Selection of Comprehensive Assessment Categories Based on the International Classification of Functioning, Disability, and Health for Elderly Patients with Heart Failure: A Delphi Survey among Registered Instructors of Cardiac Rehabilitation

The development of a comprehensive assessment tool based on the International Classification of Functioning, Disability, and Health (ICF) for elderly patients with heart failure is urgently required. In this study, we classified the ICF categories relevant to heart failure in the elderly through a D...

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Main Authors: Shigehito Shiota, Makiko Naka, Toshiro Kitagawa, Takayuki Hidaka, Naoki Mio, Kana Kanai, Mariko Mochizuki, Hiroaki Kimura, Yasuki Kihara
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Occupational Therapy International
Online Access:http://dx.doi.org/10.1155/2021/6666203
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author Shigehito Shiota
Makiko Naka
Toshiro Kitagawa
Takayuki Hidaka
Naoki Mio
Kana Kanai
Mariko Mochizuki
Hiroaki Kimura
Yasuki Kihara
author_facet Shigehito Shiota
Makiko Naka
Toshiro Kitagawa
Takayuki Hidaka
Naoki Mio
Kana Kanai
Mariko Mochizuki
Hiroaki Kimura
Yasuki Kihara
author_sort Shigehito Shiota
collection DOAJ
description The development of a comprehensive assessment tool based on the International Classification of Functioning, Disability, and Health (ICF) for elderly patients with heart failure is urgently required. In this study, we classified the ICF categories relevant to heart failure in the elderly through a Delphi survey (3-step questionnaire survey) of 108 Registered Instructors of Cardiac Rehabilitation in the Hiroshima Prefecture. Questionnaires were conducted using postal mail or a web-based platform. The survey was conducted three times, and the survey results were provided as feedback to the participants in the second and third rounds. More than 80% of the respondents selected categories according to the ICF core set methodology. Data were collected from December 2018 to March 2019, with 67, 54, and 46 participants in the first, second, and third rounds, respectively. A total of 58 ICF items were adopted based on the results: 27 body function items, 4 body structure items, 20 activity and participation items, and 7 environmental factor items. This study is characterised by the inclusion of a large number of ICF items for mental function. This result seems to be influenced by the increasing interest in cognitive dysfunction in elderly patients with heart failure. The ICF categories selected for this study allow for a comprehensive assessment of clients for occupational therapy. The findings of this study are expected to provide a basis for an outcome measure to determine the effectiveness of occupational therapy for these patients.
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spelling doaj-art-d3705b4db35a4d528bfbda5e92b1afee2025-08-20T02:19:50ZengWileyOccupational Therapy International0966-79031557-07032021-01-01202110.1155/2021/66662036666203Selection of Comprehensive Assessment Categories Based on the International Classification of Functioning, Disability, and Health for Elderly Patients with Heart Failure: A Delphi Survey among Registered Instructors of Cardiac RehabilitationShigehito Shiota0Makiko Naka1Toshiro Kitagawa2Takayuki Hidaka3Naoki Mio4Kana Kanai5Mariko Mochizuki6Hiroaki Kimura7Yasuki Kihara8Heart Failure Center, Hiroshima University Hospital, Hiroshima, JapanHeart Failure Center, Hiroshima University Hospital, Hiroshima, JapanHeart Failure Center, Hiroshima University Hospital, Hiroshima, JapanHeart Failure Center, Hiroshima University Hospital, Hiroshima, JapanHeart Failure Center, Hiroshima University Hospital, Hiroshima, JapanHeart Failure Center, Hiroshima University Hospital, Hiroshima, JapanHiroshima Integrated Community Care System Promotion Center, Hiroshima, JapanHeart Failure Center, Hiroshima University Hospital, Hiroshima, JapanHeart Failure Center, Hiroshima University Hospital, Hiroshima, JapanThe development of a comprehensive assessment tool based on the International Classification of Functioning, Disability, and Health (ICF) for elderly patients with heart failure is urgently required. In this study, we classified the ICF categories relevant to heart failure in the elderly through a Delphi survey (3-step questionnaire survey) of 108 Registered Instructors of Cardiac Rehabilitation in the Hiroshima Prefecture. Questionnaires were conducted using postal mail or a web-based platform. The survey was conducted three times, and the survey results were provided as feedback to the participants in the second and third rounds. More than 80% of the respondents selected categories according to the ICF core set methodology. Data were collected from December 2018 to March 2019, with 67, 54, and 46 participants in the first, second, and third rounds, respectively. A total of 58 ICF items were adopted based on the results: 27 body function items, 4 body structure items, 20 activity and participation items, and 7 environmental factor items. This study is characterised by the inclusion of a large number of ICF items for mental function. This result seems to be influenced by the increasing interest in cognitive dysfunction in elderly patients with heart failure. The ICF categories selected for this study allow for a comprehensive assessment of clients for occupational therapy. The findings of this study are expected to provide a basis for an outcome measure to determine the effectiveness of occupational therapy for these patients.http://dx.doi.org/10.1155/2021/6666203
spellingShingle Shigehito Shiota
Makiko Naka
Toshiro Kitagawa
Takayuki Hidaka
Naoki Mio
Kana Kanai
Mariko Mochizuki
Hiroaki Kimura
Yasuki Kihara
Selection of Comprehensive Assessment Categories Based on the International Classification of Functioning, Disability, and Health for Elderly Patients with Heart Failure: A Delphi Survey among Registered Instructors of Cardiac Rehabilitation
Occupational Therapy International
title Selection of Comprehensive Assessment Categories Based on the International Classification of Functioning, Disability, and Health for Elderly Patients with Heart Failure: A Delphi Survey among Registered Instructors of Cardiac Rehabilitation
title_full Selection of Comprehensive Assessment Categories Based on the International Classification of Functioning, Disability, and Health for Elderly Patients with Heart Failure: A Delphi Survey among Registered Instructors of Cardiac Rehabilitation
title_fullStr Selection of Comprehensive Assessment Categories Based on the International Classification of Functioning, Disability, and Health for Elderly Patients with Heart Failure: A Delphi Survey among Registered Instructors of Cardiac Rehabilitation
title_full_unstemmed Selection of Comprehensive Assessment Categories Based on the International Classification of Functioning, Disability, and Health for Elderly Patients with Heart Failure: A Delphi Survey among Registered Instructors of Cardiac Rehabilitation
title_short Selection of Comprehensive Assessment Categories Based on the International Classification of Functioning, Disability, and Health for Elderly Patients with Heart Failure: A Delphi Survey among Registered Instructors of Cardiac Rehabilitation
title_sort selection of comprehensive assessment categories based on the international classification of functioning disability and health for elderly patients with heart failure a delphi survey among registered instructors of cardiac rehabilitation
url http://dx.doi.org/10.1155/2021/6666203
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