Mapping the Stroke Impact Scale (SIS-16) to the International Classification of Functioning, Disability and Health.
OBJECTIVE
To demonstrate how the International Classification of Functioning, Disability and Health (ICF) can be used to create coded functional status indicators specific for stroke from a simple stroke-specific functional index, the Stroke Impact Scale-16 (SIS-16).


METHODS
Nineteen professionals for the mapping portion and 8 persons with stroke for the cognitive debriefing portion.


METHODS
Participants were asked to identify appropriate codes for the corresponding items of the SIS-16 following a structured protocol for mapping measures to the ICF. A Delphi technique was used in order to reach consensus for as many items as possible. In addition, cognitive debriefing was conducted with persons with stroke.


RESULTS
A total of 13 items had Functional Status Indicators endorsed (8 items at the 4 digit level and 5 items at the 3 digit level). There were 3 items that did not reach consensus. The cognitive debriefing sessions demonstrated the differences in interpretation from the persons with stroke and the intentions by the developers.


CONCLUSIONS
This study has shown how the ICF can capture most items from functional status measures, such as the SIS-16. Furthermore, the items can be used to map onto a standard coding framework, illustrating the potential for increased use of Functional Status Indicators.
Division of Clinical Epidemiology, McGill University, Montreal, Ontario, Canada. carolina.moriello@mcgill.ca
Carolina
C
Moriello
Kerry
K
Byrne
Alarcos
A
Cieza
Caryn
C
Nash
Paul
P
Stolee
Nancy
N
Mayo
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D006801:Humans; D038801:International Classification of Diseases; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011594:Psychometrics; D020127:Recovery of Function; D018434:Sickness Impact Profile; D020521:Stroke / Q000145:classification / Q000503:physiopathology / Q000523:psychology; D000071939:Stroke Rehabilitation