An ICF framework analysis of the CVID quality of life questionnaire


Cinkavuk E., Akyazi N., ÇALIK E., BİLGİN S.

Disability and Rehabilitation, 2026 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1080/09638288.2026.2662748
  • Dergi Adı: Disability and Rehabilitation
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, Educational research abstracts (ERA), MEDLINE, Psycinfo, Public Affairs Index, Violence & Abuse Abstracts
  • Anahtar Kelimeler: common variable immunodeficiency, ICF, linking rules, quality of life, questionnaires and surveys
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Purpose: This study aimed to link the Common Variable Immune Deficiency Quality of Life (CVID-QoL) and Short Form-36 (SF-36) questionnaires to the International Classification of Functioning, Disability and Health (ICF) using ICF linking rules and to compare their ICF-based content coverage. Methods: Two researchers independently analyzed each CVID-QoL and SF-36 item following the ICF linking rules by Cieza et al. Meaningful concepts were identified, linked to the most appropriate ICF categories, and evaluated for inter-rater agreement using kappa, with discrepancies resolved by expert consultation. Results: A total of 32 CVID-QoL items yielded 47 ICF code assignments, corresponding to 25 unique ICF categories, whereas the SF-36 yielded 61 assignments, corresponding to 25 unique ICF categories. In the CVID-QoL, the most represented main-concept domains were b1 mental functions, b4 cardiovascular, hematological, immunological, and respiratory functions, and d7 interpersonal interactions and relationships, whereas in the SF-36 the most represented domains were b1 mental functions, d2 general tasks and demands, and d4 mobility. Discussion: The CVID-QoL appears to assess the disease more broadly, as it includes content related to body functions and structures, activities and participation, and environmental factors. Therefore, compared with the generic SF-36, it may better reflect the disease-specific impact of CVID.Implications for Rehabilitation Using ICF-linked disease-specific tools in clinical practice can improve the assessment process and guide more holistic, patient-centered interventions for individuals with Common Variable Immunodeficiency (CVID). Linking the Common Variable Immune Deficiency Quality of Life (CVID-QoL) questionnaire to the ICF framework enables a comprehensive understanding of disease-specific functional limitations in patients with Common Variable Immune Deficiency (CVID). The Common Variable Immune Deficiency Quality of Life (CVID-QoL) captures unique aspects of physical, emotional, and environmental challenges not addressed in generic Health-Related Quality of Life (HRQoL) tools, such as the SF-36, highlighting its relevance for individualized rehabilitation planning.