Selection of Comprehensive Assessment Categories Based on the International Classification of Functioning, Disability, and Health for Elderly Patients with Heart Failure: A Delphi Survey among Registered Instructors of Cardiac Rehabilitation.
Shigehito Shiota, Makiko Naka, Toshiro Kitagawa and 6 others
PMID 34257628WHAT IT FOUND
Japanese cardiac rehabilitation experts selected 58 ICF categories for assessing elderly heart failure patients.
They prioritised body function and activity items, but chose far fewer environmental factors than international core sets. This list is a consensus proposal, not a validated tool.
Key findings
01Experts selected 58 ICF categories (27 body function, 4 body structure, 20 activity/participation, 7 environmental) based on ≥80% consensus.
02The selected categories included significantly fewer environmental factors (7) compared to the international ICF core set for chronic ischemic heart disease (29).
03Decision making (d177) was uniquely selected, reflecting the need for advanced care planning in this population.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The sample was limited to one prefecture in Japan, so the consensus may not apply to other cultures or healthcare systems. Physiotherapists made up 56.5% of respondents, while occupational therapists were only 10.9%, meaning the list reflects a PT-heavy perspective. The study did not follow the standard WHO methodology for developing ICF core sets. No personal factors were included in the assessment categories. The tool has not been tested for reliability or effectiveness in clinical practice.
Declared interests
No specific funding sources or conflicts of interest were declared in the provided text.
The easy way to misread this
Do not use this list as a validated assessment instrument. It is a survey of expert opinion from a single Japanese region, dominated by physiotherapists, and has not been tested for reliability or clinical effectiveness.