| Reliability and validity of ICF-RS in patients with cancer |
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| DOI：10.3870/zgkf.2025.03.005 |
| EN KeyWords: International Classification of Functioning, Disability and Health Rehabilitation Set Cancer Functional state Reliability and validity |
| Fund Project:国家自然科学基金（82272614）；襄阳市科技研究与开发项目（2022BBS005186） |
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| EN Abstract: |
| Objective: To explore the reliability and validity of the International Classification of Functioning, Disability and Health-Rehabilitation Set (ICF-RS) in tumor patients. Methods: A total of 63 tumor patients were enrolled in this study. ICF-RS, Eastern Cooperative Oncology Group (ECOG), hospital anxiety and depression scale (HADS) and modified Barthel index (MBI) were used to evaluate the functional status, physical status, mood and daily living ability of the tumor patients. For reliability analysis, the weighted Kappa coefficient was used to test the consistency among ICF-RS evaluators. Fro calibration validity analysis, Spearman correlation coefficient was used to test the correlation analysis between ICF-RS overall function, body function, activity function, participation function and other clinical scales including ECOG, HADS and MBI scores. Results: For reliability analysis, the weighted Kappa correlation coefficients for 28 categories (physical function, activity function and participation function) assessed between the two therapists were moderate to strong, and all were statistically significant (P<0.001). For calibration validity analysis, the correlation coefficients of ICF-RS overall function, activity and participation with ECOG ranged from 0.2 to 0.4, and there was statistical significance (P<0.05). The correlation coefficient between ICF-RS overall function and participation dimension and HADS was between 0.2 and 0.4, and there was statistical significance (P<0.05). The correlation coefficients between the two dimensions of ICF-RS body function and mobility function and MBI rating were between -0.2 and -0.4, and there was statistical significance (P<0.05). Conclusion: The quantitative criteria of ICF-RS have good reliability in evaluating the functional status of tumor patients. There are different degrees of correlation between some dimensions and items and other commonly used clinical scales, suggesting that ICF-RS quantitative criteria can be used as a screening tool to evaluate the functional status of tumor patients. |
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