[Development and validation of BECAD. An instrument derived from the international classification of functioning, disability and health]. / Desarrollo y validación de la BECAD: un instrumento de evaluación basado en la Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud.

BACKGROUND: The International Classification of Functioning, Disability and Health (ICF) provides a useful theoretical framework for the rehabilitation of chronic diseases with complex problems that require interdisciplinary teams. The aim of this study was the development of a set of scales based on ICF for treatment planning and outcome assessment. METHODS: A group of experts conducted several changes of the elements from the Activities and Participation ICF chapter. Tasks and questions were designed and then, submitted to review from another group of experts. An online application was designed. The sample consisted of 116 participants, 34 of them with brain injury, 38 with severe mental disorders and 44 controls. Trained psychologists and other health professionals administered the scales. Exploratory factor analysis of the scales "Learning and applying knowledge and general tasks and demands", "Self-care" and "Mobility" besides reliability coefficients, MANCOVAs and regression analyses were performed. RESULTS: In the scale "Learning and applying knowledge and general tasks and demands" three factors have been extracted, which explain 52,58% of variance. In the scale "Mobility" two factors have been extracted, explaining 76,91 % of variance; and in "Self-care", another two factors were extracted, explaining 77,60 % of variance. MANCOVAs showed significant differences between the three groups in all seven new factors. All factors presented coefficients between 0.91 and 0.99. CONCLUSIONS: These results showed appropriate metric properties of the new scales, whose factors discriminate between groups and have a high reliability.

Desarrollo y validación de la becaD, un instrumento de evaluación basado en la clasificación internacional del funcionamiento, de la discapacidad y de la salud / Development and validation of BECAD. An Instrument derived from the International Classification of Functioning, Disability and Health

Fundamentos: La Clasificación Internacional del Funcionamiento, de la Discapacidad y la Salud (CIF) proporciona un marco conceptual muy útil en la rehabilitación de personas con trastornos crónicos, con problemas complejos y atendidos por equipos interdisciplinares. El objetivo de este trabajo fue el desarrollo de una batería de escalas basadas en la CIF para la planificación de tratamientos y la evaluación de resultados. Métodos: Un grupo de expertos realizó una modificación de los elementos de las Actividades de la CIF. Se diseñaron preguntas y tareas que fueron sometidas a valoración por un segundo grupo. Se diseñó una aplicación informática en línea. La muestra estuvo formada por 116 participantes, 34 con daño cerebral adquirido, 38 con trastorno mental grave y 44 controles. La administración de las escalas la realizaron psicólogos entrenados y profesionales sanitarios. Se realizaron análisis factoriales exploratorios de tres escalas: “Aprendizaje, aplicación del conocimiento y tareas y demandas generales”, “Autocuidado y “Movilidad”, análisis de consistencia interna, MANCOVAs y análisis de regresión. Resultados: En Aprendizaje, aplicación del conocimiento y tareas y demandas generales se obtuvieron tres factores que explicaron el 52,58% de la varianza. En Movilidad se obtuvieron dos factores que explicaron el 76,91 % y en “Autocuidado” se obtuvieron otros dos, que explicaron el 77,60 %. Los test de MANCOVAs mostraron diferencias entre las tres muestras en todos los factores y los coeficientes de fiabilidad tuvieron valores entre 0,91 y 0,99. Conclusiones: Los resultados de este estudio indicaron adecuadas propiedades métricas de las nuevas escalas, cuyos factores discriminaron entre muestras y tuvieron alta fiabilidad(AU)

Background: The International Classification of Functioning, Disability and Health (ICF) provides a useful theoretical framework for the rehabilitation of chronic diseases with complex problems that require interdisciplinary teams. The aim of this study was the development of a set of scales based on ICF for treatment planning and outcome assessment. Methods: A group of experts conducted several changes of the elements from the Activities and Participation ICF chapter. Tasks and questions were designed and then, submitted to review from another group of experts.An online application was designed. The sample consisted of 116 participants, 34 of them with brain injury, 38 with severe mental disorders and 44 controls. Trained psychologists and other health professionals administered the scales. Exploratory factor analysis of the scales “Learning and applying knowledge and general tasks and demands”, “Self-care” and “Mobility” besides reliability coefficients, MANCOVAs and regression analyses were performed. Results: In the scale “Learning and applying knowledge and general tasks and demands” three factors have been extracted, which explain 52,58% of variance. In the scale “Mobility” two factors have been extracted, explaining 76,91 % of variance; and in “Self-care”, another two factors were extracted, explaining 77,60%of variance.MANCOVAs showed significant differences between the three groups in all seven new factors. All factors presented coefficients between 0.91 and 0.99. Conclusions: These results showed appropriate metric properties of the newscales,whose factors discriminate between groups and have a high reliability(AU)