Examination of the relevance of the ICF cores set for stroke by comparing with the Stroke Impact Scale

Markku Paanalahti, Guna Berzina, Åsa Lundgren-Nilsson, Toni Arndt, Katharina S. Sunnerhagen

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Purpose: To examine if the International Classification of Functioning (ICF) core set for stoke contains problems that are relevant for the persons living with stroke as expressed in the Stroke Impact Scale (SIS). Methods: Cross-sectional study of 242 persons with previous stroke. The agreement between the perceived problems in the SIS items and problems in the categories of Comprehensive ICF Core Set for stroke were analyzed using percent of agreement and Kappa statistic. Results: The analyses between 57 items of the SIS and 31 second-level categories of the ICF were conducted. The problems in domains of “Mobility”, “Activities of daily living”, “Hand function”, “Strength” in the SIS had moderate agreement when compared to ICF categories. The SIS domains of “Emotion” and “Communication”, as well as some aspects of the “Memory” had slight or fair agreement with corresponding ICF categories. The results of the study suggest that there is acceptable agreement between persons after stroke and health professionals in the physical aspects, but rather poor agreement in the cognitive and emotional aspects of functioning. Conclusions: Health professionals do not fully capture the magnitude of emotional or social problems experienced by persons after stroke when using the ICF Core Set as a framework for evaluation.Implications for Rehabilitation The ICF Core Set for Stroke provides comprehensive list of possible health and health related outcomes for persons after stroke. Problems reported in condition-specific patient-reported outcome scales can be important in decision making in rehabilitation. Patients and health professionals tend to agree more on physical than cognitive problems. Examination of the relevance of the ICF cores set for stroke by comparing with the Stroke Impact Scale.

Original languageEnglish
Pages (from-to)508-513
Number of pages6
JournalDisability and Rehabilitation
Volume41
Issue number5
DOIs
Publication statusPublished - 27 Feb 2019

Keywords*

  • core sets
  • International Classification of Functioning Disability and Health
  • perceptions
  • Stroke
  • Stroke Impact Scale

Field of Science*

  • 3.3 Health sciences

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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