chou Chen: Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan
Reuben Escorpizo: Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, University of Vermont, Burlington, VT 05401, USA
Shih-Wei Huang: Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan
Tsan-Hon Liou: Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan
IJERPH, 2021, vol. 18, issue 8, 1-11
Abstract:
Burn injuries cause disability and functional limitations in daily living. In a 2015 fire explosion in Taiwan, 499 young people sustained burn injuries. The construction of an effective and comprehensive rehabilitation program that enables patients to regain their previous function is imperative. The International Classification of Functioning, Disability, and Health (ICF) includes multiple dimensions that can contribute to meeting this goal. An ICF core set was developed in this study for Taiwanese patients with burns. A consensus process using three rounds of the Delphi technique was employed. A multidisciplinary team of 30 experts from various institutions was formed. The questionnaire used in this study comprised 162 ICF second-level categories relevant to burn injuries. A 5-point Likert scale was used, and participants assigned a weight to the effect of each category on daily activities after burns. The consensus among ratings was assessed using Spearman’s ? and semi-interquartile range indices. The core set for post-acute SCI was developed from categories that attained a mean score of ?4.0 in the third round of the Delphi exercise. The core ICF set contained 68 categories. Of these, 19 comprised the component of body functions, 5 comprised body structures, 37 comprised activities and participation, and 7 comprised environmental factors. This preliminary core set offers a comprehensive system for disability assessment and verification following burn injury. The core set provides information for effective rehabilitation strategy setting for patients with burns. Further feasibility and validation studies are required in the future.
Keywords: ICF core sets; burns; rehabilitation; Taiwan (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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