TY - JOUR A1 - Hodel, Jsabel A1 - Ehrmann, Cristina A1 - Scheel-Sailer, Anke A1 - Stucki, Gerold A1 - Bickenbach, Jerome E. A1 - Prodinger, Birgit T1 - Identification of Classes of Functioning Trajectories and Their Predictors in Individuals With Spinal Cord Injury Attending Initial Rehabilitation in Switzerland JF - Archives of Rehabilitation Research and Clinical Translation N2 - Objectives: To identify classes of functioning trajectories in individuals with spinal cord injury (SCI) undergoing initial rehabilitation after injury and to examine potential predictors of class membership to inform clinical planning of the rehabilitation process. Design: Longitudinal analysis of the individual's rehabilitation stay using data from the Inception Cohort of the Swiss Spinal Cord Injury Cohort Study (SwiSCI). Setting: Initial rehabilitation in specialized centers in Switzerland. Participants: Individuals with newly acquired SCI (N=748; mean age, 54.66±18.38y) who completed initial rehabilitation between May 2013 and September 2019. The cohort was primarily composed of men (67.51%), persons with paraplegia (56.15%), incomplete injuries (67.51%), and traumatic etiologies (55.48%). Interventions: Not applicable. Main Outcome Measures: Functioning was operationalized with the interval-based sum score of the Spinal Cord Independence Measure version III (SCIM III). For each individual, the SCIM III sum score was assessed at up to 4 time points during rehabilitation stay. The corresponding time of assessment was recorded by the difference in days between the SCIM III assessment and admission to the rehabilitation program. Results: Latent process mixed model analysis revealed 4 classes of functioning trajectories within the present sample. Class-specific predicted mean functioning trajectories describe stable high functioning (n=307; 41.04%), early functioning improvement (n=39; 5.21%), moderate functioning improvement (n=287; 38.37%), and slow functioning improvement (n=115; 15.37%), respectively. Out of 12 tested factors, multinomial logistic regression showed that age, injury level, injury severity, and ventilator assistance were robust predictors that could distinguish between identified classes of functioning trajectories in the present sample. Conclusions: The current study establishes a foundation for future research on the course of functioning of individuals with SCI in initial rehabilitation by identifying classes of functioning trajectories. This supports the development of specifically tailored rehabilitation programs and prediction models, which can be integrated into clinical rehabilitation planning. KW - Latent class analysis KW - Logistic models KW - Longitudinal studies KW - Observational study KW - Rehabilitation KW - Spinal cord injuries Y1 - 2021 UR - https://doi.org/10.1016/j.arrct.2021.100121 VL - 3 IS - 2 SP - 100121 ER - TY - JOUR A1 - Senju, Y A1 - Mukaino, M A1 - Prodinger, Birgit A1 - Selb, M A1 - Okouchi, Y A1 - Mizutani, K A1 - Suzuki, M A1 - Yamada, S A1 - Izumi, SI A1 - Sonoda, S A1 - Otaka, Y A1 - Saitoh, E A1 - Stucki, G T1 - Development of a clinical tool for rating the body function categories of the ICF generic-30/rehabilitation set in Japanese rehabilitation practice and examination of its interrater reliability JF - BMC Medical Research Methodology N2 - Background: The International Classification of Functioning, Disability, and Health (ICF) Generic-30 (Rehabilitation) Set is a tool used to assess the functioning of a clinical population in rehabilitation. The ICF Generic-30 consists of nine ICF categories from the component "body functions" and 21 from the component "activities and participation". This study aimed to develop a rating reference guide for the nine body function categories of the ICF Generic-30 Set using a predefined, structured process and to examine the interrater reliability of the ratings using the rating reference guide. Methods: The development of the first version of the rating reference guide involved the following steps: (1) a trial of rating patients by several raters; (2) cognitive interviews with each rater to analyze the thought process involved in each rating; (3) the drafting of the rating reference guide by a multidisciplinary panel; and (4) a review by ICF specialists to confirm consistency with the ICF. Subsequently, we conducted a first field test to gain insight into the use of the guide in practice. The reference guide was modified based on the raters' feedback in the field test, and an inter-rater reliability test was conducted thereafter. Interrater agreement was evaluated using weighted kappa statistics with linear weights. Results: The first version of the rating reference guide was successfully developed and tested. The weighted kappa coefficient in the field testing ranged from 0.25 to 0.92. The interrater reliability testing of the rating reference guide modified based on the field test results yielded an improved weighted kappa coefficient ranging from 0.53 to 0.78. Relative improvements in the weighted kappa coefficients were observed in seven out of the nine categories. Consequently, seven out of nine categories were found to have a weighted kappa coefficient of 0.61 or higher. Conclusions: In this study, we developed and modified a rating reference guide for the body function categories of the ICF Generic-30 Set. The interrater reliability test using the final version of the rating reference guide showed moderate to substantial interrater agreement, which encouraged the use of the ICF in rehabilitation practice. KW - Clinical tool KW - International Classification of Functioning, Disability, and Health KW - Interrater reliability KW - Rehabilitation Y1 - 2021 UR - https://doi.org/10.1186/s12874-021-01302-0 VL - 21 IS - 1 SP - 121 ER - TY - JOUR A1 - Nicol, R A1 - Yu, H A1 - Selb, M A1 - Prodinger, Birgit A1 - Hartvigsen, J A1 - Côté, P T1 - How Does the Measurement of Disability in Low Back Pain Map Unto the International Classification of Functioning, Disability and Health?: A Scoping Review of the Manual Medicine Literature JF - American Journal of Physical Medicine & Rehabilitation N2 - The objective of this study was to catalog items from instruments used to measure functioning, disability, and contextual factors in patients with low back pain treated with manual medicine (manipulation and mobilization) according to the International Classification of Functioning, Disability and Health. This catalog will be used to inform the development of an International Classification of Functioning, Disability and Health-based assessment schedule for low back pain patients treated with manual medicine. In this scoping review, we systematically searched MEDLINE, Embase, PsycINFO, and CINAHL. We identified instruments (questionnaires, clinical tests, single questions) used to measure functioning, disability, and contextual factors, extracted the relevant items, and then linked these items to the International Classification of Functioning, Disability and Health. We included 95 articles and identified 1510 meaningful concepts. All but 70 items were linked to the International Classification of Functioning, Disability and Health. Of the concepts linked to the International Classification of Functioning, Disability and Health, body functions accounted for 34.7%, body structures accounted for 0%, activities and participation accounted for 41%, environmental factors accounted for 3.6%, and personal factors accounted for 16%. Most items used to measure functioning and disability in low back pain patient treated with manual medicine focus on body functions, as well as activities and participation. The lack of measures that address environmental factors warrants further investigation. KW - Low Back Pain KW - International Classification of Functioning, Disability, and Health KW - Musculoskeletal Manipulations KW - Disability Evaluation Y1 - 2021 UR - https://doi.org/10.1097/PHM.0000000000001636 VL - 100 IS - 4 SP - 367 EP - 395 ER - TY - JOUR A1 - Lüftl, Katharina A1 - Kerres, Andrea A1 - Wissing, Christiane T1 - Welche Praxisanleitung eignet sich für wen? Heterogene Lernvoraussetzungen berücksichtigen (Teil 2) JF - Pflegezeitschrift N2 - Um einen adaptiven Stil der Praxisanleitung umzusetzen, benötigen Praxisanleitende Unterstützung. Im vorliegenden Beitrag wird deshalb exemplarisch aufgezeigt, welchen Beitrag Hochschulen im Rahmen der Lernortkooperation leisten können, damit Praxisanleitende aus dem Curriculum der hochschulischen Pflegeausbildung Schlussfolgerungen für die Gestaltung von Anleitungssituationen ziehen können. Auch Rahmenbedingungen für einen konstruktiven Umgang mit Heterogenität werden aufgezeigt. Schlüsselwörter: Adaptive Praxisanleitung, Heterogenität, Lernvoraussetzungen KW - Praxisanleitung Y1 - 2021 UR - https://doi.org/10.1007/s41906-021-1109-4 VL - 74 IS - 9 SP - 38 EP - 41 PB - Springer Verlag CY - Heidelberg ER - TY - JOUR A1 - Lüftl, Katharina A1 - Kerres, Andrea A1 - Wissing, Christiane T1 - Wer braucht welche Praxisanleitung? Umgang mit Heterogenität in der praktischen Ausbildung (Teil 1) JF - Pflegezeitschrift N2 - Die Frage „Wer braucht welche Anleitung?“ lässt sich nicht im Sinne einer Rezeptempfehlung beantworten. Praxisanleitende haben verschiedene Optionen, um heterogene Lernvoraussetzungen aufzugreifen. Dabei zeigt sich als Basis, das Erstgespräch für eine fundierte Bedingungsanalyse zu nutzen und Lernenden dabei Mitverantwortung zu geben. Anleitungsziele können partizipativ formuliert werden und Praxisanleitende sollten mit den Curricula der verschiedenen Ausbildungsgänge vertraut sein. Patientenfälle lassen sich hinsichtlich unterschiedlich komplexer Pflegebedarfe und Anleitungsmethoden beispielsweise nach der Art der Arbeitsweisen auswählen. Schlüsselwörter: Praxisanleitung, Heterogenität, Lernvoraussetzungen KW - Praxisanleitung Y1 - 2021 UR - https://doi.org/10.1007/s41906-021-1089-4 VL - 74 IS - 8 SP - 42 EP - 45 PB - Springer Verlag CY - Heidelberg ER - TY - JOUR A1 - Feller, Melanie A1 - Roßrucker, Anna A1 - Lüftl, Katharina T1 - Praxisanleitung: Die Leittextmethode JF - Pflegezeitschrift N2 - Leittexte eignen sich zur Förderung von Handlungskompetenz und zur Entlastung der Praxisanleitenden. Exemplarisch wird das Ergebnis eines Studierendenprojekts aus dem Bachelorstudiengang Pflege der TH Rosenheim vorgestellt. Ziel war es, einen Leittext für ein Anleitungsthema aus dem eigenen pflegerischen Arbeitsfeld zu erarbeiten. Leittexte bestehen aus aufeinander aufbauenden Leitfragen, die Praxisanleitende formulieren und die Lernende selbstständig bearbeiten. Dadurch lernen sie ein neues Einsatzfeld systematisch kennen oder bereiten sich auf pflegespezifische Aufgaben vor. Leittexte verweisen auf unterschiedlichste Medien, anhand derer die Leitfragen zu beantworten sind. Deshalb war es Teil der Projektaufgabe, den Medienpool zum Leittext zu entwickeln. Neben Ressourcen des Praxisfeldes, Literatur- oder anderen Verweisen, sollte ein Erklärvideo erstellt werden. Vorgestellt wird ein Erkundungsleittext zum Anleitungsthema „Überwachung von Patienten einer Stroke Unit“. Schlüsselwörter: Praxisanleitung, Leittextmethode, leitfragenorientiertes Lernen, Praktische Ausbildung, Bachelorstudiengang Pflege, Stroke Unit KW - Praxisanleitung Y1 - 2021 UR - https://doi.org/10.1007/s41906-021-1031-9 VL - 74 IS - 5 SP - 46 EP - 49 PB - Springer Verlag CY - Heidelberg ER -