1961 - The Development of an International Classification of Functioning, Disability and Health (ICF) Core Set for Acute Inflammatory Arthritis

Jane Zochling1, Eva Grill2, Gerold Stucki2, Jürgen Braun1. 1Rheumazentrum-Ruhrgebiet, Herne, Germany; 2ICF Research Branch of the WHO FIC Collaborating Center (DIMDI), IHRS, Munich, Germany
Presentation Number: 1961

Purpose: To develop a World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF) Core Set relevant for clinical use in patients with acute inflammatory arthritis.

Methods: Acute arthritis was defined as inflammatory symptoms in 2 or more peripheral joints within the previous 8 weeks. Three pre-studies were carried out to define functioning issues from different perspectives: a cross-sectional patient questionnaire was performed to assess the patient viewpoint, multi-disciplinary focus groups were held to establish the health professional viewpoint, and a systematic review of the published literature in acute arthritis was done and measurement instruments extracted and linked to ICF categories to define the research viewpoint.
Results from each of the three pre-studies were then collated and presented to a group of experts in the multi-disciplinary management of acute rheumatology patients in a 2-day consensus conference. The consensus group then refined the presented material into a short and a long ICF Core Set through discussion and a Delphi exercise, the first two rounds in professional working groups and the final round in a plenary session.

Results: 32 experts, including 9 rheumatologists, 9 specialist nurses, 11 allied health professionals and a patient representative participated in the selection process. The Comprehensive Core Set contained a total of 79 second-level categories. The largest number of categories was selected from the ICF component Activities and Participation (28 categories or 35%). 18 (23%) of the categories were selected from the component Body Functions, 13 (16%) from the component Body Structures, and 20 (25%) from the component Environmental Factors. The Brief Core Set comprised 40 second-level categories: 14 (35%) from Body Functions, 10 (25%) from Body Structures, 7 (17.5%) from Activities and Participation and 9 (22.5%) from Environmental Factors.

Conclusions: ICF Core Sets relevant for acute inflammatory arthritis were developed by consensus, which may be useful in the interdisciplinary clinical setting such as the acute outpatient clinic or inpatient hospital, or as a framework for the development of future research strategies or tools. The next step will be to test these preliminary ICF Core Sets in different settings for validity and reliability.

 J. Zochling, None.