OBJECTIVES To identify the competencies, behaviors, activities, and tasks required by the rehabilitation workforce, and their core values and beliefs, and validate these among rehabilitation professionals and service-users. DESIGN Mixed methods study, involving a content analysis of rehabilitation-related competency frameworks; a modified Delphi study; and a consultation-based questionnaire of service users. SETTING Desk-based research. PARTICIPANTS Seventy seven participants (47%) completed the first iteration of the modified Delphi study, and 68 (67%) completed the second iteration. Thirty seven individuals participated in the service user consultation. Collectively, the participants of the mixed method study represented a significant range of rehabilitation professions from a broad range of countries, including from high- and low-income settings. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Not applicable. RESULTS The mixed methods study resulted in four core values, four core beliefs, 17 competencies, 56 behaviors, 20 activities, and 62 tasks being included in the Rehabilitation Competency Framework. The content analysis of rehabilitation-related competency frameworks produced an alpha list of competencies, behaviors, activities and tasks ('statements'), which were categorized into five domains. The final iteration of the modified Delphi study revealed an average of 95% agreement with the statements, while the service-user consultation indicated an average of 87% agreement with the statements included in the questionnaire. CONCLUSIONS Despite the diverse composition of the rehabilitation workforce, this mixed methods study demonstrates that there is strong consensus on competencies and behaviors that are shared across professions, specializations and settings, and for activities and tasks that collectively capture the scope of rehabilitation practice. The development of the Rehabilitation Competency Framework is a pivotal step towards twin goals: building workforce capability to improve quality of care and strengthening a common rehabilitation workforce identity that will bolster its visibility and influence at a systems-level.

中文翻译：

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世界卫生组织康复能力框架的制定和验证：混合方法研究


目标 确定康复人员所需的能力、行为、活动和任务及其核心价值观和信念，并在康复专业人员和服务使用者中验证这些内容。设计混合方法研究，涉及康复相关能力框架的内容分析；修改后的德尔菲研究；以及基于咨询的服务使用者调查问卷。设置 案头研究。参与者 77 名参与者 (47%) 完成了修改后的德尔菲研究的第一次迭代，68 名参与者 (67%) 完成了第二次迭代。 37 人参与了服务用户咨询。总的来说，混合方法研究的参与者代表了来自广泛国家的大量康复专业人士，包括来自高收入和低收入环境的康复专业人士。干预措施 不适用。主要成果指标 不适用。结果 混合方法研究得出了康复能力框架中包含的 4 项核心价值观、4 项核心信念、17 项能力、56 项行为、20 项活动和 62 项任务。对康复相关能力框架的内容分析产生了一份能力、行为、活动和任务（“陈述”）的 alpha 列表，分为五个领域。修改后的德尔菲研究的最终迭代显示，平均 95% 的人同意这些陈述，而服务用户咨询表明，平均 87% 的人同意调查问卷中的陈述。 结论 尽管康复人员的构成多种多样，但这项混合方法研究表明，对于跨专业、专业和环境共享的能力和行为，以及共同体现康复实践范围的活动和任务，存在着强烈的共识。康复能力框架的制定是实现双重目标的关键一步：建设劳动力能力以提高护理质量，并加强共同的康复劳动力身份，以增强其在系统层面的知名度和影响力。