Abstract
The Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for multiple sclerosis (MS) is an application of the ICF to describe the typical spectrum of functioning in people with MS. The objective of this study was to validate the Comprehensive ICF Core Set for MS from the perspective of physicians. Using a three-round Delphi technique, physicians experienced in the MS treatment were requested to name patients’ problems, resources, and aspects of environment. The statements of the first Delphi round were linked to ICF categories based on established linking rules. These categories as well as the results of the second round were reported back to the participants. Eighty-four physicians participated in the study. Totally, 89 categories (64.5%) of the Comprehensive ICF Core Set for MS were confirmed by the participants. Eight ICF categories, which are currently not included in the ICF Core Set, were identified. The validity of the Comprehensive ICF Core Set for MS was largely affirmed by the physicians. However, some additional categories were named, which should be further discussed regarding a revised version of the Comprehensive ICF Core Set for MS.
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References
The National Collaborating Centre for Chronic Conditions (2004) Multiple Sclerosis. National clinical guideline for diagnosis and management in primary and secondary care. Royal College of Physicians of London, London
Stevenson VL, Playford ED (2007) Rehabilitation and MS. Int MS J 14:85–92
Foley JF, Brandes DW (2009) Redefining functionality and treatment efficacy in multiple sclerosis. Neurology 72:S1–S11
Thompson AJ (1999) Measuring handicap in multiple sclerosis. Mult Scler 5:260–262
Rasova K, Feys P, Henze T, van Tongeren H, Cattaneo D, Jonsdottir et al (2010) Emerging evidence-based physical rehabilitation for multiple sclerosis—towards an inventory of current content across Europe. Health Qual Life Outcomes 8. doi: 10.1186/14777525876
World Health Organization (WHO) (2001) International classification of functioning, disability and health ICF. World Health Organization, Geneva
Stucki G (2004) Applying the ICF in medicine. J Rehabil Med Suppl 44:5–6
Cieza A, Ewert T, Üstün B, Chatterji S, Kostanjsek N, Stucki G (2004) Development of ICF Core Sets for patients with chronic conditions. J Rehabil Med Suppl 44:9–11
Coenen M, Cieza A, Freeman J, Khan F, Miller D, Weise A et al (2011) The development of ICF Core Sets for multiple sclerosis: results of the International Consensus Conference. J Neurol 258:1477–1488
Holper L, Coenen M, Andrea W, Stucki G, Cieza A, Kesselring J (2010) Characterization of functioning in multiple sclerosis using the ICF. J Neurol 257:103–113
Rauch A, Cieza A, Stucki G (2008) How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. Eur J Phys Rehabil Med 44:329–342
Linstone HA, Turoff M, Helmer O (1975) The Delphi method. Techniques and applications. Addison-Wesley, Reading, MA
Hasson F, Keeney S, McKenna H (2000) Research guidelines for the Delphi survey technique. J Adv Nurs 32:1008–1015
Jones J, Hunter D (1995) Consensus methods for medical and health services research. Br Med J 311:376–380
Hsu C, Sandford BA (2007) The Delphi technique: making sense of consensus. PARE 10:1–8
Cieza A, Brockow T, Ewert T, Amann E, Kollerits B, Chatterji S (2002) Linking health-status measurements to the International Classification of Functioning, Disability and Health. J Rehabil Med 34:205–210
Cieza A, Geyh S, Chatterji S, Kostanjsek N, Üstün B, Stucki G (2005) ICF linking rules: an update based on lessons learned. J Rehabil Med 37:212–218
Cohen J (1960) A coefficient of agreement for nominal scales. Educ Psychol Meas 20:37–46
Vierkant RA (2009) A SAS® Macro for calculating bootstrapped confidence intervals about a kappa coefficient. http://www2.sas.com/proceedings/sugi22/STATS/PAPER295.PDF. Accessed March 2009
Sundström P, Svenningsson A, Nyström L, Forsgren L (2004) Clinical characteristics of multiple sclerosis in Västerbotten County in northern Sweden. J Neurol Neurosurg Psychiatry 75:711–716
Frohman EM, Zhang H, Dewey RB, Hawker KS, Racke MK, Frohman TC (2000) Vertigo in MS: utility of positional and particle repositioning maneuvers. Neurology 55:1566–1569
Sanders EA, Arts RJ (1986) Paraesthesiae in multiple sclerosis. J Neurol Sci 74:297–305
Beiske AG, Pedersena ED, Czujkob BMK (2004) Pain and sensory complaints in multiple sclerosis. Eur J Neurol 11:479–482
Rao SM, Leo GJ, Bernardin L, Unverzagt F (1991) Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns, and prediction. Neurology 41:685–691
McIntosh-Michaelis SA, Roberts MH, Wilkinson SM, Diamond ID, McLellan DL, Martin JP et al (1991) The prevalence of cognitive impairment in a community survey of multiple sclerosis. Br J Clin Psychol 30:333–348
Amato MP, Zipoli V, Portaccio E (2006) Multiple sclerosis-related cognitive changes: a review of cross-sectional and longitudinal studies. J Neurol Sci 245:41–46
Bobholz JA, Rao SM (2003) Cognitive dysfunction in multiple sclerosis: a review of recent developments. Curr Opin Neurol 16:283–288
Simionit S, Ruffieux C, Bruggimann L, Annoni JM, Schluep M (2007) Cognition, mood and fatigue in patients in the early stage of multiple sclerosis. Swiss Med Wkly 137:496–501
Cutajar R, Ferriani E, Scandellari C, Sabattini L, Trocino C, Marchello LP et al (2000) Cognitive function and quality of life in multiple sclerosis patients. J Neurovirol 6(Suppl 2):186–190
Benito-Leon J, Morales JM, Riverra-Navarro J (2002) Health-related quality of life and its relationship to cognitive and emotional functioning in multiple sclerosis patients. Eur J Neurol 9:497–502
Zivadinov R, Zorzon M, Bosco A, Monti Bragadin L, Moretti R, Bonfigli L et al (1999) Sexual dysfunction in multiple sclerosis: II. Correlation analysis. Mult Scler 5:428–431
Richardson JP, Lazur A (1995) Sexuality in the nursing home patient. Am Fam Physician 51:121–124
Gagliardi BA (2003) The experience of sexuality for individuals living with multiple sclerosis. J Clin Nurs 12:571–578
Sibley WA, Bamford CR, Clark K (1985) Clinical viral infections and multiple sclerosis. Lancet 1:1313–1315
D’hooghe MB, Nagels G, Bissay V, De Keyser J (2010) Modifiable factors influencing relapses and disability in multiple sclerosis. Mult Scler 167:773–785
Correale J, Fiol M, Gilmore W (2006) The risk of relapses in multiple sclerosis during systemic infections. Neurology 67:652–659
Buljevac D, Flach HZ, Hop WC, Hijdra D, Laman JD, Savelkoul H et al (2002) Prospective study on the relationship between infections and multiple sclerosis exacerbations. Brain 125:952–960
Metz LM, McGuinness SD, Harris C (1998) Urinary tract infections may trigger relapse in multiple sclerosis. Axone 19:67–70
McCabe MP, McKern S, McDonald E (2004) Coping and psychological adjustment among people with multiple sclerosis. J Psychosom Res 56:355–356
Arnett PA, Higginson CI, Voss WD, Randolph JJ, Grandey AA (2002) Relationship between coping, cognitive dysfunction and depression in multiple sclerosis. Clin Neuropsychol 16:341–355
Goretti B, Portaccio E, Zipoli V, Hakiki B, Siracusa G, Sorbi S et al (2009) Coping strategies, psychological variables and their relationship with quality of life in multiple sclerosis. Neurol Sci 30:15–20
Somerset M, Sharp D, Campbell R (2002) Multiple sclerosis and quality of life: a qualitative investigation. J Health Serv Res Policy 7:151–159
Box V, Hepworth M, Harrison J (2003) Identifying information needs of people with multiple sclerosis. Nurs Times 99:32–36
Baker LM (1998) Sense making in multiple sclerosis: the information needs of people during an acute exacerbation. Qual Health Res 8:106–120
Johnson J (2003) On receiving the diagnosis of multiple sclerosis: managing the transition. Mult Scler 9:82–88
Lee M, O`Brian P (2008) Pregnancy and multiple sclerosis. J Neurol Neurosurg Psychiatry 79:1308–1311
Race KE, Planek TW (1992) Modified scree test: further considerations on its application to Delphi study data. Eval Rev 16:171–183
Kostanjsek N, Rubinelli S, Escorpizo R, Cieza A, Kennedy C, Selb M et al (2011) Assessing the impact of health conditions using the ICF. Disabil Rehabil 33:1475–1482
Acknowledgments
This study was funded by the Gemeinnützige Hertie-Stiftung (1.01.1/06/008). We would like to thank the participants of the Delphi exercise for their valuable contribution and their time in responding to the questionnaires (in alphabetical order): El Hachmia Ait Ben Haddou, Albert Akpalu, Regina Ascheron, Rita Balkaitiene, Birgit Basedow-Rajwich, Robert W. Baumhefner, Krisztina Bencsik, Julián Benito-León, Roberto Bergamaschi, A.I. Bhigjee, Annette Bruinings, Ruggero Capra, Dieter Christöfl, Irene Damian, Vincent de Groot, Vida Demarin, Carlos A. Diaz Manzano, Benedicte Dubois, Maria-José Durà Mata, Nikolaos Fakas, Wolfgang Feneberg, Alexander Filippovich, Yara Fragoso, Jorge Fernandez Franco, Annette Fritz-Fiaux, Barbara Giesser, Stephan Graeber, Daniel Guillaume, Dorothea Heersema, Christoph Heesen, Thomas Henze, Rock Heyman, Alenka Horvat Ledinek, Stephan Ilsbroukx, Saša Šega Jazbec, Norman Kachuk, Rasa Kizlaitiene, Apichana Kovindha, Jörg Kraus, Dzifa Kuwornoo, Jan Lexell, Thien Thien Lim, Alessandra Lugaresi, Andrei Manu Marin, Debbie Mason, Hugh McIntyre, Emela Mujic Skikic, Oliver Neuhaus, Louisa Ng, Ugo Nocentini, Suzan Noori, Rory O′Connor, Anita Patel, Francesco Patti, Diane Playford, Cecilia Rajda, Francisco José Hernández Ramos, Udaya Ranawaka, Uroš Rot, Magnhild Sandberg-Wollheim, Pedro Guardado Santervás, Jaume Sastre-Garriga, Sue Shapland, Aksel Siva, Valerie Stevenson, Nirmal Surya, Mona Thakre, Ljubica Todorovic, Guntev Tsagaankhuu, Sabine Twork, Claude Vaney, Ton van Diepen, Galina Vorobeychik, Charles Wiles, Michael Yeung, and Jacek Zaborski.
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Berno, S., Coenen, M., Leib, A. et al. Validation of the Comprehensive International Classification of Functioning, Disability, and Health Core Set for multiple sclerosis from the perspective of physicians. J Neurol 259, 1713–1726 (2012). https://doi.org/10.1007/s00415-011-6399-9
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DOI: https://doi.org/10.1007/s00415-011-6399-9