From Concept to Practice: The Development of ClinFIT for Musculoskeletal Disorders

Mariotti, M; Selb, M; Imamura, M; Alghwiri, A; Amatya, B; Ceravolo, MG; Gimigliano, F; Giraldo-Prieto, M; Hu, X; Kambou, S; Kiekens, C; Li, J; Liu, S; Mukaino, M; Oral, A; Stucki, G; van de Velde, D; Perret, C

Author(s): Mariotti, M; Selb, M; Imamura, M; Alghwiri, A; Amatya, B; Ceravolo, MG; Gimigliano, F; Giraldo-Prieto, M; Hu, X; Kambou, S; Kiekens, C; Li, J; Liu, S; Mukaino, M; Oral, A; Stucki, G; van de Velde, D; Perret, C;
Details: Publication Year 2026-04-01,Volume 105,Issue #4,Page 321-329
Journal Title: American Journal of Physical Medicine & Rehabilitation
Publication Type: Research article
Abstract: OBJECTIVE: This study aimed to develop Clinical Functioning Information Tool-musculoskeletal, an International Classification of Functioning, Disability and Health-based clinical tool for the assessment and reporting of the functioning and rehabilitation potential of patients with a musculoskeletal condition. DESIGN: This multistep, mixed-methods tool development process encompassed developing an initial shortlist of International Classification of Functioning, Disability and Health categories (comprising the aggregation of the International Classification of Functioning, Disability and Health Core Sets for musculoskeletal conditions and a literature search), identifying the Clinical Functioning Information Tool-musculoskeletal items feasible for clinical use via a two-round Delphi survey, developing a simple description for each item and deciding on the rating scale through development working group consultations. These consultations were also instrumental at each step of tool development. RESULTS: Based on a shortlist of 33 categories, the Delphi survey generated 17 items (7 body function and 10 activity and participation categories), which can be rated with a 0-4 scale (0 = no problem to 4 = complete problem) accompanied with rating specifications or with a 0-10 numeric rating scale without specification. CONCLUSIONS: Clinical Functioning Information Tool-musculoskeletal can be used by rehabilitation professionals to support individualized care and track functional outcomes. It can also be employed in research and public health. Psychometric testing and cross-cultural validation will be pursued to ensure Clinical Functioning Information Tool-musculoskeletal's scientific robustness and applicability across diverse settings.
Publisher: Wolters Kluwer
Keywords: Humans; *Musculoskeletal Diseases/rehabilitation; Delphi Technique; *Disability Evaluation; *International Classification of Functioning, Disability and Health; Surveys and Questionnaires; Psychometrics; Disability and Health; Functional Status; International Classification of Functioning; Musculoskeletal Diseases; Rehabilitation
Department(s): Haematology
Publisher's Version: https://doi.org/10.1097/phm.0000000000002875
Terms of Use/Rights Notice: Refer to copyright notice on published article.

Creation Date: 2025-11-13 02:49:17

Last Modified: 2026-04-07 12:09:47