ICF Core Set for Primary Care Physiotherapy
- Conditions
- Musculoskeletal Diseases
- Interventions
- Other: Expert survey
- Registration Number
- NCT06168721
- Lead Sponsor
- University of Valladolid
- Brief Summary
Primary care physiotherapy services provide community-based care for musculoskeletal conditions. These conditions are often associated with disability and impact on patients' quality of life. The International Classification of Functioning, Disability and Health (ICF) is the global framework for describing disability. ICF Core Sets are ICF-based tools that facilitate the clinical use of this classification. The development of these tools follows a scientific process that combines the perspectives of researchers, patients, professionals, and the care setting. Our research team has conducted preliminary studies and identified candidate ICF categories with good potential for inclusion in a preliminary version of an ICF Core Set for the treatment of musculoskeletal conditions in community physical therapy settings. The aim of this study is to confirm the relevance of the candidate categories and to develop a final version of this ICF Core Set.
- Detailed Description
Primary care physiotherapy services provide community-based care for musculoskeletal conditions. These conditions are often associated with disability and impact on patients' quality of life. The International Classification of Functioning, Disability and Health (ICF) is the global framework for describing disability. ICF Core Sets are ICF-based tools that facilitate the clinical use of this classification. Some ICF Core Sets are designed to describe the functioning of patients with musculoskeletal problems.
These Core Sets are focused on the acute phase, typical of emergency care, and the post-acute phase, intended for multidisciplinary teams in rehabilitation centers. However, no ICF core set exists for the final stages of these conditions, when the patient has been reintegrated into the community. The development of ICF Core Sets follows a scientific process that integrates the perspectives of researchers, patients, professionals, and the care setting. Therefore, preparatory studies have been carried out, taking as a reference the physiotherapy services in primary care, where most of these conditions are treated.
These preparatory studies have made it possible to draw up a list of ICF categories that are candidates for being part of an ICF core set specific to these services. To confirm the relevance of these categories, a cross-sectional observational study will be developed by recruiting a group of experts. The experts will carry out two rounds of the survey according to the Delphi method. To be part of this group, sufficient expertise in the field of primary care physiotherapy will be required. The categories that reach consensus among these experts will be proposed in the development of a tailored ICF Core Set for primary care physiotherapy services.
The aim of this study is to confirm the relevance of the candidate categories and to develop a final version of an ICF Core Set for the management of musculoskeletal conditions in a primary care physiotherapy clinical setting. The availability of this tool would allow guiding physical therapy assessments, selecting optimal outcome measures, implementing person-centered care, and systematically recording clinical data.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 46
- Be physiotherapists working in a primary care setting for the duration of the study.
- Have more than 5 years of experience in this clinical setting.
- Evidence of completion of at least 200 hours of additional training, teaching, research, and/or administrative activities related to the clinical setting.
- Work in a rehabilitation center or hospital context.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Expert panel Expert survey This group will be composed of experts in primary care physiotherapy.
- Primary Outcome Measures
Name Time Method Judgment on the clinical utility of the selected ICF categories (Second Delphi Round) 2024-01/2024-06 Dichotomous question (yes/no) on the appropriateness of including or excluding the most relevant ICF categories in the ICF core set.
Relevance of candidate ICF categories (First Delphi Round) 2024-01/2024-06 The relevance of the categories will be measured on a 5-point Likert scale: "not relevant" (score 1), "hardly relevant" (score 2), "somewhat relevant" (score 3), "relevant" (score 4) and "very relevant" (score 5).
- Secondary Outcome Measures
Name Time Method Missing functioning concepts (First Delphi Round) 2024-01/2024-06 Open-ended question related to ICF
Trial Locations
- Locations (1)
Ólvega Primary Health Center
🇪🇸Ólvega, Soria, Spain