title: Towards the system-wide implementation of the International Classification of Functioning, Disability, and Health in routine clinical practice: Empirical findings of a pilot study from Mainland China.
abstract: OBJECTIVE
  The aims of this study were to evaluate the feasibility of using the International Classification of Functioning, Disability and Health (ICF) Generic Set in routine clinical practice, and of creating a functioning score based on it, and, subsequently, to examine its sensitivity to change.
  
  
  METHODS
  In this prospective cohort study, data from 761 adult inpatients from 21 Chinese hospitals were analysed. Each patient was assessed at admission and discharge. Feasibility was evaluated by analysing mean assessment time. The Rasch model was used to create a metric of functioning. Sensitivity to change was analysed with mixed-effects regression and by calculating standardized effect size based on Cohen's f2.
  
  
  RESULTS
  Mean duration of assessment was 5.3 min, with a significant decrease between admission and discharge. After removal of the item remunerative employment, the remaining ICF Generic Set categories fitted the Rasch model well. With a mean improvement in functioning of 12.1 (95% confidence interval (95% CI): 11.5-12.6), this metric proved sensitive to change, both in terms of statistical significance (p < 0.001) and standardized effect size (Cohen's f2 = 2.35).
  
  
  CONCLUSIONS
  The ICF Generic Set is feasible for use in routine clinical practice and is promising to serve as the basis for the development of a functioning score that is sensitive to change.
authors.affiliation: Swiss Paraplegic Research, Guido A Zäch Strasse 4, CH-6207 Nottwil, Switzerland. jan.reinhardt@paranet.ch.
authors.forename: Jan D
authors.initials: JD
authors.lastname: Reinhardt
authors.forename: Xia
authors.initials: X
authors.lastname: Zhang
authors.forename: Birgit
authors.initials: B
authors.lastname: Prodinger
authors.forename: Cristina
authors.initials: C
authors.lastname: Ehrmann-Bostan
authors.forename: Melissa
authors.initials: M
authors.lastname: Selb
authors.forename: Gerold
authors.initials: G
authors.lastname: Stucki
authors.forename: Jianan
authors.initials: J
authors.lastname: Li
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D002681:China; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation*; D006801:Humans; D064702:International Classification of Functioning, Disability and Health / Q000145:classification*; D010865:Pilot Projects; D011446:Prospective Studies