Abstract:
BACKGROUND:The International Classification of Functioning, Disability, and Health (ICF) is a unified system of functioning terminology that has been used to develop electronic health records and assessment instruments. Its application has been limited, however, by its complex terminology, numerous categories, uncertain operationalization, and the training required to use it well. Together is a mobile health app designed to extend medical support to the families of spinal cord injury (SCI) patients in China. The app's core framework is a set of only 31 ICF categories. The app also provides rating guidelines and automatically transforms routine assessment results to the terms of the ICF qualifiers. OBJECTIVE:The goal of the research is to examine the suitability of the ICF set used in the app Together for use as an instrument for assessing the functioning of SCI patients. METHODS:A cross-sectional study was conducted including 112 SCI patients recruited before discharge from four rehabilitation centers in China between May 2018 and October 2019. Nurses used the app to assess patient functioning in face-to-face interviews. The resulting data were then subjected to Rasch analysis. RESULTS:After deleting two categories (family relationships and socializing) and one personal factor (knowledge about spinal cord injury) that did not fit the Rasch model, the body functions and body structures, activities and participation, and contextual factors components of the ICF exhibited adequate fit to the Rasch model. All three demonstrated acceptable person separation indices. The 28 categories retained in the set were free of differential item functioning by gender, age, education level, or etiology. CONCLUSIONS:Together overcomes some of the obstacles to practical application of the ICF. The app is a reliable assessment tool for assessing functioning after spinal cord injury.
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Jia M,Tang J,Xie S,He X,Wang Y,Liu T,Yan T,Li Kdoi
10.2196/20723subject
Has Abstractpub_date
2020-11-11 00:00:00pages
e20723issue
11issn
2291-5222pii
v8i11e20723journal_volume
8pub_type
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10972
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,meta分析
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abstract::[This corrects the article DOI: 10.2196/mhealth.7275.]. ...
journal_title:JMIR mHealth and uHealth
pub_type: 已发布勘误
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2020-11-26 00:00:00
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journal_title:JMIR mHealth and uHealth
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pub_type: 杂志文章,随机对照试验
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journal_title:JMIR mHealth and uHealth
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