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Üstün, T. B., und N. Kostanjsek. „The International Classification of Functioning, Disability and Health (ICF)“. Die Psychiatrie 7, Nr. 03 (Juli 2010): 170–78. http://dx.doi.org/10.1055/s-0038-1669573.
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SummaryA common framework for describing health and health related states is needed in order to make this information comparable and of value. The World Health Organization’s International Classification of Functioning, Disability and Health (ICF), which has been approved by all its member states, provides this common language and framework. The article provides an overview of the ICF taxonomy, introduces the conceptual model which underpins the ICF and elaborates on how the ICF is used at population and clinical level. Furthermore, the article presents key features of the ICF tooling environment and outlines current and future developments of the classification, in particular the conceptual and operational alignment of ICF and ICD in the context of the ongoing ICD revision process. Finally, the paper examines the formulation of disability in the diagnosis of mental disorders in ICD and DSM and argues for separate operational assessment of disability through the ICF and ICF based assessment instruments such as the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0).
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Threats, T. T. „Application of the World Health Organization (WHO) ICF and ICF-CY to communication disability“. Revista de Logopedia, Foniatría y Audiología 30, Nr. 1 (Januar 2010): 34–47. http://dx.doi.org/10.1016/s0214-4603(10)70006-1.
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Patel, Kajal, Sofia Straudi, Ng Yee Sien, Nora Fayed, John L. Melvin und Manoj Sivan. „Applying the WHO ICF Framework to the Outcome Measures Used in the Evaluation of Long-Term Clinical Outcomes in Coronavirus Outbreaks“. International Journal of Environmental Research and Public Health 17, Nr. 18 (05.09.2020): 6476. http://dx.doi.org/10.3390/ijerph17186476.
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(1) Objective: The World Health Organization’s (WHO) International Classification of Functioning, Disability and Health (ICF) classification is a unified framework for the description of health and health-related states. This study aimed to use the ICF framework to classify outcome measures used in follow-up studies of coronavirus outbreaks and make recommendations for future studies. (2) Methods: EMBASE, MEDLINE, CINAHL and PsycINFO were systematically searched for original studies assessing clinical outcomes in adult survivors of severe acute respiratory distress syndrome (SARS), middle east respiratory syndrome (MERS) and coronavirus disease-19 (COVID-19) after hospital discharge. Individual items of the identified outcome measures were linked to ICF second-level and third-level categories using ICF linking rules and categorized according to an ICF component. (3) Results: In total, 33 outcome measures were identified from 36 studies. Commonly used (a) ICF body function measures were Pulmonary Function Tests (PFT), Impact of event scale (IES-R) and Hospital Anxiety and Depression Scale (HADS); (b) ICF activity was 6-Minute Walking Distance (6MWD); (c) ICF participation measures included Short Form-36 (SF-36) and St George’s Respiratory Questionnaire (SGRQ). ICF environmental factors and personal factors were rarely measured. (4) Conclusions: We recommend future COVID-19 follow-up studies to use the ICF framework to select a combination of outcome measures that capture all the components for a better understanding of the impact on survivors and planning interventions to maximize functional return.
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O’Sullivan, Deirdre, Antoinette Cambria, Yi Xiao und Hsiao-Ying Vicki Chang. „The World Health Organization’s (WHO) International Classification of Health and Functioning Framework revisited: A tool with clinical, research, and educational utility for counselors“. Australian Journal of Rehabilitation Counselling 25, Nr. 2 (Dezember 2019): 122–37. http://dx.doi.org/10.1017/jrc.2019.16.
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AbstractThe WHO’s (2001) International Classification of Functioning, Disability, and Health (ICF) model conceptualizes health from an ecological perspective. It has been implemented by many professionals as the standard health classification framework that guides providers’ decisions regarding assessment tools and targeted interventions. Despite this model’s prevalence among many healthcare providers, the ICF framework remains largely underutilized by many in the counseling fields. This conceptual paper provides an overview of the strengths of the ICF model and ICF-based measurements, and demonstrates its clinical, research, and educational value. A case study is presented to guide counselors and counselor educators through application of the ICF model in various contexts to encourage expanded use of the model. Use of the ICF model among counseling professionals, educators, and researchers is recommended as one way to enhance measurement of clinical outcomes.
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Gómez-Salgado, Juan, Lia Jacobsohn, Fátima Frade, Macarena Romero-Martin und Carlos Ruiz-Frutos. „Applying the WHO International Classification of Functioning, Disability and Health in Nursing Assessment of Population Health“. International Journal of Environmental Research and Public Health 15, Nr. 10 (13.10.2018): 2245. http://dx.doi.org/10.3390/ijerph15102245.
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Classification systems constitute an important contribution to nursing practice, as they provide standardized frameworks for communication between nurses and other healthcare professionals. International Classification of Functioning, Disability and Health (ICF) provides a unified and standardized language, as well as a working structure, for the description of health and health-related states. This paper aims to describe some of the available classifications used in nursing practice and to identify the potential value provided by the application of the World Health Organization (WHO) International Classification of Functioning, Disability and Health by all healthcare professionals. With this purpose, a concept analysis was conducted. The relevant nursing classifications were analyzed and related evidence on the use of ICF classification was reviewed to provide a discussion on the application of ICF in nursing practice. The use of ICF could be beneficial in different areas of nursing practice, as it provides a more comprehensive framework to classify nursing outcomes and interventions, improving areas such as interprofessional communication and optimization of care. Although there is published evidence on the use of ICF core sets, further research is needed on this area.
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Koonrungsesomboon, Nut, Chanchai Traivaree, Charnunnut Tiyapsane und Juntra Karbwang. „Improved parental understanding by an enhanced informed consent form: a randomized controlled study nested in a paediatric drug trial“. BMJ Open 9, Nr. 11 (November 2019): e029530. http://dx.doi.org/10.1136/bmjopen-2019-029530.
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ObjectiveThis study was designed to evaluate the applicability and effectiveness of the enhanced informed consent form (ICF) methodology, proposed by the Strategic Initiative for Developing Capacity in Ethical Review (SIDCER), in paediatric research requiring parental consent. The objective of this study was to compare the parental understanding of information between the parents who read the SIDCER ICF and those who read the conventional ICF.DesignA prospective, randomized, controlled design.SettingPaediatric Outpatients Department, Phramongkutklao Hospital, Thailand.Participants210 parents of children with thalassemia (age=35.6 ± 13.1 years).InterventionsThe parents were randomly assigned to read either the SIDCER ICF (n=105) or the conventional ICF (n=105) of a paediatric drug trial.Primary and secondary outcome measuresParental understanding of trial information was determined using 24 scenario-based questions. The primary endpoint was the proportion of parents who obtained the understanding score of more than 80%, and the secondary endpoint was the total score.ResultsForty-five parents (42.9%) in the SIDCER ICF group and 29 parents (27.6%) in the conventional ICF group achieved the primary endpoint (relative risk=1.552, 95% CI 1.061 to 2.270, p=0.021). The total score of the parents in the SIDCER ICF group was significantly higher than the conventional ICF group (18.07±3.71 vs 15.98±4.56, p=0.001).ConclusionsThe SIDCER ICF was found to be superior to the conventional ICF in improving parental understanding of trial information.
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Verstappen, Suzanne M. M. „Outcomes of early rheumatoid arthritis – The WHO ICF framework“. Best Practice & Research Clinical Rheumatology 27, Nr. 4 (August 2013): 555–70. http://dx.doi.org/10.1016/j.berh.2013.09.004.
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Hall, Nancy E., Cara M. Singer und Jean Sawyer. „Treating Concomitant Language and/or Phonology Impairment in Children Who Stutter“. Seminars in Speech and Language 43, Nr. 02 (März 2022): 101–16. http://dx.doi.org/10.1055/s-0042-1744515.
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AbstractStuttering can co-occur with phonological and/or language impairment in a nontrivial number of children. This article provides a framework for addressing concomitant phonology/language impairment and stuttering through the application of the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework. Described is a multifactorial approach to understanding stuttering, the application of the ICF to treating children who stutter with concomitant disorders, and models for structuring-related therapy. A case study is explored to illustrate this process and includes a sample treatment plan with goals, short-term objectives, and sample activities.
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Rundell, Sean D., Todd E. Davenport und Tracey Wagner. „Physical Therapist Management of Acute and Chronic Low Back Pain Using the World Health Organization's International Classification of Functioning, Disability and Health“. Physical Therapy 89, Nr. 1 (01.01.2009): 82–90. http://dx.doi.org/10.2522/ptj.20080113.
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Background and PurposeThe World Health Organization's Classification of Functioning, Disability and Health (WHO-ICF) model was developed to describe, classify, and measure function in health care practice and research. Recently, this model has been promoted as a successor to the Nagi model by some authors in the physical therapy literature. However, conceptual work in demonstrating use of the WHO-ICF model in physical therapist management of individual patients remains sparse. The purpose of this case report series is to demonstrate the application of the WHO-ICF model in clinical reasoning and physical therapist management of acute and chronic low back pain.Case DescriptionTwo patients, 1 with acute low back pain and 1 with chronic low back pain, were treated pragmatically using the WHO-ICF model and other applicable models of clinical reasoning.InterventionManual therapy, exercise, and education interventions were directed toward relevant body structure and function impairments, activity limitations, and contextual factors based on their hypothesized contribution to functioning and disability.OutcomeBoth patients demonstrated clinically significant improvements in measures of pain, disability, and psychosocial factors after 3 weeks and 10 weeks of intervention, respectively.DiscussionThe WHO-ICF model appears to provide an effective framework for physical therapists to better understand each person's experience with his or her disablement and assists in prioritizing treatment selection. The explicit acknowledgment of personal and environmental factors aids in addressing potential barriers. The WHO-ICF model integrates well with other models of practice such as Sackett's principles of evidence-based practice, the rehabilitation cycle, and Edwards and colleagues’ clinical reasoning model. Future research should examine outcomes associated with the use of the WHO-ICF model using adequately designed clinical trials.
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Granberg, Sarah, Berth Danermark und Jean-Pierre Gagné. „The Development of ICF Core Sets for Hearing Loss“. Perspectives on Audiology 6, Nr. 1 (Juni 2010): 20–23. http://dx.doi.org/10.1044/poa6.1.20.
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The International Classification of Functioning, Disability and Health (ICF), adopted by the World Health Organization (WHO) in 2001, offers a framework for a comprehensive understanding of health. One of the main goals of the ICF is to provide a conceptual framework of health that can be applied both for research purposes and in clinical settings. In order to promote the use of the ICF in clinical settings, the WHO initiated the Core Sets project. Core Sets, targeting a specific health condition, consist of a set of ICF categories that can serve as minimal standards (Brief ICF Core Set) or as standards for comprehensive assessment (Comprehensive ICF Core Set). In 2009, a process of developing ICF Core Sets for Hearing Loss was initiated. This process involves three phases of development. In the first phase, four scientific studies are conducted to collect evidence for relevant ICF categories to be used in the Core Sets. In phase two, a consensus conference is held to establish relevant ICF categories, and in the third phase, the Core Sets that are retained are tested and validated. This paper describes the process of developing ICF Core Sets for Hearing Loss as well as an invitation to participate in the project.
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Wong, Phyllis King Shui, Cheuk Lun Kwan und Yu Cheung Wong. „Impact of Implementing New ICF-Based Practices on Staff Valence of Disability Practitioners: An Experience in Hong Kong“. International Journal of Environmental Research and Public Health 20, Nr. 2 (16.01.2023): 1632. http://dx.doi.org/10.3390/ijerph20021632.
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The International Classification of Functioning, Disability, and Health (ICF) was endorsed by The World Health Organization (WHO) in 2001. However, Hong Kong is at the beginning stage of implementing and testing ICF-based practices. This study examines any changes in the valences of disability practitioners in an organization under the newly introduced ICF-based practices. It was hypothesized that the involved staff members’ self-perceived valences in relation to the ICF would be enhanced. A pretest-posttest design was adopted. The 27-item Scale on Staff Valence under ICF-based practice (SSV-ICF) was used to measure the impact on staff valence of a pilot scheme in which ICF-based practice was implemented. Self-report questionnaires were completed by the involved staff members at the beginning of the pilot scheme and 12 months later. Analyses used paired samples t-tests and one-way repeated measures ANOVAs, performed by SPSS software, version 25. In total, 91 participants took part in the study. Results showed that participants achieved positive changes in all domains of valences, while participants’ level of involvement in the new ICF-based intervention had significant effects on their score differences in the “Competence” domain (r = 0.262, p < 0.05), “Intrapersonal” domain (r = 0.242, p < 0.05), and “Total Score” of SSV-ICF (r = 0.210, p < 0.05). The study demonstrated that disability practitioners who implemented ICF-based practices developed higher staff valences, which, in turn, benefited service users. Implementation of ICF-based practices also contributed to a more positive organizational culture.
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Boonen, A., J. Braun, I. E. van der Horst Bruinsma, F. Huang, W. Maksymowych, N. Kostanjsek, A. Cieza, G. Stucki und D. van der Heijde. „ASAS/WHO ICF Core Sets for ankylosing spondylitis (AS): how to classify the impact of AS on functioning and health“. Annals of the Rheumatic Diseases 69, Nr. 01 (11.03.2009): 102–7. http://dx.doi.org/10.1136/ard.2008.104117.
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Objective:To report on the results of a standardised consensus process agreeing on concepts typical and/or relevant when classifying functioning and health in patients with ankylosing spondylitis (AS) based on the International Classification of Functioning and Health (ICF).Methods:Experts in AS from different professional and geographical backgrounds attended a consensus conference and were divided into three working groups. Rheumatologists were selected from members of the Assessment of SpondyloArthritis international Society (ASAS). Other health professionals were recommended by ASAS members. The aim was to compose three working groups with five to seven participants to allow everybody’s contribution in the discussions. Experts selected ICF categories that were considered typical and/or relevant for AS during a standardised consensus process by integrating evidence from preceding studies in alternating working group and plenary discussions. A Comprehensive ICF Core Set was selected for the comprehensive classification of functioning and a Brief ICF Core Set for application in trials.Results:The conference was attended by 19 experts from 12 countries. Eighty categories were included in the Comprehensive Core Set, which included 23 Body functions, 19 Body structures, 24 Activities and participation and 14 Environmental factors. Nineteen categories were selected for the Brief Core Set, which included 6 Body functions, 4 Body structures, 7 Activities and participation and 2 Environmental factors.Conclusion:The Comprehensive and Brief ICF Core Sets for AS are now available and aim to represent the external reference to define consequences of AS on functioning.
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Majewski-Schrage, Tricia, Todd A. Evans und Kelli R. Snyder. „Identifying Meaningful Patient Outcomes After Lower Extremity Injury, Part 2: Linking Outcomes to the International Classification of Functioning, Disability and Health“. Journal of Athletic Training 54, Nr. 8 (01.08.2019): 869–80. http://dx.doi.org/10.4085/1062-6050-233-18.
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Context The International Classification of Functioning, Disability and Health (ICF) provides a framework and common language for describing and understanding health that incorporates function and disability, as well as contextual factors. However, whether the meaningful patient outcomes reported by collegiate athletes who have sustained a lower extremity (LE) injury correspond to the ICF model is uncertain. Objectives To determine if the patient outcomes reported by collegiate athletes after LE injury corresponded with the ICF classification and to identify the most relevant ICF categories and domains. Design Themes and subthemes from the qualitative analysis were linked to the ICF using established linking rules. The frequencies of the linked ICF categories were identified. Setting University laboratory. Patients or Other Participants Twenty collegiate athletes (10 men, 10 women; age = 20.1 ± 1.83 years) from a National Collegiate Athletic Association Division I institution in the Midwest who had sustained an LE injury. Data Collection and Analysis Semistructured face-to-face interviews and ICF linking process. Results The data from the qualitative interviews were successfully linked to 63 ICF second-level domains (eg, moving around, d455) across all 4 ICF categories: body functions (b), body structures (s), activities and participation (d), and environmental factors (e). The 63 second-level domains corresponded with 20 first-level domains (eg, mobility, d4). Conclusions The ICF provided a common language for describing health and disability, as all outcomes reported by our collegiate athletes after LE injury were linked with the ICF classification. Athletic trainers should use the results of this study for assessing and monitoring collegiate athletes' health and function after an LE injury.
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Koonrungsesomboon, Nut, Chanchai Traivaree, Sangkae Chamnanvanakij, Pimchitr Rungtragoolchai, Yawana Thanapat und Juntra Karbwang. „Improved pregnant women’s understanding of research information by an enhanced informed consent form: a randomised controlled study nested in neonatal research“. Archives of Disease in Childhood - Fetal and Neonatal Edition 103, Nr. 5 (17.08.2017): F403—F407. http://dx.doi.org/10.1136/archdischild-2017-312615.
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ObjectiveThis study aimed to test the applicability and effectiveness of the enhanced informed consent form (ICF) methodology, proposed by the Strategic Initiative for Developing Capacity in Ethical Review (SIDCER), in neonatal research requiring maternal consent.DesignA single-centre open-label randomised controlled study.SettingAntenatal care clinics at Phramongkutklao Hospital, Thailand.Patients234 pregnant women who were at risk of preterm labour were enrolled; 232 individuals completed the study.InterventionsThe participants were randomly assigned to read either the SIDCER ICF or the conventional ICF.Main outcome measuresThe participants’ understanding of essential trial-related information was assessed using 25 closed-ended questions. The primary endpoint was the proportion of the participants who obtained the satisfactory level of understanding at 80% (score of ≥20/25).Results72.5% (87/120) of the participants in the SIDCER ICF group and 59.8% (67/112) of the conventional ICF group achieved the primary endpoint (relative risk (RR)=1.212, 95% CI 1.005 to 1.462, p=0.041). The superiority of the SIDCER ICF over the conventional ICF was significant, particularly among the participants whose education was at the high school level or below (63.5% vs 44.1%, RR=1.441, 95% CI 1.022 to 2.030, p=0.031).ConclusionsThe SIDCER ICF methodology is applicable to neonatal research requiring maternal consent. The SIDCER ICF significantly improved the understanding of pregnant women, particularly among those with lower levels of education. The present study confirms the value of the SIDCER ICF methodology in research involving individuals with a limited academic background.
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Lübbe, Andreas, Jan-Hinnerk Stange, Thomas Kress, Carina Böhme, Karl-Heinz Reinhold, Bernharda Schnieders, Silja Discher et al. „Anwendung der ICF in einer onkologischen Schwerpunktklinik für Anschlussrehabilitation anhand von praktischen Beispielen“. TumorDiagnostik & Therapie 38, Nr. 07 (September 2017): 442–46. http://dx.doi.org/10.1055/s-0043-108562.
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ZusammenfassungDie Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) der Akutmedizin steht der Internationale Klassifikation von Krankheiten (ICD) im Bereich der medizinischen Rehabilitation gleichberechtigt gegenüber. Während die ICD vor allen Dingen als Abrechnungsinstrument verstanden wird, handelt es sich bei der ICF um eine theoretische Konstruktion der WHO, wodurch auf der Basis von Krankheiten und ihren Behandlungen die dann folgenden Störungen der Teilhabe in der Gesellschaft unterteilt und definiert werden. Krankheiten und ihren Therapien folgen Strukturdefekte mit entsprechenden Funktionsbeeinträchtigungen. Daraus resultieren Partizipationsstörungen. Die theoretischen Konstruktionsmerkmale in die Praxis umzusetzen erfordert ein individuelles Vorgehen entsprechend der spezifischen Bedürfnisse des Patienten. Anhand von Patienten mit bösartigen Neubildungen im Kopf-Hals-Bereich und entsprechenden Sprech- und Schluckproblemen wird die ICF praxisnah erläutert und in Bezug auf die praktische Umsetzung dargestellt. So kann es gelingen, durch ein optimal abgestimmtes Reha-Programm die Folgestörungen einer onkologischen Therapie mit der Lebenswirklichkeit von Patienten abzugleichen, um eine individuelle und bestmögliche Lebensplanung unter Einbeziehung besonderer beruflicher Problemlagen zu ermöglichen, mithin den Ansprüchen einer gelingenden Rehabilitation zu genügen.
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Linden, M. „Disorders of Functioning in Neurotic Disorders“. European Psychiatry 24, S1 (Januar 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70444-4.
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Background:The International Classification of Functioning, Disability and Health, ICF, discriminates between functions, activities/capacities, context factors and participation. There is only limited information on disorders of capacity in neurotic disorders.Method:213 inpatients of a department of behavioral and psychosomatic medicine (70% women, median age 45 years) were rated with the “Mini-ICF-Rating for Pychological Disorders, Mini-ICF-P”. This instrument assesses thirteen dimensions of capacity, derived fom the ICF, which can be impaired by mental disorders. Rating varies between 0 (no problem) to 4 (can not fullfill respective requirements at all).61% of patients suffered from disorders from section F4 (neurotic, adjustment and somatoform disorders) of the ICD-10 (WHO, 1991), 29% from F3 (affective disorders) and 10% from F6 (personality disorders).Results:41% were on sick leave before admission. The average global score of the Mini-ICF-P was 0,84 (SD = 0,56), corresponding to “mild disability”. Highest disability was found for “flexibility” (M = 1,64, SD = 0,94), and lowest for “self maintenance” (M = 0,19, SD = 0,44) and “mobility” (M = 0,43, SD = 0,85). The Mini-ICF-P-score and profile was correlated with rate and duration of sick leave, but also type of disorder (e.g. depression vs. phobias), and course of treatment.Conclusion:Comparatively minor disorders of capacity are associated with high rates of sick leave, i.e. disorders of participation. Not only restoration of functons but also of capacities should be targets of treatment.
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Kaech Moll, Veronika M., Reuben Escorpizo, Ruth Portmann Bergamaschi und Monika E. Finger. „Validation of the Comprehensive ICF Core Set for Vocational Rehabilitation From the Perspective of Physical Therapists: International Delphi Survey“. Physical Therapy 96, Nr. 8 (01.08.2016): 1262–75. http://dx.doi.org/10.2522/ptj.20150365.
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Abstract Background The Comprehensive ICF Core Set for vocational rehabilitation (VR) is a list of essential categories on functioning based on the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF), which describes a standard for interdisciplinary assessment, documentation, and communication in VR. Objective The aim of this study was to examine the content validity of the Comprehensive ICF Core Set for VR from the perspective of physical therapists. Design A 3-round email survey was performed using the Delphi method. Methods A convenience sample of international physical therapists working in VR with work experience of ≥2 years were asked to identify aspects they consider as relevant when evaluating or treating clients in VR. Responses were linked to the ICF categories and compared with the Comprehensive ICF Core Set for VR. Results Sixty-two physical therapists from all 6 WHO world regions responded with 3,917 statements that were subsequently linked to 338 ICF categories. Fifteen (17%) of the 90 categories in the Comprehensive ICF Core Set for VR were confirmed by the physical therapists in the sample. Twenty-two additional ICF categories were identified that were not included in the Comprehensive ICF Core Set for VR. Limitations Vocational rehabilitation in physical therapy is not well defined in every country and might have resulted in the small sample size. Therefore, the results cannot be generalized to all physical therapists practicing in VR. Conclusion The content validity of the ICF Core Set for VR is insufficient from solely a physical therapist perspective. The results of this study could be used to define a physical therapy–specific set of ICF categories to develop and guide physical therapist clinical practice in VR.
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Awuviry-Newton, Kofi, Meredith Tavener, Kylie Wales, Paul Kowal und Julie Byles. „ACTIVITIES OF DAILY LIVING DIFFICULTIES AND TOILETING AMONG OLDER GHANAIANS: AN APPLICATION OF WHO-ICF FRAMEWORK“. Innovation in Aging 3, Supplement_1 (November 2019): S520. http://dx.doi.org/10.1093/geroni/igz038.1916.
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Abstract The aim of the study was to analyze the prevalence of activities of daily living (ADL) difficulties among older Ghanaians and specifically how one ADL, toileting difficulty, predicts care and supports needs using the World Health Organization International Classification of Disability and Health framework (WHO-ICF). Toileting difficulty requiring upper extremity strength is among ADLs that can lead to functional loss of independence among older people globally. A sample of n=5,096 adults aged 50 years and older from the WHO Study on global AGEing and adult health (SAGE) Ghana Wave 1 was used to analyze difficulties with ADLs and toileting. Level of difficulty was assessed against 22 other functioning items from the interview. Out of the 22 functioning items, climbing one flight of stairs without resting was the most difficult activity to be completed by older Ghanaians, and difficulty eating being the least endorsed item. Toileting was ranked the 16th in terms of reported difficulty and was related to other ADLs. Logistics multivariate regression was used to analyze data. Including significant variables from the univariate analysis in parsimonious model based on WHO-ICF framework, age, self-report health, memory, bodily pain, short distance vision, stroke, neighborhood trust, toilet facility type, and religious meeting attendance, were significantly independently associated with toileting difficulty. Gender was significant at the univariate level but became insignificant after adjusting for body function and structural variables. Toileting difficulty was associated with factors across different components in the WHO-ICF making the WHO-ICF an appropriate tool for understanding health and disability.
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Aftenberger, Hannes, Gabriele Schwarze, Beate Salchinger und Angelika Rother. „The International Classification of Functioning, Disability and Health (ICF) in neurorehabilitation in Austria. Comparison of the healthprofessions occupational therapy, speech-and language therapy and physiotherapy / Die Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit in der Neurorehabilitation in Österreich. Vergleich der Berufsgruppen Ergotherapie, Logopädie und Physiotherapie“. International Journal of Health Professions 4, Nr. 2 (16.11.2017): 137–46. http://dx.doi.org/10.1515/ijhp-2017-0024.
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Abstract Introduction The International Classification of Functioning Disability and Health (ICF) provides the language and a framework applying a unified and standardized form to describe health and conditions related to health. Teams who work in an interdisciplinary and multi professional way, as it is the case in neuro rehabilitation, can profit from integrating the ICF. The aim of this paper was to show how well implemented the ICF is in Austria with occupational therapists, speech and language therapists and physiotherapists working in neuro rehabilitation. Methods The present paper is a follow-up project of the APPEAR study. An extended questionnaire, which has been sent to 109 therapists working in Austrian neurologic rehabilitation facilities forms the basis for the results presented here. Results 64 questionnaires were returned from occupational therapists, speech and language therapists and physio therapists and were used for evaluation. 50% of the therapists who answered the questionnaire (n=25) stated that the ICF has already been implemented in their institution. Therapists often applied ICF (n=35) when using common documentation systems. Additionally, therapists consider the ICF an aid to support interdisciplinary and multi professional work. The therapists also stated (n=27) that they are not satisfied with the ICF when inpatients become outpatients. Conclusions Many therapists answering the questionnaire consider the ICF an important tool for optimizing the rehabilitation process. Barriers contributing to hindering an implementation of the ICF should be eliminated in the future. In order to achieve that aim, institutions should provide time and financial resources to further the education of their employees.
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Southwick, Joshua D., und Saara T. Grizzell. „Utilizing the ICF to Enable Evidence-Based Practice Among Vocational Rehabilitation Counselors“. Rehabilitation Counseling Bulletin 64, Nr. 1 (14.03.2020): 17–30. http://dx.doi.org/10.1177/0034355220910782.
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The World Health Organization’s (WHO) International Classification of Functioning, Disability and Health (ICF) provides an appropriate framework for conceptualizing cases within vocational rehabilitation (VR) programs. VR counselors can improve service delivery by using the framework and tools of the ICF, including the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), the ICF Checklist 2.1, and the ICF Core Sets. VR counselors can more readily begin the initial step of evidence-based practice (i.e., formulating well-defined, answerable questions) by using the ICF framework and its tools to identify and categorize common barriers and facilitators among VR consumers. The ICF framework and its tools are described in relation to their potential utilization in VR practice. In addition, specific case examples are given, describing how VR counselors can incorporate ICF perspectives and tools into their practice. The authors briefly describe training resources, future directions, and other considerations for the use of the ICF in VR settings.
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Leonardi, Matilde, Haejung Lee, Nenad Kostanjsek, Arianna Fornari, Alberto Raggi, Andrea Martinuzzi, Manuel Yáñez et al. „20 Years of ICF—International Classification of Functioning, Disability and Health: Uses and Applications around the World“. International Journal of Environmental Research and Public Health 19, Nr. 18 (08.09.2022): 11321. http://dx.doi.org/10.3390/ijerph191811321.
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The International Classification of Functioning Disability and Health (ICF) was approved in 2001 and, since then, several studies reported the increased interest about its use in different sectors. A recent overview that summarizes its applications is lacking. This study aims to provide an updated overview about 20 years of ICF application through an international online questionnaire, developed by the byline authors, and sent to each World Health Organization Collaborating Centers of the Family of International Classifications (WHO-FIC CCs). Data was collected during October 2020 and December 2021 and descriptive content analyses were used to report main results. Results show how, in most of the respondent countries represented by WHO-FIC CCs, ICF was mainly used in clinical practice, policy development and social policy, and in education areas. Despite its applications in different sectors, ICF use is not mandatory in most countries but, where used, it provides a biopsychosocial framework for policy development in health, functioning and disability. The study provides information about the needs related to ICF applications, that can be useful to organize targeted intervention plans. Furthermore, this survey methodology can be re-proposed periodically to monitor the use of the ICF in the future.
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Corbisiero, Fabio. „Beyond the ICF: Italian network strategies for job placement of persons with disabilities“. Modern Italy 19, Nr. 2 (Mai 2014): 199–211. http://dx.doi.org/10.1080/13532944.2014.910508.
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The Second National Conference on Disability, held in Bari in 2003, took the World Health Organization's International Classification of Functioning, Disability and Health (ICF), adopted by all WHO member states in 2001, as its frame of reference for future action and policies on disability. The ICF broke decisively with the medical model by seeing disability as an interaction between a biological and psychological condition and environmental and attitudinal barriers. Although existing Italian legislation on access to work for persons with disabilities, particularly Law 68/1999 on ‘collocamento mirato’ (targeted placement), anticipated some of the principles and definitions of the ICF, its implementation in practice was often snared in complex bureaucratic procedures and compromised by narrowly medical assessments of impairment and by considerable variations in standard from region to region. In 2009–2011 a pilot project, Progetto ICF4, was launched in 11 regions of Italy. It applied ICF principles, using Social Network Analysis (SNA) to assess the suitability of a work environment in terms of the networks of relations between the different actors involved in it. The way this has functioned in practice is illustrated by a case study of Teramo, one of the provinces in the pilot.
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Builova, Tatiana V., Rezeda A. Bodrova und Roza V. Petrova. „Rehabilitation Diagnosis Based on the International Functioning Classification (ICF) in Patients under Lower Limb Joint Endoprosthetics“. Bulletin of Rehabilitation Medicine 21, Nr. 2 (29.04.2022): 17–26. http://dx.doi.org/10.38025/2078-1962-2022-21-2-17-26.
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To date, the introduction of the International Classification of Functioning, Disability and Health (ICF) into the practical work of rehabilitation institutions and units of different levels and different profiles is a key moment in the organization of the rehabilitation process in accordance with a new legislative framework and a new model of the medical rehabilitation system being created in Russia. Namely, the ICF is the basis for the rehabilitation diagnosis formulation as well as rehabilitation goals and the development of the rehabilitation strategy for each individual patient, and the practical ICF use presents the greatest difficulties for members of the multidisciplinary rehabilitation team (MDRT), since it requires to restructure their thinking stereotypes and behavior « from dysfunction – to limitation of activity», «from correction of disorders to restoration of activity». In this regard, the ICF usage issues in the process of rehabilitation of patients who underwent arthroplasty of large joints, presented in this article, are very relevant. Aim. To describe the most frequent ICF domains used in the formulation of a rehabilitation diagnosis in patients who have undergone the lower limb joints replacement. Conclusion. Identification of key problems based on ICF in patients undergoing total knee and hip arthroplasty allows a more focused and specialized approach to the rehabilitation process for this category of patients, correct formulation of rehabilitation goals and drawing up a plan of rehabilitation measures. In patients who have yet to undergo joint replacement, the use of classification allows to clarify the indications for surgical intervention.
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Castaneda, Luciana, Maria Beatriz Dutra, Fernanda Guimaraes und Anke Bergmann. „The international classification of functioning, disability and health (ICF) and rehabilitation: what has been done?“ MOJ Sports Medicine 2, Nr. 5 (28.11.2018): 144–46. http://dx.doi.org/10.15406/mojsm.2018.02.00064.
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Background: rehabilitation has as its emphasis, not only the disease and your treatment, as well as improved Functioning. The International Classification of Functioning, Disability, and Health (ICF) is a classification system endorsed by the World Health Organization (WHO) since 2001. ICF brings a new paradigm by changing the focus on the consequences of the disease to highlight Functioning as a dynamic interaction between the biomedical and social model. Purpose: to conduct a brief description of ICF use in scientific movement of the ICF use in Rehabilitation. Methodology: The databases used were Medline, Scielo, Bireme, PEDro, and Scopus. The outcomes examined were ICF use and protocol, study design and expertise area. Results: 121 articles were included in this mapping. There was a predominance of ICF use in Neurology (n=52) and the most study design used was cross-sectional (n=55). Most of the studies used ICF to develop, validate or analyze functional assessments (n=52). Conclusion: the results indicate heterogeneity in the ICF diffusion in rehabilitation. The increase of ICF knowledge as a guiding model in Rehabilitation seems to be consolidating, however, intervention and longitudinal design studies still underrepresented. The ICF should be incorporated as a considerable framework to structure functional outcomes.
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Umbel, Benjamin D., Devon Myers, Benjamin C. Taylor, John A. Buchan und Anthony J. Melaragno. „The Intercalary Fragment in Posterior Malleolus Fractures: Characterization and Significance“. Foot & Ankle Orthopaedics 7, Nr. 1 (Januar 2022): 2473011421S0006. http://dx.doi.org/10.1177/2473011421s00062.
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Category: Trauma Introduction/Purpose: Methods of fixation in ankle fractures involving the posterior malleolus have become increasingly scrutinized. With the increase in computed tomography (CT), an intercalary fracture fragment (ICF) adjacent to the posterior malleolus has often been described. Treatment of this intercalary comminution remains controversial. The primary goal of this study was to compare clinical and radiographic outcomes in patients who had direct reduction and fixation of this fragment compared to those where the ICF was removed or not reduced prior to posterior malleolus fixation. Methods: This retrospective study included 249 trimalleolar and posterior pilon ankle fractures grouped into those who had the ICF reduced and fixed (n=74) and those where the ICF was not directly addressed or excised (n=175). CT scans were evaluated for size and location of the ICF. Demographic, radiographic and intraoperative variables were collected and analyzed. The Kellgren and Lawrence classification system was utilized to grade severity of post-traumatic arthritis during the follow up period. Chart review was performed assessing time to weightbearing, repeat surgeries and post-operative complications. Results: For the group which had the ICF reduced and fixed, follow up radiographs demonstrated significantly worse Kellgren- Lawrence scores compared to the group that did not specifically reduce the ICF (p< 0.05). There was also a higher rate of repeat surgery in the group which had the ICF fixed, although not meeting statistical significance. There were no differences in size or location of the ICF fragment between groups. The average overall time to weightbearing amongst all patients was 9.7 +- 3.8 weeks. There was no significant difference between time to weightbearing between groups (p = 0.6). There was no significant difference in need for secondary surgeries or post-operative deep and superfical infections. Conclusion: With the widespread utilization of CT-scans for preoperative planning of ankle fractures involving the posterior malleolus, there has been greater discussion surrounding the optimal management of the ICF when present. In our study, the primary aim was to explore radiographic changes in patients after direct reduction and fixation of this ICF compared to those without ICF fixation. We demonstrated significantly worse radiographic outcomes following attempted direct reduction and fixation of the ICF. Our results suggest that while concentric joint reduction and syndesmosis stabilization are of utmost importance, attempting to reduce and fix the ICF may lead to worse radiographic outcomes.
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Castaneda, Luciana. „A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) – um caminho para a Promoção da Saúde“. Brazilian Journal of Kinanthropometry and Human Performance 20, Nr. 2 (15.05.2018): 229–33. http://dx.doi.org/10.5007/1980-0037.2018v20n2p229.
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The International Classification of Functioning, Disability and Health (ICF) is a classification of the World Health Organization (WHO). It is a reference document for the description of phenomena related to functioning and disability. The aim of the present study is to assess the relationship between the theoretical assumptions of ICF and the field of Health Promotion. The dissemination of ICF has been widely documented in literature over the last few years, however, there is a large gap between enthusiasm with the paradigm change that the classification proposes and its effective incorporation in the different environments of health care. This study presents an example of ICF operationalization. The biopsychosocial evaluation model of ICF presented is a strategy of light technology in health that advances towards the proposals of the field of Health Promotion.
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Souza, Elenilton Correia de, Jader Pereira de Farias Neto und Marzo Edir da Silva Grigoletto. „Treinamento funcional e classificação internacional de funcionalidade: uma aproximação“. Brazilian Journal of Kinanthropometry and Human Performance 18, Nr. 4 (19.09.2016): 493. http://dx.doi.org/10.5007/1980-0037.2016v18n4p493.
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DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n4p493 The International Classification of Functioning (ICF) was elaborated by the World Health Organization (WHO) in order to unify the language among health professionals within the biopsychosocial model. ICF contains domains that resemble conceptual aspects and practical perspectives of functional training (FT). There is a consensus limitation of which aspects should be considered about the term “functionality”, in addition to being notorious the little use of ICF in physical activity programs. The aim of this approach study was to support the practical application of ICF as an easy way to complement functional evaluation in FT methods. Discussions were held on how the term “functionality” can be better understood in physical activity programs as well as some possibilities to make ICF in FT more operational. The absence of evidence about the use of ICF in relation to sports science elucidates the need of this approach, which may contribute to expand the knowledge about individuals’ functional health.
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Barrios, M., G. Guilera, O. Pino, E. Rojo, S. Wright und J. Gómez-Benito. „Functioning in Schizophrenia: Similarities and Differences Between Clinical, Patient and Expert Perspectives“. European Psychiatry 41, S1 (April 2017): S105. http://dx.doi.org/10.1016/j.eurpsy.2017.01.325.
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IntroductionIn 2001, the World Health Organization (WHO) created the International Classification of Functioning, Disability and Health (ICF) to offer a comprehensive and universally accepted framework to describe functioning, disability and health. The ICF Core Sets (ICF-CS) are a selection of categories that serve as a minimal standard for the assessment of functioning and disability in a specific health condition. The ICF-CS for schizophrenia was created in 2015 based on four preliminary studies that intend to capture different perspectives.ObjectivesThe aim of this study is to describe the similarities (i.e. overlap) and discrepancies (i.e. unique contribution) between the clinical, patient and expert perspectives on the most relevant problems in functioning of individuals with schizophrenia, being focused on the European WHO region.MethodsForty-four experts from 14 European countries participated in an expert survey, patients with schizophrenia were involved in four focus groups, and health professionals assessed 127 patients in relation to daily life functioning. Information gathered from these three preliminary studies was linked to the ICF.ResultsData showed that although a considerable number of second-level ICF categories agreed on the three preparatory studies (n = 54, 27.7%), each perspective provided a unique set of ICF categories. Specifically, experts reported 65 unique ICF categories, patients 23 and health professionals 11.ConclusionsEven though there were similarities between perspectives, each one underlined different areas of functioning, showing the importance of including different perspectives in order to get a complete view of functioning and disability in individuals with schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Rudrud, Eric H., und Tom M. Vaudt. „Prerequisite Skills for Semi-Independent Living Services (SILS) Placement“. Journal of the Association for Persons with Severe Handicaps 11, Nr. 3 (September 1986): 182–87. http://dx.doi.org/10.1177/154079698601100305.
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The goal of residential services should be placement in the least restrictive setting. Individuals and programs who make placement decisions should therefore understand what skills are needed to move from a more restrictive residential setting (ICF-MR) to a less restrictive semi-independent living services (SILS) program. A survey instrument, Independent Living Evaluation and Training Program, was sent to 128 directors of SILS, directors of Class A ICF-MR group homes, and directors of combined programs (SILS/ICF-MR). Directors were asked to identify what they believed to be prerequisite skills for placement into SILS programs. Seventy surveys were returned, representing a 56% response rate. Large differences were found among and between directors of the ICF-MR group homes, SILS providers, and those directors offering both programs. ICF-MR program directors identified more skills and rated skills as being more important than did SILS directors.
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Paramasivam, Abinethaa, Atul Jaiswal, Renu Minhas, Peter Holzhey, Karen Keyes, Ricard Lopez und Walter Wittich. „The development of the International Classification of Functioning, Disability and Health Core Sets for deafblindness: A study protocol“. PLOS ONE 16, Nr. 12 (14.12.2021): e0261413. http://dx.doi.org/10.1371/journal.pone.0261413.
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Background Individuals with deafblindness experience a combination of hearing and vision impairments. The World Health Organization has developed a global framework referred to as the International Classification of Functioning, Disability and Health (ICF) to describe health and functioning. From the full ICF classification, a selection of categories, referred to as ICF Core Sets, provide users with a tool to describe functioning and disability in specific health conditions. There has been no ICF Core Set created for deafblindness. Given that core sets are instrumental in improving clinical practice, research, and service delivery, the aim of this study is to develop an ICF Core Set for deafblindness. Methods As part of the preparatory phase in the ICF Core Set development, there are four studies that will be conducted. This includes the [1] systematic literature review that examines the researcher’s perspective, [2] qualitative study focusing on the individuals with deafblindness experience, [3] experts survey that looks at health professional’s perspective, and [4] empirical study that examines the clinical perspective. The studies will be conducted using the principles outlined by the ICF Research Branch for the development of ICF Core Sets. The systematic literature review protocol was submitted for registration on PROSPERO CRD42021247952. Discussion An ICF Core Set created for deafblindness will benefit individuals living with deafblindness who are often excluded from social participation, policies, and services. An ICF Core Set for deafblindness will have a significant impact on healthcare professionals, policymakers, researchers, service providers and individuals with deafblindness by facilitating communication among all stakeholder to support the functioning of those with deafblindness.
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Nansumba, Hellen, Mugalula Flaviano, Semanda Patrick, Ssewanyana Isaac und Douglas Wassenaar. „Health care users’ acceptance of broad consent for storage of biological materials and associated data for research purposes in Uganda“. Wellcome Open Research 7 (01.03.2022): 73. http://dx.doi.org/10.12688/wellcomeopenres.17633.1.
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Background: Implementation of appropriate informed consent has become a cornerstone for the use of biological materials and data from clinical care to use in research. During 2017-2018, the Ugandan National Bio-repository has since sought prior informed consent for long-term storage and use of remnant clinical human biological materials, where a short informed consent statement (ICF) was incorporated on the laboratory investigation form. This project aimed at determining the acceptability rate of broad consent from health care users (HCUs) for storage of biological materials and data for research purposes in Uganda. Methods: A cross-sectional study was conducted at three Primary Health Care Facilities. 500 HCUs above 18 years of age seeking health care at outpatient departments between March to December 2020 were invited to enrol. A shortened experimental draft ICF for this study was developed and attached to the Laboratory investigation form. Results: Overall the acceptability of broad consent for storage of biological materials and data was 86.2% [95% CI: 82.9%-88.9%]. HCUs who did not understand the draft ICF were 90% less likely to accept broad consent compared to those who understood (OR=0.10, CI [0.03-0.32] while those who partly understood the ICF were 73% less likely to accept broad consent compared to those who understood (OR=0.27, CI [0.15-0.46]. 226 out of 431 respondents that accepted storage of biological materials and data, majority (61.7%) preferred to receive feedback on results of relevance to their health. Conclusion: Acceptance of broad consent for storage of biological materials and data for future research purposes was high among HCUs. A shortened and simplified ICF may trigger discussions between participants and health care workers hence increase research participant understanding of study related materials in biobanking. This in turn could enrich ethically collected biobank resources for future research of public health relevance.
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Park, Myounghwa, Linh Khanh Bui, Miri Jeong, Eun Jeong Choi, Nayoung Lee, Minjung Kwak, Jahyeon Kim et al. „Exploring the Health and Social Needs of Community Residents Using an Online Community Care Platform: Linkage to the International Classification of Functioning, Disability, and Health“. Healthcare Informatics Research 28, Nr. 3 (31.07.2022): 198–209. http://dx.doi.org/10.4258/hir.2022.28.3.198.
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Objectives: This study aimed to analyze the outcomes of the Comprehensive Health and Social Need Assessment (CHSNA) system, which identifies community residents’ health and social needs, and to link these needs with the International Classification of Functioning, Disability, and Health (ICF). Methods: Adult community residents in a metropolitan city in Korea were recruited. They were asked to assess their health and social needs via the CHSNA system, which was integrated into an online community-care platform. Three assessment steps (basic health assessment, needs for activities of daily living, and in-depth health assessment) associated with five ICF components were used to evaluate physical health impairment, difficulties in activities and participation, and environmental problems. The final list of health and social needs was systematically linked to the domains and categories of the ICF. Only data from participants who completed all three assessment steps were included.Results: Wide ranges of impairments and difficulties regarding the daily living activities, physical health, and environmental status of the community were recorded from 190 people who completed assessments of their health and social needs by the CHSNA system. These participants reported various health and social needs for their community life; common needs corresponded to the ICF components of body functions and activities/participation. Conclusions: The ICF may be suitable for determining the health-related problems and needs of the general population. Possible improvements to the present system include providing support for completing all assessment steps and developing an ICF core set for an enhanced understanding of health and social needs.
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Schuntermann, M. „International Classification of Functioning, Disability and Health (ICF) by WHO - Short Summary“. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 11, Nr. 6 (Dezember 2001): 229–30. http://dx.doi.org/10.1055/s-2001-19074.
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Rauch, Alexandra, Reuben Escorpizo, Daniel L. Riddle, Inge Eriks-Hoogland, Gerold Stucki und Alarcos Cieza. „Using a Case Report of a Patient With Spinal Cord Injury to Illustrate the Application of the International Classification of Functioning, Disability and Health During Multidisciplinary Patient Management“. Physical Therapy 90, Nr. 7 (01.07.2010): 1039–52. http://dx.doi.org/10.2522/ptj.20090327.
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Background and PurposePhysical therapists require a comprehensive assessment of a patient's functioning status to address multiple problems in patients with severe conditions. The International Classification of Functioning, Disability and Health (ICF) is the universally accepted conceptual model for the description of functioning. Documentation tools have been developed based on ICF Core Sets to be used in multidisciplinary rehabilitation management and specifically by physical therapists. The purposes of this case report are: (1) to apply ICF-based documentation tools to the care of a patient with spinal cord injury and (2) to illustrate the use of ICF-based documentation tools during multidisciplinary patient management.Case DescriptionThe patient was a 22-year-old man with tetraplegia (C2 level) who was 5 months postinjury. The report describes the integration of the ICF-based documentation tools into the patient's examination, evaluation, prognosis, diagnosis, and intervention while he participated in a multidisciplinary rehabilitation program for 2 months.OutcomesThe patient's comprehensive functioning status at the beginning of the program, the rehabilitation goals, the intervention plan, and his improvements in functioning following rehabilitation and the according goal achievement were illustrated with physical therapy–specific and multidisciplinary ICF-based documentation tools.DiscussionThis case report illustrates how the ICF-based documentation template for physical therapists summarizes all relevant information to aid the physical therapist's patient management and how ICF-based documentation tools for multidisciplinary care complement one another and thus can be used to enhance multidisciplinary patient management. In addition, the ICF assists in clarifying clinician roles as part of a multidisciplinary team. The case report demonstrates that the ICF can be a viable framework both for physical therapy and multidisciplinary management and for clinical documentation.
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Gagné, Jean-Pierre, Mary Beth Jennings und Kenneth Southall. „The ICF: A Classification System and Conceptual Framework Ideal for Audiological Rehabilitation“. Perspectives on Aural Rehabilitation and Its Instrumentation 16, Nr. 1 (Oktober 2009): 8–14. http://dx.doi.org/10.1044/arii16.1.8.
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Abstract In 2001, the World Health Organization (WHO) adopted the International Classification of Functioning, Disability, and Health, commonly referred to as the ICF (WHO, 2001), which is a biopsychosocial classification system of health. It provides a common framework for describing consequences of health conditions and specifically for understanding the dimensions of health and functioning. The ICF is particularly relevant for rehabilitation sciences because the health conditions of people seeking rehabilitation services are typically chronic and the associated impairments cannot be cured. The present article highlights some key differences between a curative and a rehabilitative approach to health services. Then, the components of the IFC are defined, described, and illustrated. The main characteristics of the classification system are outlined. Finally, some important features associated with the use of the ICF as a conceptual framework for clinical services in rehabilitative audiology are presented.
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Finger, Monika E., Alarcos Cieza, Juerg Stoll, Gerold Stucki und Erika O. Huber. „Identification of Intervention Categories for Physical Therapy, Based on the International Classification of Functioning, Disability and Health: A Delphi Exercise“. Physical Therapy 86, Nr. 9 (01.09.2006): 1203–20. http://dx.doi.org/10.2522/ptj.20050134.
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Abstract Background and Purpose. Disability or limitations in human functioning are universal experiences that concern all people. Physical therapists aim to improve functioning and prevent disability. With the approval of the new International Classification of Functioning, Disability and Health (ICF), we can now rely on a globally recognized framework and classification to be used in different health care situations by all health care professionals in multidisciplinary teams. The objective of this study was to identify ICF categories that describe the most relevant and common patient problems managed by physical therapists in acute, rehabilitation, and community health care situations taking into account 3 major groups of health conditions: musculoskeletal, neurological, and internal. Subjects. The subjects were physical therapists who were identified as possible participants by the heads of physical therapy departments who were members of the Swiss Association of Physical Therapy Department Heads or who were recruited from the membership of the Swiss Association of Physiotherapy. Methods. A consensus-building, 3-round, electronic-mail survey with 9 groups of physical therapists was conducted using the Delphi technique. Results. Two hundred sixty-three physical therapists participated in at least one round of the Delphi exercise. They had consensus levels of 80% or higher for categories in all ICF components (Body Functions, Body Structures, Activities and Participation, and Environmental Factors 1 and 2). Discussion and Conclusion. This study is a first step toward identifying a list of intervention categories relevant for physical therapy according to the ICF. The ICF, designed as a common language for multidisciplinary use, is also a very helpful framework for defining the core competence for the physical therapy profession.
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Kohler, Friedbert, Alarcos Cieza, Gerold Stucki, Jan Geertzen, Helena Burger, Michael P. Dillon, Carolina Schiappacasse, Alberto Esquenazi, Robert Steven Kistenberg und Nenad Kostanjsek. „Developing Core Sets for Persons Following Amputation Based on the International Classification of Functioning, Disability and Health as a Way to Specify Functioning“. Prosthetics and Orthotics International 33, Nr. 2 (Januar 2009): 117–29. http://dx.doi.org/10.1080/03093640802652029.
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Amputation is a common late stage sequel of peripheral vascular disease and diabetes or a sequel of accidental trauma, civil unrest and landmines. The functional impairments affect many facets of life including but not limited to: Mobility; activities of daily living; body image and sexuality. Classification, measurement and comparison of the consequences of amputations has been impeded by the limited availability of internationally, multiculturally standardized instruments in the amputee setting. The introduction of the International Classification of Functioning, Disability and Health (ICF) by the World Health Assembly in May 2001 provides a globally accepted framework and classification system to describe, assess and compare function and disability. In order to facilitate the use of the ICF in everyday clinical practice and research, ICF core sets have been developed that focus on specific aspects of function typically associated with a particular disability. The objective of this paper is to outline the development process for the ICF core sets for persons following amputation. The ICF core sets are designed to translate the benefits of the ICF into clinical routine. The ICF core sets will be defined at a Consensus conference which will integrate evidence from preparatory studies, namely: (a) a systematic literature review regarding the outcome measures of clinical trails and observational studies, (b) semi-structured patient interviews, (c) international experts participating in an internet-based survey, and (d) cross-sectional, multi-center studies for clinical applicability. To validate the ICF core sets field-testing will follow.Invitation for participation: The development of ICF Core Sets is an inclusive and open process. Anyone who wishes to actively participate in this process is invited to do so.
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Moran, Monica, Jane Bickford, Sarah Barradell und Ingrid Scholten. „Embedding the International Classification of Functioning, Disability and Health in Health Professions Curricula to Enable Interprofessional Education and Collaborative Practice“. Journal of Medical Education and Curricular Development 7 (Januar 2020): 238212052093385. http://dx.doi.org/10.1177/2382120520933855.
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The World Health Organization’s International Classification of Functioning, Disability and Health (WHO-ICF) is a comprehensive and highly adaptable framework that provides a universal language and shared health concepts to articulate human functioning across the lifespan and from individual to population health settings. It provides a global, biopsychosocial, and holistic structure for conceptualising the human experience of health and health service provision. Consequently, the ICF framework offers hope for a universal map for health service providers that bridges professional, cultural, economic, and geographical variations. While the use of the ICF is typically mandated by health professions accreditation bodies, integration of the ICF in medical and health professional education programmes has been slow. In addition, its potential for scaffolding interprofessional education for collaborative practice has not been maximised. In this Perspective paper, we draw on our extensive experience in developing curricula and teaching within a range of health professions programmes (medicine, occupational therapy, physiotherapy, and speech-language pathology) to provide advice on conceptual, theoretical, and practical dimensions of embedding the ICF framework within curricula to support interprofessional education and collaborative practice.
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Weichert, Hilke, Claudia Hennecke, Rolf Keppeler und Jean-Jacques Glaesener. „Implementierung von ICF als Sprache und Struktur in die Teambesprechung der muskulo-skelettalen Rehabilitation“. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 30, Nr. 02 (17.09.2019): 72–79. http://dx.doi.org/10.1055/a-0991-1265.
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ZusammenfassungDie Implementierung der Internationalen Klassifikation von Funktionsfähigkeit, Behinderung und Gesundheit (ICF) in das rehabilitationsbezogene Denken und Handeln wird seitens der WHO vorgegeben. Die Durchführung von multiprofessionellen Teambesprechungen im zielorientierten Rehabilitationsprozess wird von Fachgesellschaften und Leistungsträgern als strukturelles Qualitätsmerkmal gefordert. Der Einsatz des vorgestellten Kommunikationsmodells zur Strukturierung des rehabilitationsbezogenen Kommunikationsprozesses einer arbeitsbezogenen muskulo-skelettalen Rehabilitation unter Einbeziehung der Ebenen und Wechselwirkungen des der ICF zugrunde liegenden bio-psycho-sozialen Modells setzt die Vorgabe der WHO um und erfüllt die durch Fachgesellschaften und Leistungsträger geforderten Qualitätsmerkmale rehabilitativer Maßnahmen. Sie dient darüber hinaus der Effizienzsteigerung der rehabilitativen Maßnahme und Zufriedenheit im Team.
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Bassler, Markus. „Arbeitsfähigkeit und sozialmedizinische Begutachtung bei Fatigue-Syndromen“. ASU Arbeitsmedizin Sozialmedizin Umweltmedizin 2022, Nr. 09 (30.08.2022): 561–64. http://dx.doi.org/10.17147/asu-1-216976.
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Die sozialmedizinische Begutachtung orientiert sich eng an der 2001 neu eingeführten „Internationalen Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit“ (ICF) der Weltgesundheitsorganisation (WHO). Die Beurteilung der beruflichen Leistungsfähigkeit stützt sich gemäß der ICF-Kriterien vorrangig auf den Abgleich der dem Individuum möglichen Aktivitäten und Fähigkeiten mit dem jeweiligen beruflichen Anforderungsprofil. Im Zusammenhang damit implizieren die Begriffe „Arbeits(un)fähigkeit“, „Erwerbs(un)fähigkeit bzw. „Erwerbsminderung“ deutlich mehr als bisher sozialrechtlich relevante Aspekte.
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Rämä, Irene, Elina Kontu und Raija Pirttimaa. „The usefulness of the ICF framework in goal setting for students with autism spectrum disorder“. Journal of International Special Needs Education 22, Nr. 2 (01.12.2019): 43–53. http://dx.doi.org/10.9782/16-00027.
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Abstract An Individualized Education Plan (IEP) is a multi-disciplinary, team-developed plan that is required for a child receiving special education services. IEPs are tools for setting objectives that are responsive to students with special needs. The International Classification of Functioning, Disability and Health (ICF) is a hierarchical classification for human functioning and disability developed by the World Health Organization (WHO). The ICF classification can be used as a structural and conceptual instrument in goal setting. In this study the educational IEP objectives of five Finnish students with autism spectrum disorder (ASD) are examined within the ICF framework. The focus is in the goals concerning the development of communication and social behavior because the main criteria for ASD comprise disabilities and challenges in communication and social behavior. The aim of the study was to assess the usefulness of the ICF coding system with regard to educational goals and objectives of students with ASD. The core content of the goals was extracted to linking units, which were coded into categories of the ICF classification. The results revealed that only few of possible ICF categories were used, the goals linked to communication technologies were heavily stressed, and the relation between the goals and general curriculum was vague. As a conclusion it is suggested that teachers and multi-disciplinary teams might benefit from standardizing their mutual conceptual framework with the help of the ICF when setting goals or objectives for students with disabilities.
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Castro, Shamyr Sulyvan, und Camila Ferreira Leite. „Translation and cross-cultural adaptation of the World Health Organization Disability Assessment Schedule - WHODAS 2.0“. Fisioterapia e Pesquisa 24, Nr. 4 (Dezember 2017): 385–91. http://dx.doi.org/10.1590/1809-2950/17118724042017.
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ABSTRACT The World Health Organization (WHO) planned a new functioning assessment tool - the WHODAS 2.0 (World Health Assessment Disability Schedule 2.0) - a user-friendly application instrument based on the theoretical framework of the ICF. The aim of this article is to introduce the Brazilian version of WHODAS to clinical and academic users interested in the assessment of functioning. The process was conducted according to the Translation Package offered by WHO, in addition to the permission for translating the tool. Three translators worked in this research to produce the definitive version of the manual and a set of linguistic evaluation forms. Finally, the Brazilian version was approved by WHO. All documents about WHODAS were translated and are free to download on the internet. WHODAS 2.0 addresses functioning according to the ICF domains and keeps the multifactorial and biopsychosocial perspective of the phenomenon. As it has an ICF differentiate presentation, the data collection is faster (20 minutes, on average) and more objective. Besides, it was planned to be a generic and transcultural tool. WHODAS was translated and is available on Internet to use. It is expected that the use of WHODAS will be widespread in Brazil, in clinical and research settings, aiming at the biopsychosocial approach of the functioning, as endorsed by WHO.
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Kohler, Friedbert, Jim Xu, Cecilia Silva-Withmory und Jeyanthi Arockiam. „Feasibility of using a checklist based on the international classification of functioning, disability and health as an outcome measure in individuals following lower limb amputation“. Prosthetics and Orthotics International 35, Nr. 3 (September 2011): 294–301. http://dx.doi.org/10.1177/0309364611415310.
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Background: The International Classification of Function, Disability and Health (ICF) has been promoted for use in clinical practice but few articles have demonstrated that it can be used as a sensitive outcome measure, and there has been no published evidence that it can be used for individuals following a lower limb amputation. We developed an ICF-based checklist for individuals who had an amputation. Objective: To evaluate the feasibility of this checklist in detecting meaningful changes of function and quality of life in persons following an amputation using the ICF qualifiers as an outcome measure. Study Design: Time series study. Methods: Twenty patients were rated on the ICF checklist items for four time points; preadmission status, one week post-amputation, on discharge from the acute hospital and three months post-amputation. Results: Seventeen patients completed the full study, having data collected at each of the four time points. Using the ICF checklist, we could demonstrate a significant functional deterioration immediately after amputation with a gradual improvement in function over the following three weeks consistent with our direct observations of these patients. Conclusions: The ICF checklist has the potential to be used as an outcome instrument as it appears to have content validity and sensitivity as a measure of changes in patients following an amputation. Clinical relevance Clinical outcome measures based on the ICF potentially improve the ability to record, monitor and benchmark patient and treatment outcomes nationally and internationally. This paper addresses the feasibility of ICF categories and qualifiers when used as an outcome measure and indicates that further development and analysis of the psychometric properties of such measures is warranted.
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Illum, NO, KO Gradel, LW Laulund, KR Bergstein, N. Szomlaiski und MN Johansen. „P160 – 1672 Assessing children with disabilities: WHO ICF-CY classification and Rasch analysis“. European Journal of Paediatric Neurology 17 (September 2013): S97. http://dx.doi.org/10.1016/s1090-3798(13)70339-8.
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Pernambuco, Andrei Pereira, Raquel de Carvalho Lana und Janaíne Cunha Polese. „Knowledge and use of the ICF in clinical practice by physiotherapists and occupational therapists of Minas Gerais“. Fisioterapia e Pesquisa 25, Nr. 2 (Juni 2018): 134–42. http://dx.doi.org/10.1590/1809-2950/16765225022018.
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ABSTRACT This study aims to evaluate the profile and knowledge of physiotherapists and occupational therapists from Minas Gerais about the International Classification of Functioning, Disability and Health (ICF) application in professional practice, trying to understand the reason for the underutilization of this universal instrument in Brazil. Observational and cross-sectional study was conducted using an online questionnaire prepared by specialists. An email was sent to all physiotherapists and occupational therapists enrolled in the Regional Council of the 4th Region. Of 22,121 emails, 1,313 were answered. 53% of the sample had graduate certificate, 65% had between two to ten years of experience, and 62% reported that clinics and patients’ houses are the places where they work. 72% of the professionals knew the ICF and 84% correctly answered the meaning of the acronym. However, 71% of professionals are unaware of the fields that make up this classification. The first contact with the ICF happened during graduation to 50% of professionals, and 28% had never had contact with ICF. 74% reported not using it in clinical practice. However, 82% of the participants believed that the use of ICF is viable in clinical practice. Most professionals had graduate certificate, worked in clinics and patients’ homes and, although most of them claim to know the ICF, the largest portion of the sample reported they did not use this classification in their professional lives, even though believing the ICF use is feasible. The lack of knowledge about the ICF prevents professionals from complying with the recommendations of the World Health Organization (WHO), the Brazilian National Health Council (CNS) and COFFITO (Brazilian Federal Council of Physical Therapy and Occupational Therapy) on the adoption of this instrument in exchange of information about health and clinical practice.
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Ivanova, Galina E., Tatyana V. Builova, Lyudmila A. Belova, Yuri D. Udalov, Viktor V. Mashin, Andrey Yu Suvorov und Anastasia A. Kuvaiskaya. „Formation of Rehabilitation Diagnosis in Patients with Breast Cancer at Stage I of Medical Rehabilitation: Case Report“. Bulletin of Rehabilitation Medicine 21, Nr. 3 (30.06.2022): 155–74. http://dx.doi.org/10.38025/2078-1962-2022-21-3-155-174.
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The article reviews the main complaints of patients with breast cancer depending on the type of antitumor treatment and defines the peculiarities of the basic and additional sets of the International Classification of Functioning (ICF) codes. Aim. To present the clinical experience results of ICF use in making a rehabilitation diagnosis for patients with breast cancer, to discuss the issues and problems that arise when choosing domains in patients receiving various methods of treatment for this disease, to show by the example of a case report the use of ICF when forming a rehabilitation diagnosis in a patient with breast cancer after surgical treatment and anti-tumor drug therapy. Results and discussion. Patients who had undergone the surgical treatment, in the early postoperative period are predominantly characterized by: pain in the arm and shoulder joint, swelling of the arm, limited range of movement in the shoulder joint on the operation side, increased fatigue, difficulties in self-care, irritability, and anxiety. Patients who had eceived radiation therapy complained of skin manifestations – reddening of the skin in the area of radiation exposure and trophic ulcers, as well as complaints of numbness of the fingers and toes, palpitations, a feeling of interruptions in the heart area, frequent changes in blood pressure, which are characteristic signs peripheral polyneuropathy and cardiovascular form of autonomic neuropathy. Distinctive features of patients had being receiving anticancer medication therapy were complaints of disorders in the digestive system, hair loss. According to the complaints of each category of patients, the basic and additional sets of ICF were determined to make a rehabilitation diagnosis. The case report demonstrates the practical application of the basic and the inclusion of additional ICF sets for making a rehabilitation diagnosis for a patient with breast cancer and determining the tactics of rehabilitative measures. Conclusion. The results of the study suggest the importance of reflecting the completeness of all domains of the ICF domains specific for a particular patient, as the aim of rehabilitation is established on the basis of the rehabilitation diagnosis formulated by MDRT specialists.
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Illum, Niels Ove, und Kim Oren Gradel. „Parents’ Assessments of Disability in Their Children Using World Health Organization International Classification of Functioning, Disability and Health, Child and Youth Version Joined Body Functions and Activity Codes Related to Everyday Life“. Clinical Medicine Insights: Pediatrics 11 (01.01.2017): 117955651771503. http://dx.doi.org/10.1177/1179556517715037.
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Aim: To help parents assess disability in their own children using World Health Organization (WHO) International Classification of Functioning, Disability and Health, Child and Youth Version (ICF-CY) code qualifier scoring and to assess the validity and reliability of the data sets obtained. Method: Parents of 162 children with spina bifida, spinal muscular atrophy, muscular disorders, cerebral palsy, visual impairment, hearing impairment, mental disability, or disability following brain tumours performed scoring for 26 body functions qualifiers (b codes) and activities and participation qualifiers (d codes). Scoring was repeated after 6 months. Psychometric and Rasch data analysis was undertaken. Results: The initial and repeated data had Cronbach α of 0.96 and 0.97, respectively. Inter-code correlation was 0.54 (range: 0.23-0.91) and 0.76 (range: 0.20-0.92). The corrected code-total correlations were 0.72 (range: 0.49-0.83) and 0.75 (range: 0.50-0.87). When repeated, the ICF-CY code qualifier scoring showed a correlation R of 0.90. Rasch analysis of the selected ICF-CY code data demonstrated a mean measure of 0.00 and 0.00, respectively. Code qualifier infit mean square (MNSQ) had a mean of 1.01 and 1.00. The mean corresponding outfit MNSQ was 1.05 and 1.01. The ICF-CY code τ thresholds and category measures were continuous when assessed and reassessed by parents. Participating children had a mean of 56 codes scores (range: 26-130) before and a mean of 55.9 scores (range: 25-125) after repeat. Corresponding measures were −1.10 (range: −5.31 to 5.25) and −1.11 (range: −5.42 to 5.36), respectively. Based on measures obtained at the 2 occasions, the correlation coefficient R was 0.84. The child code map showed coherence of ICF-CY codes at each level. There was continuity in covering the range across disabilities. And, first and foremost, the distribution of codes reflexed a true continuity in disability with codes for motor functions activated first, then codes for cognitive functions, and, finally, codes for more complex functions. Conclusions: Parents can assess their own children in a valid and reliable way, and if the WHO ICF-CY second-level code data set is functioning in a clinically sound way, it can be employed as a tool for identifying the severity of disabilities and for monitoring changes in those disabilities over time. The ICF-CY codes selected in this study might be one cornerstone in forming a national or even international generic set of ICF-CY codes for the benefit of children with disabilities, their parents, and caregivers and for the whole community supporting with children with disabilities on a daily and perpetual basis.
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Stucki, G. „How to assess the impact of arthritis on the individual patient: the WHO ICF“. Annals of the Rheumatic Diseases 64, Nr. 5 (01.05.2005): 664–68. http://dx.doi.org/10.1136/ard.2003.019356.
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Phadke, Chetan, Shannon Reid, Ayako Sasaki, Kevin Choi, Jaclyn Peters, Elizabeth Chapman, Andrew Tri, Farooq Ismail und Chris Boulias. „ICF-WHO Model to Describe Goal Characteristics Among Individuals with Spasticity Receiving Botulinum Injections“. Archives of Physical Medicine and Rehabilitation 97, Nr. 10 (Oktober 2016): e42. http://dx.doi.org/10.1016/j.apmr.2016.08.124.
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Metcalf, Cheryl, Jo Adams, Jane Burridge, Victoria Yule und Paul Chappell. „A review of clinical upper limb assessments within the framework of the WHO ICF“. Musculoskeletal Care 5, Nr. 3 (2007): 160–73. http://dx.doi.org/10.1002/msc.108.
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