Developing and validating the Communication Function Classification System for individuals with cerebral palsy.
Developing and validating the Communication Function Classification System for individuals with cerebral palsy.
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DOI：
10.1111/j.1469-8749.2011.03996.x
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发表时间：
2011-08
影响因子：
3.8
通讯作者：
Taylor K
中科院分区：
文献类型：
--
作者：
Hidecker MJ;Paneth N;Rosenbaum PL;Kent RD;Lillie J;Eulenberg JB;Chester K Jr;Johnson B;Michalsen L;Evatt M;Taylor K
本研究的目的是创建和验证一个沟通功能分类系统（CFCS）的脑瘫儿童（CP），可用于各种各样的个人谁是有兴趣的CP。本文报告了内容效度，评分者间信度和重测信度的CFCS与CP儿童。一个由11名成员组成的开发团队创建了CFCS级别的全面描述，由27名参与者组成的四个名义组对这些级别进行了评论。在一项德尔菲调查中，112名参与者对CFCS的清晰度和实用性发表了评论。61名专业人员和68名父母/亲属完成了评分员间的可靠性，他们将69名2至18岁的CP儿童分类。重测信度完成了48名专业人士谁允许至少2周之间的分类。评估CFCS的参与者都是相关的利益相关者：成年CP患者，CP儿童的父母，教育工作者，职业治疗师，物理治疗师，医生和语言病理学家。CFCS的评分者间信度为0.66之间的两个专业人士和0.49之间的父母和专业人士。4岁以上儿童的专业评分员间信度提高到0.77。重测信度为0.82。CFCS显示了内容效度，并显示出非常好的重测信度，良好的专业评分者间信度和中等的父母专业评分者间信度。根据世界卫生组织的国际功能、残疾和健康分类，将CFCS与粗大运动功能分类系统和手动能力分类系统相结合，有助于CP患者日常生活的功能表现观点。
The purpose of this study was to create and validate a Communication Function Classification System (CFCS) for children with cerebral palsy (CP) that can be used by a wide variety of individuals who are interested in CP. This paper reports the content validity, interrater reliability, and test–retest reliability of the CFCS for children with CP. An 11-member development team created comprehensive descriptions of the CFCS levels, and four nominal groups comprising 27 participants critiqued these levels. Within a Delphi survey, 112 participants commented on the clarity and usefulness of the CFCS. Interrater reliability was completed by 61 professionals and 68 parents/relatives who classified 69 children with CP aged 2 to 18 years. Test–retest reliability was completed by 48 professionals who allowed at least 2 weeks between classifications. The participants who assessed the CFCS were all relevant stakeholders: adults with CP, parents of children with CP, educators, occupational therapists, physical therapists, physicians, and speech–language pathologists. The interrater reliability of the CFCS was 0.66 between two professionals and 0.49 between a parent and a professional. Professional interrater reliability improved to 0.77 for classification of children older than 4 years. The test–retest reliability was 0.82. The CFCS demonstrates content validity and shows very good test–retest reliability, good professional interrater reliability, and moderate parent–professional interrater reliability. Combining the CFCS with the Gross Motor Function Classification System and the Manual Ability Classification System contributes to a functional performance view of daily life for individuals with CP, in accordance with the World Health Organization’s International Classification of Functioning, Disability and Health.