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  <doc>
    <id>1479</id>
    <completedYear>2018</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>e021696</pageFirst>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue>12</issue>
    <volume>8</volume>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>--</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">ICF Generic Set as new standard for the system wide assessment of functioning in China: a multicentre prospective study on metric properties and responsiveness applying item response theory</title>
    <abstract language="eng">Objectives: To examine metric properties and responsiveness of the International Classification of Functioning, Disability and Health (ICF) Generic Set when used in routine clinical practice to assess functioning.&#13;
&#13;
Design: Prospective multicentre study.&#13;
&#13;
Setting: 50 hospitals from 20 provinces of Mainland China.&#13;
&#13;
Participants: 4510 adult inpatients admitted to the departments of Pulmonology, Cardiology, Neurology, Orthopaedics, Cerebral Surgery or Rehabilitation Medicine.&#13;
&#13;
Main outcome measures: The ICF Generic Set (ICF Generic 6 Set) applied with an 11-point numeric rating scale (0-no problem to 10-complete problem) was fit to the Partial Credit Model (PCM) to create an interval score of functioning.&#13;
&#13;
Results: PCM assumptions were found to be fulfilled after accounting for Differential Item Functioning. With an average improvement by 7.86 points of the metric ICF Generic 6 score (95% CI 7.53 to 8.19), the ICF Generic 6 Set proved sensitive to change (Cohen’s f2=0.41). Ceiling and floor effects on detecting change in functioning were cancelled or reduced by using the metric score.&#13;
&#13;
Conclusion: The ICF Generic 6 Set can be used for the assessment of functioning in routine clinical practice and an interval score can be derived which is sensitive to change.</abstract>
    <parentTitle language="eng">BMJ Open</parentTitle>
    <identifier type="url">https://doi.org/10.1136/bmjopen-2018-021696</identifier>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <author>C. Ehrmann</author>
    <author>Birgit Prodinger</author>
    <author>G. Stucki</author>
    <author>W. Cai</author>
    <author>X. Zhang</author>
    <author>S. Liu</author>
    <author>S. Liu</author>
    <author>J. Li</author>
    <author>J. D. Reinhardt</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>International Classification of Functioning, Disability and Health (ICF)</value>
    </subject>
    <collection role="ddc" number="610">Medizin und Gesundheit</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>1480</id>
    <completedYear>2019</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>1450</pageFirst>
    <pageLast>1457</pageLast>
    <pageNumber/>
    <edition/>
    <issue>8</issue>
    <volume>100</volume>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>--</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">System-wide Clinical Assessment of Functioning Based on the International Classification of Functioning, Disability and Health in China: Interrater Reliability, Convergent, Known Group, and Predictive Validity of the ICF Generic-6</title>
    <abstract language="eng">Objective&#13;
To validate the International Classification of Functioning, Disability and Health (ICF) Generic-6 in daily routine clinical practice in Mainland China. Specific objectives were to analyze (1) interrater reliability, (2) convergent validity, (3) known group validity, and (4) predictive validity of the ICF Generic-6.&#13;
&#13;
Design&#13;
Multicenter prospective cohort study.&#13;
&#13;
Setting&#13;
Fifty hospitals from 20 provinces of Mainland China.&#13;
&#13;
Participants&#13;
A total of 4510 patients from departments of rehabilitation, orthopedics, neurology, cardiology, pneumology, and cerebral surgery of the participating hospitals with different health conditions were included in this study.&#13;
&#13;
Intervention&#13;
Not applicable.&#13;
&#13;
Main Outcome Measures&#13;
The assessment was undertaken by nurses with ICF Generic-6 in combination with a numeric rating scale. Interrater reliability was evaluated with intraclass correlation coefficients (ICC). Convergent validity was evaluated with Spearman correlation coefficients between ICF Generic-6 and Medical Outcomes Short Form (SF)-12 items. Known group validity was examined by comparing discharge scores between different discharge destinations. Predictive validity was determined by using ICF Generic-6 baseline scores for estimating length of hospital stay with a loglogistic survival model with gamma shared frailty and cost of in-hospital treatment with a mixed effects generalized linear regression model of the gamma family.&#13;
&#13;
Results&#13;
The interrater reliability of items and score of ICF Generic-6 was good with ICCs ranging from 0.67-0.87. ICF Generic-6 items were further correlated with respective SF-12 items. Discharge scores of patients differed significantly by discharge destination. The ICF Generic-6 admission score was a significant predictor of length of stay and treatment cost.&#13;
&#13;
Conclusions&#13;
The ICF Generic-6 administered in combination with a 0-10 numeric rating scale is a reliable and valid tool for the collection of minimal information on functioning across various clinical settings.</abstract>
    <parentTitle language="eng">Archives of Physical Medicine and Rehabilitation</parentTitle>
    <identifier type="url">https://doi.org/10.1016/j.apmr.2018.11.014</identifier>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <enrichment key="RS_Correlation">Ja</enrichment>
    <enrichment key="opus.doi.autoCreate">false</enrichment>
    <enrichment key="opus.urn.autoCreate">true</enrichment>
    <author>S. Liu</author>
    <author>J. D. Reinhardt</author>
    <author>X. Zhang</author>
    <author>C. Ehrmann</author>
    <author>W. Cai</author>
    <author>Birgit Prodinger</author>
    <author>S. Liu</author>
    <author>J. Li</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>International Classification of Functioning</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Disability and Health</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Rehabilitation</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Reproducibility of results</value>
    </subject>
    <collection role="ddc" number="610">Medizin und Gesundheit</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
</export-example>
