Citation

Yen TH, Lin LF, Wei TS, Chang KH, Wang YH, Liou TH. Arch. Phys. Med. Rehabil. 2014; 95(1): 50-57.

Affiliation

Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.apmr.2013.09.006

PMID

24055574

Abstract

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 MEASURE(S): 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 the Spearman rho and semi-interquartile range indices. Categories with a mean score of 4.0 or greater 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 were deemed personal factors. CONCLUSIONS: This is the first ICF core set for falls in acute rehabilitation settings. Further validation is required.

Language: en