Development and Validation of the WHO Rehabilitation Competency Framework: A Mixed Methods Study.
Jody-Anne Mills, Alarcos Cieza, Stephanie D Short and 1 others
PMID 33245940WHAT IT FOUND
The final WHO rehabilitation competency framework has 5 domains, 17 competencies, 4 core values, 56 behaviors, 20 activities, and 62 tasks.
It was built from existing frameworks, professional surveys, and 36 service users.
Key findings
01The final RCF had 5 domains, 17 competencies, 4 core values, 56 behaviors, 20 activities, and 62 tasks.
02The average agreement with statements was 95% in both Delphi iterations, and one task received 87% agreement in the second iteration.
03Service users most often noted practice capability (33 references), engaging the person (25 references), and communication (24 references).
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
Eastern Mediterranean, Southeast Asian, and low-income country participants were underrepresented. The Delphi participants were not balanced by sex, age, and profession. No service users younger than 18 were included, so children's views were absent. Questionnaires were only available in English, and the service user questionnaire also in French, which may have limited participation and expression. The service user consultation used snowballing, had 36 participants, and did not include interviews because broad agreement was seen. The paper reports framework development and validation, not patient outcome results.
The easy way to misread this
Do not read the high agreement rates as proof that the framework improves patient care. The paper reports framework development and validation, not patient outcome results.