新医学2025，Vol.56Issue(8)：748-755,8.DOI:10.12464/j.issn.0253-9802.2025-0122
基于德尔菲法的ICF吞咽障碍核心组合评估指标筛选研究
A study on screening evaluation indicators of ICF Core Set for Dysphagia Assessment using the Delphi method
摘要
Abstract
Objective To screen evaluation indicators of the International Classification of Functioning,Disability and Health(ICF)Core Set for Dysphagia Assessment(ICF-DA),with the aim of enhancing its clinical applicability.Methods A questionnaire comprising 64 candidate evaluation indicators was developed based on a literature review.The Delphi method was employed to conduct two rounds of expert surveys.The authority coefficient(Cr)was calculated to assess the reliability of expert opinions.The Spearman's rank correlation coefficient(rs)was used to assess the consistency between individual expert scores and group scores,while Kendall's Coefficient of Concordance(W)was used to assess overall expert agreement.A five-point Likert scale was used to rate the importance of each candidate indicator.Based on the results of the second-round questionnaire,the top two indicators in each category with a coefficient of variation(CV)less than 0.25 were selected as the final evaluation indicators for the ICF-DA.Results A total of 20 experts in dysphagia diagnosis and treatment completed both rounds of the survey.The Cr was 0.94,indicating high expert reliability.The rs value in the second round was 0.71,demonstrating good consistency between individual and group scores.Both rounds yielded statistically significant W value(P<0.001),with a higher W value in the second round,indicating improved overall expert agreement.Ultimately,17 evaluation indicators were finalized.Conclusion The evaluation indicators for the ICF-DA developed using the Delphi method contribute to a comprehensive and multi-dimensional assessment of swallowing function in patients with dysphagia.关键词
吞咽障碍/康复评估/国际功能、残疾和健康分类/德尔菲法/问卷调查Key words
Dysphagia/Rehabilitation evaluation/ICF/Delphi method/Questionnaire survey引用本文复制引用
李剑姣,杨清露,简楚瑶,蔡思敏,李昱姗,招少枫..基于德尔菲法的ICF吞咽障碍核心组合评估指标筛选研究[J].新医学,2025,56(8):748-755,8.基金项目
国家自然科学基金(82302881) （82302881）
深圳市自然科学基金重点项目(JCYJ20220818102016034) （JCYJ20220818102016034）
深圳市福田区卫生健康系统科研项目(FTWS2022015) （FTWS2022015）
