Content analysis of the Measure of the Quality of the Environment by linkage with the International Classification of Functioning, Disability and Health.

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2024-04-01 DOI:10.1002/pri.2089

Vívian Elaine Vargas Alflen, Gabriela Santos Pereira, Mariana De Souza Condé, Fernanda Guimarães De Andrade, Patrick Fougeyrollas, Soraia Micaela Silva

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Abstract

Background: This study explores the linkage between the Measurement of Environmental Quality (MQE) and the International Classification of Functioning, Disability, and Health (ICF). Stemming from the Human Development Model-Disability Creation Process (HDM-DCP), MQE enhances understanding of how environmental quality impacts disability development across diverse socio-cultural contexts. Integrating MQE with ICF expands the perspective on disability formation beyond HDM-DCP, encompassing ICF's functioning approach.

Objective: To link the MQE with the concepts and categories of the ICF.

Methods: Two health professionals with adequate taxonomic knowledge of the ICF performed the initial linkage, which was based on updated standardized rules considering all hierarchical levels of the ICF. Linkage agreement between the first two assessors was measured using the Kappa (k) coefficient and respective 95% confidence intervals. In the absence of a consensus between the two assessors (k > 0.60), a third assessor was consulted to make the arbitrary decision of the final categories linked to the MQE.

Results: Insufficient agreement between the two assessors was found for the linkage process (k = 0.52; p < 0.001), requiring the final decision from the third assessor. At the end of the process, 26 ICF categories were linked to the main concepts (MC) measured by the 26 items of the short version of the MQE. Ten ICF categories were linked to the additional concepts (AC) measured by the MQE. Moreover, the MQE addresses the five domains of the ICF component "environmental factors," with a predominance of the "services, systems and policies" domain (MC = 45.8% and AC = 40%).

Conclusion: The linkage of the concepts measured by the MQE to ICF categories enabled mapping the content of the MQE, identifying it as a promising tool for measuring environmental factors in accordance with ICF percepts.

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通过与《国际功能、残疾和健康分类》的联系，对环境质量测量进行内容分析。

背景：本研究探讨了环境质量测量（MQE）与国际功能、残疾和健康分类（ICF）之间的联系。环境质量测量源于人类发展模式--残疾形成过程（HDM-DCP），它加深了人们对环境质量如何在不同社会文化背景下影响残疾发展的理解。将 MQE 与 ICF 相结合，可将残疾形成的视角扩展到 HDM-DCP 以外，包括 ICF 的功能方法：将 MQE 与 ICF 的概念和类别联系起来：两名对 ICF 有充分分类知识的医疗专业人员进行了初步链接，该链接基于最新的标准化规则，考虑到了 ICF 的所有层次水平。使用卡帕（Kappa）系数和各自的 95% 置信区间来衡量前两位评估者之间的联系一致性。如果两位评估员之间没有达成共识（k>0.60），则咨询第三位评估员，由其任意决定与 MQE 相关联的最终类别：结果：两位评估员在联系过程中没有达成足够的一致（k = 0.52；p 结论：两位评估员在联系过程中没有达成足够的一致：将 MQE 所测量的概念与 ICF 的类别联系起来，可以绘制出 MQE 的内容图，将其确定为根据 ICF 概念测量环境因素的一种有前途的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.