{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:57:02Z","timestamp":1792454222538,"version":"4.5.0"},"reference-count":20,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T00:00:00Z","timestamp":1617926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Burn injuries cause disability and functional limitations in daily living. In a 2015 fire explosion in Taiwan, 499 young people sustained burn injuries. The construction of an effective and comprehensive rehabilitation program that enables patients to regain their previous function is imperative. The International Classification of Functioning, Disability, and Health (ICF) includes multiple dimensions that can contribute to meeting this goal. An ICF core set was developed in this study for Taiwanese patients with burns. A consensus process using three rounds of the Delphi technique was employed. A multidisciplinary team of 30 experts from various institutions was formed. The questionnaire used in this study comprised 162 ICF second-level categories relevant to burn injuries. A 5-point Likert scale was used, and participants assigned a weight to the effect of each category on daily activities after burns. The consensus among ratings was assessed using Spearman\u2019s \u03c1 and semi-interquartile range indices. The core set for post-acute SCI was developed from categories that attained a mean score of \u22654.0 in the third round of the Delphi exercise. The core ICF set contained 68 categories. Of these, 19 comprised the component of body functions, 5 comprised body structures, 37 comprised activities and participation, and 7 comprised environmental factors. This preliminary core set offers a comprehensive system for disability assessment and verification following burn injury. The core set provides information for effective rehabilitation strategy setting for patients with burns. Further feasibility and validation studies are required in the future.<\/jats:p>","DOI":"10.3390\/ijerph18083970","type":"journal-article","created":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T10:05:21Z","timestamp":1617962721000},"page":"3970","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Developing a Delphi-Based Comprehensive Core Set from the International Classification of Functioning, Disability, and Health Framework for the Rehabilitation of Patients with Burn Injuries"],"prefix":"10.3390","volume":"18","author":[{"given":"Yu-Ru","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5465-2977","authenticated-orcid":false,"given":"Jr-Yi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun-Cheng","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan"},{"name":"Department of Surgery, School of Medicine, Taipei Medical University, Taipei 11031, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6390-5876","authenticated-orcid":false,"given":"Kwang-Hwa","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei 11031, Taiwan"},{"name":"Institute of Injury Prevention and Control, Taipei Medical University, Taipei 11031, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hung-Chou","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan"},{"name":"Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3199-4744","authenticated-orcid":false,"given":"Reuben","family":"Escorpizo","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, University of Vermont, Burlington, VT 05401, USA"},{"name":"Swiss Paraplegic Research, 6207 Nottwil, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1815-6938","authenticated-orcid":false,"given":"Shih-Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan"},{"name":"Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0959-4023","authenticated-orcid":false,"given":"Tsan-Hon","family":"Liou","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan"},{"name":"Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1900","DOI":"10.1097\/PRS.0000000000002148","article-title":"Management of the Formosa Color Dust Explosion: Lessons Learned from the Treatment of 49 Mass Burn Casualty Patients at Chang Gung Memorial Hospital","volume":"137","author":"Cheng","year":"2016","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.injury.2016.08.007","article-title":"Cost Analysis of 48 Burn Patients in a Mass Casualty Explosion Treated at Chang Gung Memorial Hospital","volume":"48","author":"Mathews","year":"2017","journal-title":"Injury"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/j.burns.2015.12.009","article-title":"First experience using cultured epidermal autografts in Taiwan for burn victims of the Formosa Fun Coast Water Park explosion, as part of Japanese medical assistance","volume":"42","author":"Matsumura","year":"2016","journal-title":"Burns"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/j.injury.2004.06.013","article-title":"Coping strategies, injury characteristics and long-term outcome after burn injury","volume":"36","author":"Kildal","year":"2005","journal-title":"Injury"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.pmr.2018.08.004","article-title":"Rehabilitation of Burn Injuries: An Update","volume":"30","author":"Young","year":"2019","journal-title":"Phys. Med. Rehabil. Clin. N. Am."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1016\/j.burns.2014.01.015","article-title":"Classification of quality of life subscales within the ICF framework in burn research: Identifying overlaps and gaps","volume":"40","author":"Meirte","year":"2014","journal-title":"Burns"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Kostanjsek, N. (2011). Use of The International Classification of Functioning, Disability and Health (ICF) as a conceptual framework and common language for disability statistics and health information systems. BMC Public Health, 11.","DOI":"10.1186\/1471-2458-11-S4-S3"},{"key":"ref_8","first-page":"9","article-title":"Development of ICF Core Sets for patients with chronic conditions","volume":"44","author":"Cieza","year":"2004","journal-title":"J. Rehabil. Med. Suppl."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1016\/j.burns.2008.09.002","article-title":"Core outcomes for adult burn survivors: A clinical overview","volume":"35","author":"Falder","year":"2009","journal-title":"Burns"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1016\/j.burns.2016.01.021","article-title":"A survey of burn professionals regarding the mental health services available to burn survivors in the United States and United Kingdom","volume":"42","author":"Lawrence","year":"2016","journal-title":"Burns"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.burns.2010.06.007","article-title":"Mental disorders after burn injury: A prospective study","volume":"37","author":"Palmu","year":"2011","journal-title":"Burns"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1080\/09638288.2016.1209579","article-title":"Two-year follow-up of outcomes related to scarring and distress in children with severe burns","volume":"39","author":"Wurzer","year":"2017","journal-title":"Disabil. Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2113","DOI":"10.1016\/j.apmr.2016.05.021","article-title":"Measuring Environmental Factors: Unique and Overlapping International Classification of Functioning, Disability and Health Coverage of 5 Instruments","volume":"97","author":"Heinemann","year":"2016","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1396","DOI":"10.1016\/j.burns.2016.07.023","article-title":"The multicenter benchmarking study of burn injury: A content analysis of the outcome measures using the international classification of functioning, disability and health","volume":"42","author":"Osborne","year":"2016","journal-title":"Burns"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2584","DOI":"10.1080\/09638288.2016.1239767","article-title":"The Burn Model Systems outcome measures: A content analysis using the International Classification of Functioning, Disability, and Health","volume":"39","author":"Osborne","year":"2017","journal-title":"Disabil. Rehabil."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Chiu, W.T., Yen, C.F., Teng, S.W., Liao, H.F., Chang, K.H., Chi, W.C., Wang, Y.H., and Liou, T.H. (2013). Implementing disability evaluation and welfare services based on the framework of the International Classification of Functioning, Disability and Health: Experiences in Taiwan. BMC Health Serv. Res., 13.","DOI":"10.1186\/1472-6963-13-416"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1016\/j.burns.2011.02.012","article-title":"Measuring common outcome measures and their concepts using the International Classification of Functioning, Disability and Health (ICF) in adults with burn injury: A systematic review","volume":"37","author":"Wasiak","year":"2011","journal-title":"Burns"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.burns.2011.04.001","article-title":"Demonstration of the use of the ICF framework in detailing complex functional deficits after major burn","volume":"38","author":"Grisbrook","year":"2012","journal-title":"Burns"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1016\/j.burns.2016.10.013","article-title":"Burn patients\u2019 return to daily activities and participation as defined by the International Classification of Functioning, Disability and Health: A systematic review","volume":"43","author":"Osborne","year":"2017","journal-title":"Burns"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.burns.2016.07.001","article-title":"Convergent and discriminant validity of quality of life measures used in burn populations","volume":"43","author":"Meirte","year":"2017","journal-title":"Burns"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/8\/3970\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T14:27:38Z","timestamp":1760365658000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/8\/3970"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,9]]},"references-count":20,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,4]]}},"alternative-id":["ijerph18083970"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18083970","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,9]]}}}