Turkish Journal of Geriatrics 2013 , Vol 16, Issue 1
VALIDATION OF THE COMPREHENSIVE ICF CORE SET FOR STROKE IN TURKISH STROKE PATIENTS
Belma Füsun KÖSEOĞLU, Nebahat SEZER, Öznur ÖKEN, Serap TOMRUK SÜTBEYAZ, Sibel KİBAR
Ankara Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi 4. FTR Kliniği ANKARA Introduction: This study investigates the content and construct validity of the Comprehensive International Classification of Functioning,Disability and Health (ICF) Core Set in connection with stroke patients in Turkey.

Materials and Method: Brunnstrom Stages, Barthel index (BI) and Ashworth scale scores of the patients were recorded, and the SF-36 was completed by each patient. ICF data were collected via patient interviews and medical records. Content validity was evaluated using the frequency and percentage of patients who had a problem within each category. Spearman correlations were calculated to evaluate the construct validity.

Results: In body functions 32 categories were reported as a problem, of which 22 correlated with the BI and 23 with the SF-36 physical component summary (PCS) score. In body structures all categories were problematic; all (except for structures of the cardiovascular system) were correlated with the BI and the SF-36 PCS score. In activities and participation 47 categories were problematic of which 32 correlated with the BI and 37 with the SF-36 PCS score. In environmental factors 7 categories were identified as a barrier and 26 as a facilitator; of these, 2 barriers and 5 facilitators correlated with the BI and the SF-36.

Conclusion: In Turkish stroke patients, the components body functions, body structures and activities and participation demonstrated good content and construct validity. Environmental factors need to be further evaluated in different sociocultural environments. Keywords : Activities of Daily Living/Classification; Disabled Persons/Classification; Health Status Indicators; Questionnaires; Stroke/Classification