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Delphi-based assessment of fall-related risk factors in acute rehabilitation settings according to the International Classification of Functioning, Disability and Health

YEN TH; LIN LF; WEI TS; CHANG KH; WANG YH; LIOU TH
ARCH PHYS MED REHABIL , 2014, vol. 95, n° 1, p. 50-57
Doc n°: 169318
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2013.09.006
Descripteurs : DF12 - PATHOLOGIE - EQUILIBRATION, JQ - CIF
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To apply the International Classification of Functioning, Disability
and Health (ICF) model to fall prevention by developing an ICF core set for fall
risks in acute rehabilitation settings. DESIGN: Fall risk factors were identified
based on a systematic review of the literature and linked to ICF categories. A
consensus process was conducted using a Delphi-based evaluation technique.
SETTING: University-based hospital. PARTICIPANTS: Multidisciplinary participants
(N=20) from different institutions. INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: A 5-point Likert-type scale was used to weigh the importance of each
risk category. The level of agreement for each consensus was assessed based on
Spearman rho and semi-interquartile range indices. Categories with a mean score
>/=4 in the third round of evaluation were included in this ICF core set.
RESULTS: The core set comprised 34 fall risk categories that were distributed as
follows: 18 categories on body functions, 2 on body structures, 8 on activities
and participation, 4 on environmental factors, and 2 categories on personal
factors. CONCLUSIONS: An ICF core set for falls in acute rehabilitation settings
was developed in this study. Further validation is required.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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