Construction and validation of an instrument for physical therapy assessment and functional classification in the biopsychosocial model of the International Classification of Functioning, Disability and Health (ICF) for hospitalized HIV patients

Abstract

The human immunodeficiency virus (HIV)
is responsible for the compromise of the immune system
and a high number of hospitalizations. Considering
the biopsychosocial (BPS) context of the individual,
the International Classification of Functioning, Disability
and Health (ICF) provides the maximum description of
a health condition and the impact of interventions and
service delivery for the physiotherapeutic process. The aim
of this study was to build and validate a physical therapy
assessment and functional classification instrument based
on the ICF for hospitalized members of the HIV community.
This is an observational, cross-sectional, and descriptive
study based on the analysis of demand, elaboration, and improvement of the instrument and its validation with
the consensus of a experts committee of physical therapists;
they evaluated 58 items and the classification codes resulted in
0.858 overall Kappa value=strong agreement between assessments,
all statistically significant (p-value<0.05). The final version of the
instrument included 36 items, all with Kappa coefficient >0.80.
The constructed instrument is valid for the evaluation and functional
classification in the ICF model for hospitalized members of
the HIV community, contributing to the physical therapy clinical
practice in the hospital environment.