title: Content validation of the international classification of functioning, disability and health core set for stroke from gender perspective using a qualitative approach.
abstract: BACKGROUND
  The extended ICF Core Set for stroke is an application of the International Classification of Functioning, Disability and Health (ICF) of the World Health Organisation (WHO) with the purpose to represent the typical spectrum of functioning of persons with stroke.
  
  
  OBJECTIVE
  The objective of the study is to add evidence to the content validity of the extended ICF Core Set for stroke from persons after stroke taking into account gender perspective.
  
  
  METHODS
  A qualitative study design was conducted by using individual interviews with women and men after stroke in an in- and outpatient rehabilitation setting.
  
  
  METHODS
  The sampling followed the maximum variation strategy. Sample size was determined by saturation. Concepts from qualitative data analysis were linked to ICF categories and compared to the extended ICF Core Set for stroke.
  
  
  RESULTS
  Twelve women and 12 men participated in 24 individual interviews. In total, 143 out of 166 ICF categories included in the extended ICF Core Set for stroke were confirmed (women: N.=13; men: N.=17; both genders: N.=113). Thirty-eight additional categories that are not yet included in the extended ICF Core Set for stroke were raised by women and men.
  
  
  CONCLUSIONS
  This study confirms that the experience of functioning and disability after stroke shows communalities and differences for women and men. The validity of the extended ICF Core Set for stroke could be mostly confirmed, since it does not only include those areas of functioning and disability relevant to both genders but also those exclusively relevant to either women or men.
  
  
  CONCLUSIONS
  Further research is needed on ICF categories not yet included in the extended ICF Core Set for stroke.
authors.affiliation: Swiss Paraplegic Research (SPF), Nottwil, Switzerland - alarcos.cieza@med.lmu.de.
authors.forename: A
authors.initials: A
authors.lastname: Glässel
authors.forename: M
authors.initials: M
authors.lastname: Coenen
authors.forename: B
authors.initials: B
authors.lastname: Kollerits
authors.forename: A
authors.initials: A
authors.lastname: Cieza
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012189:Retrospective Studies; D012737:Sex Factors; D020521:Stroke / Q000145:classification*; D000071939:Stroke Rehabilitation