title: Assessment of functioning in the acute hospital: operationalisation and reliability testing of ICF categories relevant for physical therapists interventions.
abstract: OBJECTIVE
  To operationalize items based on categories of the International Classification of Functioning, Disability and Health (ICF) relevant to patient problems that are addressed by physiotherapeutic interventions in the acute hospital, and to test the reliability of these items when applied by physiotherapists.
  
  
  METHODS
  A selection of 124 ICF categories was operation-alized in a formal decision-making and consensus process. The reliability of the newly operationalized item list was tested with a cross-sectional study with repeated measurements.
  
  
  RESULTS
  The item writing process resulted in 94 dichotomous and 30 polytomous items. Data were collected in a convenience sample of 28 patients with neurological, musculoske-letal, cardiopulmonary, or internal organ conditions, requiring physical therapy in an acute hospital. Fifty-six percent of the polytomous and 68% of the dichotomous items had a raw agreement of 0.7 or above, whereas 36% of all polytomous and 34% of all dichotomous items had a kappa coefficient of 0.7 and above.
  
  
  CONCLUSIONS
  The study supports that the ICF is adaptable to professional and setting-specific needs of physiotherapists. Further research towards the development of reliable instruments for physiotherapists based on the ICF seems justified. :
authors.affiliation: Institute for Health and Rehabilitation Sciences, Ludwig-Maximilians-Universität München, DE-813 77 Munich, Germany. eva.grill@med.uni-muenchen.de
authors.forename: Eva
authors.initials: E
authors.lastname: Grill
authors.forename: Thomas
authors.initials: T
authors.lastname: Gloor-Juzi
authors.forename: Erika O
authors.initials: EO
authors.lastname: Huber
authors.forename: Gerold
authors.initials: G
authors.lastname: Stucki
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000145:classification / Q000534:rehabilitation*; D005260:Female; D005858:Germany; D006331:Heart Diseases / Q000534:rehabilitation; D006801:Humans; D007297:Inpatients; D038801:International Classification of Diseases; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000534:rehabilitation; D009422:Nervous System Diseases / Q000534:rehabilitation; D017063:Outcome Assessment, Health Care; D026741:Physical Therapy Modalities; D015203:Reproducibility of Results; D012140:Respiratory Tract Diseases / Q000534:rehabilitation; D013557:Switzerland