Measuring Environmental Factors: Unique and Overlapping International Classification of Functioning, Disability and Health Coverage of 5 Instruments

2016 ◽  
Vol 97 (12) ◽  
pp. 2113-2122 ◽  
Author(s):  
Allen W. Heinemann ◽  
Ana Miskovic ◽  
Patrick Semik ◽  
Alex Wong ◽  
Jessica Dashner ◽  
...  
Keyword(s):  
Environmental Factors ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Health Coverage ◽  
Disability And Health

scholarly journals Development International Classification of Functioning, Disability and Health Core Set for Post Total Knee Replacement Rehabilitation Program: Delphi-Based Consensus Study in Taiwan

2021 ◽  
Vol 18 (4) ◽  
pp. 1630
Author(s):  
Shih-Wei Huang ◽  
Yi-Wen Chen ◽  
Reuben Escorpizo ◽  
Chun-De Liao ◽  
Tsan-Hon Liou
Keyword(s):  
Environmental Factors ◽  
Rehabilitation Program ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Icf Core Set ◽  
Core Set ◽  
Orthopedic Rehabilitation ◽  
Total Knee

Osteoarthritis is one of the leading causes of disability. Total knee arthroplasty (TKA) is a surgical intervention for patients with severe osteoarthritis. Post TKA rehabilitation is crucial for improving patient’s quality of life. However, traditional rehabilitation has only focused on physical function; a systemic analysis of other dimensions such as social participation and environmental factors of post TKA rehabilitation is lacking. The aim of this study was to develop a core set from the International Classification of Functioning, Disability and Health (ICF) to create a comprehensive rehabilitation program for patients with osteoarthritis post TKA. Before the Delphi-based consensus process, a literature review process was performed for related ICF categories selection. We used a three-round Delphi-based consensus among 20 physical therapists with orthopedic rehabilitation expertise in a university-based hospital. A five-point Likert scale was used to rate the importance of each item. The consensus of ratings was analyzed using Spearman’s rho and semi-interquartile range indices. The ICF core set for post TKA rehabilitation was determined based on a high level of consensus and a mean score of ≥4.0 in the third Delphi-based consensus round. The ICF core set comprised 32 categories, with 13 regarding body function, four regarding body structures, nine regarding activities and participation, four regarding environmental factors, and two regarding personal factors. Our ICF core set for post TKA rehabilitation can provide information on effective rehabilitation strategies and goal setting for patients post TKA. However, further validation and feasibility assessments are warranted.

scholarly journals Content validation of common measures of functioning for young children against the International Classification of Functioning, Disability and Health and Code and Core Sets relevant to neurodevelopmental conditions

Autism ◽  
2021 ◽  
pp. 136236132110368
Author(s):  
Emily D’Arcy ◽  
Kerry Wallace ◽  
Angela Chamberlain ◽  
Kiah Evans ◽  
Benjamin Milbourn ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Young Children ◽  
Developmental Delay ◽  
Content Validity ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Level Of Functioning ◽  
Item Level

Content validity describes the extent to which a measure represents, and is relevant to, the construct it aims to assess. The International Classification of Functioning, Disability and Health and derived Core/Code Sets (Sets) for autism, attention deficit-hyperactivity disorder, cerebral palsy and early developmental delay and disability are adequate to establish the content validity of measures aiming to assess functioning in young children with neurodevelopmental conditions (NDCs). This article aimed to assess the content validity of comprehensive assessments of functioning for young children with NDCs against these standards. Twenty-two common measures of functioning were evaluated for content validity against the International Classification of Functioning, Disability and Health at a domain level, with 10 measures analysed at the item-level and compared to the Sets relevant to young children with NDCs. Measures covered between 21% and 57% of the combined Set codes and 19% to 63% of codes from specific Sets. Much of this variation was between measures, with some variation due to differences between individual Sets. The percentages reflect that measures heavily focus on activities and participation areas, with environmental factors rarely assessed. These findings are useful for clinicians, policymakers, and researchers in identifying the most appropriate measures for assessing functioning in young children with neurodevelopmental conditions. Lay abstract Young children who have developmental delay, autism, or other neurodevelopmental conditions can have difficulties doing things in different areas of their life. What they can and cannot do is called their level of functioning. There are lots of assessment measures that aim to assess functioning. But, we are not sure if these measures assess all the things we need to know about these children’s functioning. Other research has identified lists of items (codes) that need to be assessed to understand functioning for young children with different neurodevelopmental conditions fully. These lists include body functions (the things a child’s body or brain can do), activities and participation (the activities and tasks a child does) and environmental factors (parts of the environment that can influence functioning). In this study, we looked at the items from these lists assessed by different functioning measures to see how they compared to what should be assessed. The measures that we looked at covered 21%–57% of all the codes and 19%–63% of the codes for lists specific to different conditions. Most of the measures focused on activity and participation codes, and they rarely assessed environmental factors. Knowing which codes and how much of the lists the measures assess can help researchers, clinicians and policymakers to choose measures that are more appropriate for young children with neurodevelopmental conditions.

scholarly journals Is it possible to sort the disability of individuals with migraine based on the International Classification of Functioning, Disability and Health? — A Scoping Review

2021 ◽  
pp. 92-104
Author(s):  
Hugo Feitosa ◽  
Débora Wanderley ◽  
Manuella Morais Monteiro Barbosa Barros ◽  
Suellen Freitas da Silva ◽  
Alyne Karine de Lima Santos ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Scoping Review ◽  
Adult Population ◽  
Activity Limitation ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Participation Restriction ◽  
Disability And Health ◽  
Main Components

PurposeTo identify the most frequent outcomes related to disability assessed in individuals with migraine and to correlate these findings with the categories of International Classification of Functioning, Disability and Health.Material and methodThis scoping review was developed based on studies with adult population (18-55 years) of both sexes and assessing the disability generated by migraine. We included studies in which patients had a diagnosis of migraine based on International Classification of Headache Disorders.Results52 articles were found with 42 outcomes related to 17 categories of International Classification of Functioning, Disability and Health, including the four main components of the classification, with seven categories in "Body Functions", one in "Body Structures", four in “Activities and Participation” and five in "Environmental Factors".ConclusionThe findings show that disabilities, activity limitation, or participation restriction generated by migraine can be classified by International Classification of Functioning, Disability and Health. The components "body functions", "environmental factors" and "activities and participation" were the most identified in the present study. Thus, this classification is important to classify the disability caused by migraine and to guide a rehabilitation more focused onthe patient's real demands, as well as directing the research involving this population.

scholarly journals Participation After Stroke: Do We Understand All the Components and Relationships As Categorised in the ICF?

2012 ◽  
Vol 13 (1) ◽  
pp. 4-15 ◽  
Author(s):  
Melanie Hoyle ◽  
Louise Gustafsson ◽  
Pamela Meredith ◽  
Tamara Ownsworth
Keyword(s):  
Environmental Factors ◽  
Functional Outcomes ◽  
Contextual Factors ◽  
Stroke Care ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Stroke Survivors ◽  
Disability And Health ◽  
Restricted Participation

Although advances in stroke care have been shown to improve functional outcomes and survival, evidence suggests that stroke survivors continue to report restricted participation and dissatisfaction with life after returning home. There remains a need to identify ways to improve participation after stroke, considering the person within their context. The International Classification of Functioning, Disability and Health (ICF) provides a valuable framework that can be useful for categorising key components associated with participation. The two parts of the ICF — (a) Functioning and Disability and (b) Contextual Factors — encourage consideration of the functions/body structures, activity and participation, and personal and environmental factors, respectively. Previous research has identified links between body functions, structures and activity, with increasing attention being given to the ways in which these link with participation. Although some of the components influencing participation poststroke are well defined, there is a need to further develop our understanding of how personal and environmental factors may affect participation. In this article, stroke literature is categorised using the ICF and a range of personal and environmental factors are investigated as potential contributors to levels of participation poststroke. This article concludes that research investigating contextual factors and their interactions with participation is warranted.

scholarly journals Process for Applying the International Classification of Functioning, Disability and Health Model to a Patient With Patellar Dislocation

2008 ◽  
Vol 88 (8) ◽  
pp. 956-964 ◽  
Author(s):  
Kevin Helgeson ◽  
A Russell Smith
Keyword(s):  
Environmental Factors ◽  
Patellar Dislocation ◽  
Clinical Decision Making ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Diagnostic Process ◽  
Disability And Health ◽  
Lower Extremity Function ◽  
Icf Model

Background and PurposeThe International Classification of Functioning, Disability and Health (ICF) has been proposed as a possible framework for organizing physical therapist practice. The purpose of this case report is to describe an evaluative and diagnostic process that is based on the ICF framework for a patient with a patellar dislocation.Case DescriptionThe patient was a 23-year-old woman who sustained a right knee and patellofemoral joint injury, resulting in a sprain of the medial collateral ligament and a suspected sprain of the medial patellofemoral ligament. Evaluation at 4 weeks demonstrated a primary impairment of patellar instability associated with the primary activity limitation of limited walking distances. A plan of care to address impairments, activity limitations, and participation restrictions was developed, with modifications made on the basis of the patient's health condition and personal and environmental factors.OutcomesThe patient attained all of her goals for therapy and was able to return to her normal activities and recreational pursuits without a recurrence of a patellar dislocation. Lower-Extremity Function Scale scores increased from 30 out of 80 to 76 out of 80 during the course of treatment.DiscussionThe ICF model has been proposed as a framework for developing diagnostic classifications for rehabilitation professionals. The ICF model also should be assessed with regard to whether it provides a useful process for clinical decision making. The ICF model directs practitioners to address patients’ problems at the level of the whole person, with modifications made on the basis of health conditions and personal and environmental factors.

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