Article

The categories of the International Classification of Functioning ,
Disability and Health (ICF) could potentially be used as components of outcome
measures. Literature demonstrating the psychometric properties of ICF categories
is limited. OBJECTIVE: Determine the agreement and reliability of ICF activities
of daily living category scores and compare these to agreement and reliability of
the Functional Independence Measure (FIM) item scores. METHOD: Two investigators
independently reviewed the clinical notes to score the ICF activities of daily
living cate-gories, of 100 patients using ICF qualifiers with additional scoring
guidelines. The percentage agreement, interrater and intrarater reliability were
compared with the matched FIM items scored by a separate set of two investigators
using the same methodology. Kappa Statistic was calculated using Med Calc.
RESULTS: ICF interrater reliability as indicated by Kappa values ranging from
0.42 to 0.81 was moderate or better for the eleven self care and mobility
categories. The language ICF categories and problem solving generally have fair
agreement, with Kappa values ranging from 0.21 for receiving verbal messages to
0.44 for basic social interactions. Absolute agreement was above 72% for all
categories. Reliability and agreement of the FIM items was generally lower than
the corresponding ICF categories. CONCLUSION: The inter-rater and intra-rater
reliability and agreement of the ICF activities of daily living categories were
comparable or better than the corresponding FIM items. The results of this study
provide an indication that the ICF categories could be used as components of
rehabilitation outcome measures.

Langue : ANGLAIS