Journal of Educational Innovation Research 2019, Vol. 29, No. 1, pp.41-64 DOI: http://dx.doi.org/10.21024/pnuedi.29.1.201903.41 ICF Core Set : * Development of the ICF Core Set for Multidimensional Evaluation of Persons with Severe Intellectual Disabilities: Focusing on Item Extraction through Interviews with Field Experts Purpose: The purpose of this study was to identify evaluation items through interviews with field experts in order to develop ICF Core Set for multidisciplinary evaluation of persons with severe intellectual disabilities. Method: The study participants were 10 field experts with more than five years of experience instructing persons with severe intellectual disabilities. The interview period took about two months from September to November 2017. The interview questionnaire was designed to understand the abilities and performance of persons with severe intellectual disabilities in the 4 areas(body function and structure, activities and participation, environmental factors, contextual factors) of the ICF system suggested by WHO(2001). The interview data were recorded and transferred to the transcripts with the consent of study participants, and the data were categorized into 4 areas under triangulation method. Results: A total of 149 items were extracted to be included in the development of the ICF Core Set for the multidisciplinary evaluation of persons with severe intellectual disabilities. There were 57 items on body functions, 11 items on body structures, 51 items on activities and participation, 30 items on environmental factors. Conclusion: Hereafter, a two-phase Delphi survey will be conducted to assess the importance of items extracted from this study, while developing a comprehensive and shortened version of ICF Core Set for multidisciplinary evaluation of persons with severe intellectual disabilities. Key words: persons with severe intellectual disabilities, multidisciplinary evaluation, Development of ICF Core Set, interview, item extraction * 2017 (NRF-2017S1A5A8021184). Corresponding Author: Lim, Hye-Gyeoung. Pusan National University, Dept. of Special Education, Busandaehakro, Jangjeondong, Busan, Korea, e-mail: hglim2008@hanmail.net
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,, (2014). ICF ICF-CY. (2), 139-171., (2016).. (4), 111-137. http://dx.doi.org/10.15861/kjse.2016.50.4.111.,, (2015). ICF. (2), 225-247. http://dx.doi.org/10.15861/kjse.2015.50.2.225,,, (2017). :., (2018). ICF Core Set : 2012 2018. (2), 51-82. https://doi.org/10.21075/kacsn.2018.20.2.51 Arvidsson, P., Granlund, M., & Thyberg, M. (2015). How are the activity and participation aspects of the ICF used? Examples from studies of people with intellectual disability. Neuro Rehabilitation, 36(1), 45-49. https://doi.org/10.3233/nre-141190 Bogdan, R., & Biklen, S. (2007). Qualitative research for education: An introduction to theory and practice. Needham Heights, MA: Allyn and Bacon. Brach, M., Cieza, A., Stucki, G., Fubi, M., Cole, A., Ellerin, B. E., Fialka-Moser, V., Kostanjsek, N., & Melvin, J. (2004). ICF Core Sets for breast cancer. Journal of Rehabilitation Medicine, 44, 121-127. https://doi.org/10.1080/16501960410016811 Buntinx, W. H., E., & Schalock, R. L. (2010). Models of disability, quality of life, and individualized supports: Implications for professional practice in intellectual disability. Journal of Policy and Practice in Intellectual Disabilities, 7(4), 283-294. https://doi.org/10.1111/j.1741-1130.2010.00278.x Cieza, A., Schwarzkopf, S. R., Sigl, T., Stucki, G., Melvin, J., Stoll, T., Woolf, A. D., Kostanjsek, N., & Walsh, N. (2004). Journal of Rehabilitation Medicine, 44, 81-86. https://doi.org/10.1080/ 16501960410016028 Gawrylowicz, J., Gabbert, F., Carson, D., Lindsay, W. R., & Hancock, P. J. (2013). Face recognition and description abilities in people with mild intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 26(5), 435-446. Hasler, F. (2006). Independent Living. In Albrecht, G. L. (Ed.), Encyclopedia of Disability (pp.930-935). Sage. Jelsma, J. (2009). Use of the international classification of functioning, disability and health: a literature survey. Journal of Rehabilitation Medicine, 41(1), 1-12. https://doi.org/10.2340/16501977-0300 Maeda, S., Kita, F., Miyawaki, T., Takeuchi, K., Ishida, R., Egusa, M., & Shimada, M. (2005). Assessment of patients with intellectual disability using the international classification of functioning, disability
and health to evaluate dental treatment tolerability. Journal of Intellectual Disability Research, 49(4), 253-259. https://doi.org/10.1111/j.1365-2788.2005.00644.x Rauch, A., Luckenkemper, M., & Cieza, A. (2012). Introduction to the international classification of functioning, disability and health. ICF Core Sets: manual for clinical practice. Gottingen: Hogrefe Publishing. Salvador-Carulla, L., & Garcia-Gutierrez, C. (2011). The WHO Construct of Health-related Functioning(HrF) and its Implications for Health Policy. BMC Public Health. Stucki, G., & Grimby, G. (2004). Applying the ICF in medicine. Journal of Rehabilitation Medicine, 44, 5-6. https://doi.org/10.1080/16501960410022300 World Health Organization (2001). International Classification of Functioning, Disability, and Health: ICF. Geneva: WHO Publishing. World Health Organization (2002). International Classification of Functioning, Disability, and Health: ICF. Geneva: WHO Publishing. Yen, T. H., Liou, T. H., Chang, K. H., Wu, N. N., Chou, L. C., & Chen, H. C. (2014). Systematic review of ICF core set from 2001 to 2012. Disability and Rehabilitation, 36(3), 177-184.?https://doi.org/10.3109/09638288.2013.782359 : 2019.01.31. / : 2019.02.07. / : 2019.03.20.
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