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Üstün, T. B., and N. Kostanjsek. "The International Classification of Functioning, Disability and Health (ICF)." Die Psychiatrie 7, no. 03 (July 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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Gómez-Salgado, Juan, Lia Jacobsohn, Fátima Frade, Macarena Romero-Martin, and 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, no. 10 (October 13, 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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BOONEN, ANNELIES, GEROLD STUCKI, WALTER MAKSYMOWYCH, ANNE CHRISTINE RAT, RUBEN ESCORPIZO, and MAARTEN BOERS. "The OMERACT-ICF Reference Group: Integrating the ICF into the OMERACT Process: Opportunities and Challenges." Journal of Rheumatology 36, no. 9 (September 2009): 2057–60. http://dx.doi.org/10.3899/jrheum.090357.
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At OMERACT 8 in May 2006 in Malta, the International Classification of Functioning, Disability and Health (ICF) was introduced as a universal model and a universal classification to describe human functioning. The potential usefulness of the ICF for the OMERACT process was highlighted and reported in a position paper following the OMERACT 8 meeting. Since then representatives of several OMERACT working groups with an interest in the ICF joined an OMERACT-ICF reference group. Most members had experience with the ICF and worked further to integrate the ICF into OMERACT. We describe the main roles of the ICF in the OMERACT process and the challenges when practice confronts theory.
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Tweedy, Sean M. "Taxonomic Theory and the ICF: Foundations for a Unified Disability Athletics Classification." Adapted Physical Activity Quarterly 19, no. 2 (April 2002): 220–37. http://dx.doi.org/10.1123/apaq.19.2.220.
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Development of a unified classification system to replace four of the systems currently used in disability athletics (i.e., track and field) has been widely advocated. The definition and purpose of classification, underpinned by taxonomic principles and collectively endorsed by relevant disability sport organizations, have not been developed but are required for successful implementation of a unified system. It is posited that the International classification of functioning, disability, and health (ICF), published by the World Health Organization (2001), and current disability athletics systems are, fundamentally, classifications of the functioning and disability associated with health conditions and are highly interrelated. A rationale for basing a unified disability athletics system on ICF is established. Following taxonomic analysis of the current systems, the definition and purpose of a unified disability athletics classification are proposed and discussed. The proposed taxonomic framework and definitions have implications for other disability sport classification systems.
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Aronsky, Dominik, Birgit Prodinger, and Roxanne Maritz. "The International Classification of Functioning, Disability and Health (ICF) in Electronic Health Records." Applied Clinical Informatics 08, no. 03 (2017): 964–80. http://dx.doi.org/10.4338/aci2017050078.
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Summary Background: The International Classification of Functioning, Disability and Health (ICF) is the World Health Organization’s standard for describing health and health-related states. Examples of how the ICF has been used in Electronic Health Records (EHRs) have not been systematically summarized and described yet. Objectives: To provide a systematic review of peer-reviewed literature about the ICF’s use in EHRs, including related challenges and benefits. Methods: Peer-reviewed literature, published between January 2001 and July 2015 was retrieved from Medline®, CINAHL®, Scopus®, and ProQuest® Social Sciences using search terms related to ICF and EHR concepts. Publications were categorized according to three groups: Requirement specification, development and implementation. Information extraction was conducted according to a qualitative content analysis method, deductively informed by the evaluation framework for Health Information Systems: Human, Organization and Technology-fit (HOT-fit). Results: Of 325 retrieved articles, 17 publications were included; 4 were categorized as requirement specification, 7 as development, and 6 as implementation publications. Information regarding the HOT-fit evaluation framework was summarized. Main benefits of using the ICF in EHRs were its unique comprehensive perspective on health and its interdisciplinary focus. Main challenges included the fact that the ICF is not structured as a formal terminology as well as the need for a reduced number of ICF codes for more feasible and practical use. Conclusion: Different approaches and technical solutions exist for integrating the ICF in EHRs, such as combining the ICF with other existing standards for EHR or selecting ICF codes with natural language processing. Though the use of the ICF in EHRs is beneficial as this review revealed, the ICF could profit from further improvements such as formalizing the knowledge representation in the ICF to support and enhance interoperability.Citation: Maritz R, Aronsky D, Prodinger B. The International Classification of Functioning, Disability and Health (ICF) in Electronic Health Records. Appl Clin Inform 2017; 8: 964–980 https://doi.org/10.4338/ACI-2017050078
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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, no. 2 (May 15, 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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Bond, Malcolm. "International Classification of Functioning, Disability, and Health: A Contemporary Model of Disablement." Guides Newsletter 20, no. 4 (July 1, 2015): 3–8. http://dx.doi.org/10.1001/amaguidesnewsletters.2015.julaug01.
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Abstract This article begins with a consult of a patient using the International Classification of Functioning, Disability, and Health (ICF), published by the World Health Organization in 2001. The ICF framework serves as the conceptual model for the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition. In contrast to the issues of morbidity-centric documentation schemas, the ICF platform provides a standardized nomenclature to chart functioning, specifically an integrative biopsychosocial model of functioning that defines the components of functioning. The ICF qualifier serves as the titratable dimension of function; the qualifier not only satisfies the need for charting progress but also, when aggregated, provides the possibility of identifying the quantitative metrics of a cohort (eg, service needs, length of hospitalization, level of care, functional outcomes, and return-to-work potential). Implementing ICF into routine documentation moves practitioners toward the concept of functioning not as a consequence of disease but rather toward the real-life dynamics among health condition, body function, body structure, and environmental factors that determine functioning. ICF will be an essential basis for the standardization of data concerning all aspects of human functioning and disability around the world. ICF will be useful for persons with all forms of disabilities, not only for identifying health care and rehabilitative needs but also in identifying and measuring the effect of the physical and social environments.
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O’Sullivan, Deirdre, Antoinette Cambria, Yi Xiao, and 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, no. 2 (December 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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Fréz, Andersom Ricardo, Aline Cristiane Binda, Angela Dubiela, Christiane Riedi Daniel, Gladson Ricardo Flor Bertolini, João Afonso Ruaro, Juliana Souza de Oliveira, and Marina Pegoraro Baroni. "FUNCTIONAL PROFILE OF ACTIVE OLDER ADULTS WITH LOW BACK PAIN, ACCORDING TO THE ICF." Revista Brasileira de Medicina do Esporte 22, no. 4 (August 2016): 252–55. http://dx.doi.org/10.1590/1517-869220162204159647.
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ABSTRACT Introduction: The International Classification of Functioning, Disability and Health (ICF) considers multiples aspects of functionality. It is believed that this tool can help to classify the functionality of older adults with low back pain (LBP) . Objectives: To describe the functionality of active older adults with LBP according to the ICF. Methods: A transversal study was conducted using the brief ICF core set for low back pain, to establish functional profiles of 40 older adults. The ICF categories were considered valid when ≥20% of participants showed some disability. Results: Thirty-two of the 35 categories of the brief ICF core set could be considered representative of the sample. Conclusion: The brief ICF core set for LBP results demonstrated that this classification system is representative for describing the functional profile of the sample.
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Rämä, Irene, Elina Kontu, and Raija Pirttimaa. "The usefulness of the ICF framework in goal setting for students with autism spectrum disorder." Journal of International Special Needs Education 22, no. 2 (December 1, 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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Majewski-Schrage, Tricia, Todd A. Evans, and 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, no. 8 (August 1, 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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Heerkens, Yvonne, Theo Bougie, and Ellen Claus. "The use of the ICF in the process of supplying assistive products: discussion paper based on the experience using a general Dutch prescription guideline." Prosthetics and Orthotics International 35, no. 3 (September 2011): 310–17. http://dx.doi.org/10.1177/0309364611419890.
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For many people assistive products are important to perform daily activities and to participate in society. In the process of selecting the proper assistive product for a person, it is important to describe in a uniform and transparent way his/her present functioning and wishes with respect to functioning. To indicate how the ICF (the International Classification of Functioning, Disability and Health) can be used during the supply process, we have taken as a framework a general guideline describing this process. The guideline distinguishes seven steps in the supply process and for each step an inventory is made of the actions of the client, the actions of the care professional, the instruments used, the decisions made, the data generated, relevant classifications (including the ICF) to code these data, and the results for the client. It is the aim of this discussion paper to describe the role of the ICF in the prescription and supply of assistive products and to discuss the specific data in this process that can be classified using the ICF. Although the ICF is not perfect, it is a useful tool to code important data in the process of supplying assistive products. Clinical relevance Assistive products – used worldwide by millions of people – are used to maintain or enhance functioning, rather than to cure a disease. 1 As functioning can be classified with the International Classification of Functioning, Disability and Health (ICF), it can be expected that the use of ICF terminology in the supply process of assistive products will result in a better match between the characteristics of the person and the characteristics of the assistive product.
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Bernabeu, Montserrat, Sara Laxe, Raquel Lopez, Gerold Stucki, Anthony Ward, Michael Barnes, Nenad Kostanjsek, et al. "Developing Core Sets for Persons With Traumatic Brain Injury Based on the International Classification of Functioning, Disability, and Health." Neurorehabilitation and Neural Repair 23, no. 5 (February 12, 2009): 464–67. http://dx.doi.org/10.1177/1545968308328725.
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The authors outline the process for developing the International Classification of Functioning, Disability, and Health (ICF) Core Sets for traumatic brain injury (TBI). ICF Core Sets are selections of categories of the ICF that identify relevant categories of patients affected by specific diseases. Comprehensive and brief ICF Core Sets for TBI should become useful for clinical practice and for research. The final definition of the ICF Core Sets for TBI will be determined at an ICF Core Sets Consensus Conference, which will integrate evidence from preliminary studies. The development of ICF Core Sets is an inclusive and open process and rehabilitation professionals are invited to participate.
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Balestrieri, M., M. Isola, R. Bonn, T. Tam, A. Vio, M. Linden, and E. Maso. "Validation of the Italian version of Mini-ICF-APP, a short instrument for rating activity and participation restrictions in psychiatric disorders." Epidemiology and Psychiatric Sciences 22, no. 1 (September 19, 2012): 81–91. http://dx.doi.org/10.1017/s2045796012000480.
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Aims.The assessment of limitations in social capacities can be done with the Mini-ICF-APP, a rating scale built in reference to the International Classification of Functioning, Disability and Health (ICF). The aim of this study was to assess the reliability and the convergent validity of the Italian version of this scale.Methods.We recruited 120 consecutive patients diagnosed with schizophrenia, major depression, bipolar I disorder and anxiety disorders. Included measures were the Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impression Scale (CGI-S), the Personal and Social Performance Scale (PSP) and the Social and Occupational Functioning Assessment Scale (SOFAS).Results.The median CGI-S and BPRS scores were 5 and 16.5. Mean Mini-ICF-APP total score was 18.1. Schizophrenics' Mini-ICF-APP score was higher, while that of anxious patients was lower than in the other diagnoses. Intra-class correlations (ICC) revealed a significant inter-rater agreement for total score (ICC 0.987) and for each item of the Mini-ICF-APP. The test–retest agreement was also highly significant (ICC 0.993). The total score of the Mini-ICF-APP obtained good negative correlations with PSP (rs = −0.767) and with SOFAS scores (rs = −0.790). The distribution items of the Mini-ICF-APP showed some skewness, indicating that self-care (item 12) and mobility (item 13) were amply preserved in most patients. The Mini-ICF-APP total score was significantly correlated with both CGI-S (rs = 0.777) and BPRS (rs = 0.729).Conclusions.As a short instrument, the Mini-ICF-APP scale seems to be well suited to everyday psychiatric practice as a means of monitoring changes in psychosocial functioning, in particular in schizophrenic patients.
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Stucki, Gerold. "International Classification of Functioning, Disability, and Health (ICF)." American Journal of Physical Medicine & Rehabilitation 84, no. 10 (October 2005): 733–40. http://dx.doi.org/10.1097/01.phm.0000179521.70639.83.
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Kuhlmann, T. "ICF (International Classification of Functioning, Disability and Health)." Suchttherapie 12, no. 01 (February 2011): 7. http://dx.doi.org/10.1055/s-0030-1270463.
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Mahnken, N. "International Classification of Functioning (ICF) - Für die Hosentasche." ergopraxis 6, no. 03 (March 8, 2013): 41. http://dx.doi.org/10.1055/s-0033-1338283.
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NAKABO, Yoshihiro. "Functional classification of communication robots based on ICF." Proceedings of JSME annual Conference on Robotics and Mechatronics (Robomec) 2020 (2020): 1P2—E13. http://dx.doi.org/10.1299/jsmermd.2020.1p2-e13.
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Fontana, Mariane Benicio, Rebeca Fernandes Rocha Paiva, Bárbara Cordeiro Santos, Karoleen Oswald Sharan, Auristela Duarte de Lima Moser, and Marcos Augusto Hochuli Shmeil. "Linking the Braden Scale to the International Classification of Functioning, Disability and Health." Manual Therapy, Posturology & Rehabilitation Journal 12 (March 27, 2014): 219. http://dx.doi.org/10.17784/mtprehabjournal.2014.12.219.
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Introduction: Pressure ulcers (PU) are defined as an injury to the skin and / or underlying tissue, resulting of pressure or combination of pressure and torsional strength. Its occurrence can be prevented by establishing protocols with risk assessment and preventive measures. The Braden Scale is a tool for assessing risk of developing PU. The International Classification of Functioning, Disability and Health (ICF), in turn, provides a scientific basis for the study of health and conditions related to it, as well as be used to guide the creation and the use of outcome measures in rehabilitation. Objective: List the contents of the Braden Scale with the contents of CIF. Method: The present study was exploratory descriptive. The content of the Braden Scale was linked to the content of the ICF, using rules proposed in the literature. Four health professionals participated in the linking process. Results: Twenty-nine meaningful concepts were identified in the Braden Scale. From this total, 21 were linked to 17 ICF categories, 6 were classified as nd (not definable) and 2 were classified as nc (not covered by ICF). None of the significant concepts of the Braden Scale was related to some category of the component Body Structures of ICF. Conclusion: The content of the Braden Scale showed a moderate convergence with the contents of the ICF, being possible to consider that this scale is within the biopsychosocial model of health. These results place the Braden Scale as a possible tool to be used to assist in the implementation of the ICF in patients at risk of developing PU.
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Kohler, Friedbert, Alarcos Cieza, Gerold Stucki, Jan Geertzen, Helena Burger, Michael P. Dillon, Carolina Schiappacasse, Alberto Esquenazi, Robert Steven Kistenberg, and 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, no. 2 (January 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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Landon, Trenton J., Andrew Nay, Annemarie Connor, Brian N. Phillips, Antonio R. Reyes, and Jeremy Leavitt. "Exploring the Relationship Between Familiarity With the ICF and Rehabilitation Counselor Confidence in Facilitating Workplace Accommodations." Rehabilitation Research, Policy, and Education 35, no. 2 (June 1, 2021): 129–42. http://dx.doi.org/10.1891/re-19-27.
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PurposeThe International Classification of Functioning (ICF) provides a framework for understanding and accommodating disability. This study examined predictors and outcomes of ICF familiarity among rehabilitation counselors.MethodAnalysis of variance and hierarchical regression analysis were used to examine research questions related to ICF familiarity.ResultsRehabilitation counselors with five or fewer years of experience were more familiar with the ICF. Analysis showed familiarity with the ICF positively correlated with greater confidence in recommending work accommodations.ConclusionsData supports use of the ICF in rehabilitation counseling. Emphasizing the ICF in specific courses (e.g., medical aspects of disability, career and vocational development) may support improved practice.
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Conrad, Andrea, Michaela Coenen, Henriette Schmalz, Jürg Kesselring, and Alarcos Cieza. "Validation of the Comprehensive ICF Core Set for Multiple Sclerosis From the Perspective of Physical Therapists." Physical Therapy 92, no. 6 (March 8, 2012): 799–820. http://dx.doi.org/10.2522/ptj.20110056.
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BackgroundThe Comprehensive ICF Core Set for Multiple Sclerosis (MS) is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in the functioning of people with MS.ObjectivesThe objective of this study was to validate the Comprehensive ICF Core Set for MS from the perspective of physical therapists.DesignA 3-round survey based on the Delphi technique was used.MethodsPhysical therapists experienced in the management of MS were asked about problems and resources of people with MS as well as environmental aspects treated by physical therapists (eg, use of assistive devices, support). Statements were linked to the ICF and compared with the Comprehensive ICF Core Set for MS.ResultsEighty physical therapists from 23 countries mentioned 2,133 issues that covered all of the ICF components. Two hundred thirty-eight ICF categories were linked to the statements. Forty-six categories in the Comprehensive ICF Core Set for MS were confirmed by physical therapists at the same level or a more specific level of classification. Nineteen additional ICF categories were reported by at least 75% of the participants.ConclusionsThe results of this study support the content and face validity of the Comprehensive ICF Core Set for MS. Areas of functioning and health that physical therapists believe should be assessed were identified. The findings of this study as well as the results of completed and ongoing validation studies will further elucidate the validity of the Comprehensive ICF Core Set for MS from different perspectives.
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Gudu, Tania, Uta Kiltz, Maarten de Wit, Tore Kristian Kvien, and Laure Gossec. "Mapping the Effect of Psoriatic Arthritis Using the International Classification of Functioning, Disability and Health." Journal of Rheumatology 44, no. 2 (December 15, 2016): 193–200. http://dx.doi.org/10.3899/jrheum.160180.
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Objective.The effect of a disease can be categorized by a standardized reference system: the International Classification of Functioning, Disability and Health (ICF). The objective was to map the effect of psoriatic arthritis (PsA) from the patient’s perspective to the ICF.Methods.A systematic literature review was performed. Qualitative publications reporting domains of impact important for patients with PsA were identified using the following terms: (“psoriatic arthritis”) AND (“quality of life” OR “impact”). Meaningful concepts were extracted from the publications, grouped into domains and linked to the ICF categories. The number of concepts linked to each ICF category and to each ICF level was calculated. The number of concepts not linkable was also calculated.Results.Eleven studies (13 articles) were included in the analysis. Twenty-five domains of impact were cited, of which the ability to work/volunteer and social participation were the most cited (both by 10 studies). In total, 258 concepts were identified, of which 217 could be linked to 136 different ICF categories; 41 concepts, mostly personal factors, could not be precisely linked. The most represented ICF component was activities and participation (42.6%) rather than body structures (10.3%) or body functions (29.4%). Ten studies (90.9%) reported impairments in the ability to work/volunteer and social participation, and 7 (63.6%) reported leisure activities, family and intimacy, pain, skin problems, and body image.Conclusion.PsA widely affects all aspects of patients’ lives, in particular aspects related to activities and participation. The ICF is a useful approach for the classification of disease effect.
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Karhula, Maarit, Sari Saukkonen, Anu Kinnunen, Tuija Heiskanen, Essi Xiong, and Heidi Anttila. "ICF-luokituksen yksilötekijöiden kuvaus on osa toimintakyvyn laaja-alaista arviointia." Kuntoutus 44, no. 2 (June 18, 2021): 9–24. http://dx.doi.org/10.37451/kuntoutus.109476.
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ICF-luokitus on biopsykososiaalinen viitekehys, joka mahdollistaa asiakkaan toimintakyvyn ja siihen nivoutuvien tekijöiden kokonaisvaltaisen ymmärtämisen. ICF-luokituksen Yksilötekijät -osa-alueen tarkempi kuvaus on kesken, mikä vaikeuttaa ICF-luokituksen täysipainoista hyödyntämistä. Tämän kartoittavan kirjallisuuskatsauksen tavoitteena oli kuvata, mitä teemoja tutkimuksissa oli tunnistettu ICF-luokituksen mukaisiksi yksilötekijöiksi ja miten yksilötekijöiden luokittelun ja huomioisen tarvetta käytännön työssä perusteltiin. Systemaattinen tiedonhaku tehtiin Cinahl, Pubmed, Science Direct ja Sport Discus sekä Finna, Helda, Helka, Julkari ja Medic -tietokannoista rajautuen vuosina 2010–2020 julkaistuihin artikkeleihin. Teoriaohjaavan aineiston analyysimenetelmällä artikkeleista eritellyt yksilötekijät luokiteltiin Geyh ym. (2019) mukaan seitsemään luokkaan: 1. Sosio-demografiset tekijät, 2. Asema välittömässä sosiaalisessa ja fyysisessä kontekstissa, 3. Henkilökohtaisen elämän historia, 4. Henkilökohtainen kokemus tunteista, 5. Henkilökohtainen kokemus omista ajatuksista ja uskomuksista, 6. Motiivit ja 7. Toistuvat kokemukselliset ja käyttäytymisen mallit. Mukaanottokriteerit täyttävissä 226 artikkelissa oli käsitelty runsaasti erilaisia yksilötekijöitä. Ne linkittyivät kaikkiin Geyh ym. (2019) luokkiin ja osa jäi luokituksen ulkopuolelle. Lisäksi osassa tutkimuksissa oli määritelty yksilötekijöiksi tekijöitä, jotka olivat linkitettävissä jollekin toiselle ICF-osa-alueelle tai jotka eivät kuvanneet toimintakykyä. Päätelmiä yksilötekijöiden roolista kuntoutuksessa oli tehty 50 (22 %) tutkimuksista. ICF:n yksilötekijöiden kirjo tutkimuksissa oli laaja, ja niiden huomioiminen osana toimintakykytietoa laajentaa ymmärrystä asiakkaan tilanteesta ja kuntoutumiseen vaikuttavista tekijöistä. Tämän tutkimuksen perusteella ei kuitenkaan ole mahdollista suositella, tulisiko ja miten yksilötekijöitä luokitella tarkemmin.
Abstract
The ICF personal factors are part of a comprehensive assessment of functioning - a scoping review of ICF personal factors in the rehabilitation studies
The ICF classification is a biopsychosocial frame of reference that contributes to a holistic understanding of the client’s functioning and the factors involved. A more detailed description of the ICF personal factors is pending, which makes it difficult to apply the ICF classification in full. The aim of this scoping review was to describe which themes were identified in the studies as personal factors according to the ICF classification and what conclusions have been drawn about their further coding in the ICF classification. A systematic search was performed on the Cinahl, Pubmed, Science Direct and Sport Discus as well as Finnish databases (Finna, Helda, Helka, Julkari and Medic), based on articles published in 2010–2020. According to Geyh et al. (2019), the personal factors specified in the articles by, were classified into seven categories: socio-demographical factors, position in the immediate social and physical context, personal history and biography, feelings, thoughts and beliefs, motives, and general patterns of experience and behavior. The search yielded 226 studies that met the inclusion criteria. The articles had addressed a wide variety of personal factors that linked to all seven categories defined by Geyh et al. (2019). In addition, some studies had defined as personal factors that were linkable to other components of the ICF or that did not describe functioning. About 50 (22 %) of the studies had made conclusions on the role of personal factors in rehabilitation. The range of personal factors in the ICF classification addressed in the studies is wide and taking them into account as part of functioning information expands the understanding of the client's situation and the factors influencing rehabilitation However, based on this study, it is not possible to recommend a more precise coding of personal factors.
Keywords: ICF, personal factors, rehabilitation, scoping review
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Starrost, Klaus, Szilvia Geyh, Anke Trautwein, Jutta Grunow, Andres Ceballos-Baumann, Mario Prosiegel, Gerold Stucki, and Alarcos Cieza. "Interrater Reliability of the Extended ICF Core Set for Stroke Applied by Physical Therapists." Physical Therapy 88, no. 7 (July 1, 2008): 841–51. http://dx.doi.org/10.2522/ptj.20070211.
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Background and PurposeThe World Health Organization's International Classification of Functioning, Disability and Health (ICF) is gaining recognition in physical therapy. The Extended ICF Core Set for Stroke is a practical tool that represents a selection of categories from the whole classification and can be used along with the ICF qualifier scale to describe patients’ functioning and disability following stroke. The application of the ICF qualifier scale poses the question of interrater reliability. The primary objective of this investigation was to study the agreement between physical therapists’ ratings of subjects’ functioning and disability with the Extended ICF Core Set for Stroke and with the ICF qualifier scale. Further objectives were to explore the relationships between agreement and rater confidence and between agreement and physical therapists’ areas of core competence.Subjects and MethodsA monocentric, cross-sectional reliability study was conducted. A consecutive sample of 30 subjects after stroke participated. Two physical therapists rated the subjects’ functioning in 166 ICF categories.ResultsThe interrater agreement of the 2 physical therapists was moderate across all judgments (observed agreement=51%, kappa=.41). Interrater reliability was not related to rater confidence or to the physical therapists’ areas of core competence.Discussion and ConclusionThe present study suggests potential improvements to enhance the implementation of the ICF and the Extended ICF Core Set for Stroke in practice. The results hint at the importance of the operationalization of the ICF categories and the standardization of the rating process, which might be useful in controlling for rater effects and increasing reliability.
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Patel, Kajal, Sofia Straudi, Ng Yee Sien, Nora Fayed, John L. Melvin, and 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, no. 18 (September 5, 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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Li, Qiwei, and Becky Knight. "Evaluating the International Classification of Functioning, Health, and Disability Model as an Aging Model." Innovation in Aging 4, Supplement_1 (December 1, 2020): 509. http://dx.doi.org/10.1093/geroni/igaa057.1643.
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Abstract The study provides a possible theoretical framework for future aging studies focusing on a comprehensive understanding of the relationship between physical functions, social participation, and context factors including environmental and personal variables. The International Classification of Functioning, Health, and Disability (ICF) model has received considerable studies in rehabilitation counseling fields as it bridges the gap between functional limitations and overall health status for social participation. The ICF model focuses beyond physical conditions and embraces social supports and personal coping styles. This study verifies the validity of the ICF model with a data set collected from a fall prevention program. For the methods, a structural equation modeling was estimated with latent variables including body structure, body functions, activities, and personal factors. The latent variables were suggested by the ICF framework. The results showed that the estimation outcome exhibited an acceptable goodness of fit, χ2(11) = 30.401, p = .001 (due to the large sample size of 691), RMSEA= .051 [.030, .072], CFI = .968, TLI = .919, SRMR = .029. The equation level good of fit also was great with an overall R squared of .828. In conclusion, the ICF model was valid and has been tested in the aging studies with the data set collected from a fall prevention program for older adults. As the ICF model includes more variables than medical models such as personal attributions, a holistic understanding regarding aging experience among older adults from various backgrounds will become possible, which is an urgent need for diverse America.
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Tate, Robyn L., and Michael Perdices. "Applying the International Classification of Functioning, Disability and Health (ICF) to Clinical Practice and Research in Acquired Brain Impairment." Brain Impairment 9, no. 3 (December 1, 2008): 282–92. http://dx.doi.org/10.1375/brim.9.3.282.
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AbstractThe International Classification of Functioning, Disability and Health (ICF) is a taxonomy that classifies health states and health conditions. It is a complex and detailed taxonomy, with 1,424 categories, covering body structures and functions, activities and participation, and environmental factors. The complexity and detail, however, can serve as a barrier in its everyday application. A number of strategies have been developed to facilitate use of the ICF in clinical and research practice, including the development of ‘core sets’. In this article, we present another method which will assist both the newcomer and those more familiar with the ICF. Along with a description of the ICF structure and contents, the article presents a graphical representation of ‘ICF trees’ as a vehicle to more readily grasp the detail of the ICF structure and contents and facilitate its use in the area of acquired brain impairment.
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Xu, Jim, Friedbert Kohler, and Hugh Dickson. "Systematic review of concepts measured in individuals with lower limb amputation using the International Classification of Functioning, Disability and Health as a reference." Prosthetics and Orthotics International 35, no. 3 (September 2011): 262–68. http://dx.doi.org/10.1177/0309364611412821.
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Background: The International Classification of Functioning, Disability and Health (ICF) is comprehensive but difficult to use in clinical practice. ICF Core Sets are one method of increasing the use of the ICF in clinical practice. To develop a condition-specific core set requires identification of the concepts measured in current clinical practice. Objective: To identify and quantify concepts contained in functional measurements used in published clinical studies utilising the ICF as a reference, for individuals with an amputation of the lower limb. Study Design: Systematic literature review. Methods: The concepts of published clinical and outcome measures used in individuals with a lower limb amputation were extracted and linked to the categories of ICF. Results: The 113 outcome measures identified in the literature search contained 2210 functional concepts. Of the identified concepts, nearly 90% could be linked to ICF categories. The identified concepts linked to 44 categories in the domain of body functions and structures, 56 categories in the domain of activities and participation and 30 categories in the domain of environment. Conclusions: Using the ICF as a reference, we could identify and quantify the majority of concepts in the outcome measures used in published clinical studies. The ICF categories identified will assist in the development of ICF Core Sets for persons with an amputation. Clinical relevance The ICF is available in over 25 languages. Improving the usefulness of the classification for clinicians will assist in standardising clinical practice and in comparison of outcomes nationally and internationally. ICF Core Sets are designed to use a manageable number of categories from the ICF to allow application in day-to-day clinical practice.
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Saltiel, Fernanda, Ana Paula Gonçalves Miranda-Gazzola, Rayane Oliveira Vitória, Rosana Ferreira Sampaio, and Elyonara Mello Figueiredo. "Linking Pelvic Floor Muscle Function Terminology to the International Classification of Functioning, Disability and Health." Physical Therapy 100, no. 9 (March 23, 2020): 1659–80. http://dx.doi.org/10.1093/ptj/pzaa044.
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Abstract Objective A previous systematic review on pelvic floor muscle function (PFMF) identified a miscellaneity of terms. The lack of consensual terminology might have come from the complexity of neuromusculoskeletal function itself. This study sought to link the previously identified PFMF terms to the International Classification of Functioning, Disability and Health (ICF) terminology. Methods In this secondary analysis study, 10 linkage rules were applied to link 196 previously identified PFMF terms to the ICF. Two researchers performed the linking process independently. Disagreements were solved by open dialogue with a third researcher. Percentage agreement was computed for main outcome. Results A total of 184 (93.9%) PFMF terms were subsumed into the following 6 ICF terms: tone, involuntary movement reaction, control, coordination, strength, and endurance. The most frequently investigated PFMF was strength (25.5%), followed by involuntary movement reaction (22.9%), endurance (17.2%), control (14.1%), coordination (9.9%), and tone (4.2%). Only 6.2% PFMF could not be linked to ICF terminology. A wide variation of instruments/methods was used to measure PFMF. Vaginal palpation was the only method employed to measure all 6 PFMF. Percentage agreement between raters was 100%. Conclusions Linking PFMF terminology to the ICF was feasible and valid. It allowed the identification of the most investigated PFMF and their measuring methods. ICF terminology to describe PFMF should be used since it may improve communication, data gathering, and the advance in scientific knowledge. Impact Standardized terminology anchored in a theoretical framework is crucial to data gathering, communication, and dissemination of evidence-based practice. PFMF terminology based on ICF can be used to improve data pooling and communication.
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Gagné, Jean-Pierre, Mary Beth Jennings, and Kenneth Southall. "The ICF: A Classification System and Conceptual Framework Ideal for Audiological Rehabilitation." Perspectives on Aural Rehabilitation and Its Instrumentation 16, no. 1 (October 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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Huang, Jingwen, Jan D. Reinhardt, Ranran Dai, Pu Wang, and Min Zhou. "Validation of the brief international classification of functioning, disability, and health core set for obstructive pulmonary disease in the Chinese context." Chronic Respiratory Disease 16 (January 1, 2019): 147997311984364. http://dx.doi.org/10.1177/1479973119843648.
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In order to determine the validity of the International Classification of Functioning, Disability, and Health brief Core Set for Obstructive Pulmonary Disease (ICF-OPD) for the assessment of functioning and environmental factors in Chinese chronic OPD (COPD) patients, we conducted a cross-sectional study with a convenience sample of 100 COPD patients. Data were collected using common questionnaires for COPD patients (Modified British Medical Research Council Questionnaire, COPD Assessment Test, St George’s Respiratory Questionnaire (SGRQ)), the Brief ICF Core Set for OPD, and the comprehensive ICF checklist. All except one category of the Brief ICF-OPD Core Set were confirmed in our evaluation of its content validity, but there is a high prevalence of problems in 8 categories that were not considered in the Brief ICF-OPD Core Set. The functioning-related components of the Brief ICF-OPD Core Set largely performed similarly to SGRQ in terms of differentiating between patients with different disease severity. Moreover, high correlations between the Brief ICF-OPD Core Set overall score and component scores with the respective SGRQ scales and moderate correlations between ICF-OPD Core Set overall score and component scores and lung function parameters. This study largely confirmed content, known group, and convergent validity of the ICF-OPD.
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Pernambuco, Andrei Pereira, Raquel de Carvalho Lana, and Janaíne Cunha Polese. "Knowledge and use of the ICF in clinical practice by physiotherapists and occupational therapists of Minas Gerais." Fisioterapia e Pesquisa 25, no. 2 (June 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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Sánchez, Jennifer, David A. Rosenthal, Fong Chan, Jessica Brooks, and Jill L. Bezyak. "Relationships Between World Health OrganizationInternational Classification of Functioning, Disability and HealthConstructs and Participation in Adults With Severe Mental Illness." Rehabilitation Research, Policy, and Education 30, no. 3 (2016): 286–304. http://dx.doi.org/10.1891/2168-6653.30.3.286.
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Purpose:To examine the World Health OrganizationInternational Classification of Functioning, Disability and Health(ICF) constructs as correlates of community participation of people with severe mental illnesses (SMI).Methods:Quantitative descriptive research design using multiple regression and correlational techniques was used to analyze 193 persons with SMI.Results:This study examined the unique relationships between each of the ICF constructs and participation in a series of simultaneous regression analyses. Age, schizophrenia/schizoaffective diagnosis, insight, self-care activity, social competency, and social support from friends were significant predictors of participation when compared to variables in the same ICF constructs. In addition, these significant ICF predictors of participation were entered in a hierarchical regression, and only insight, social competency, and social support from friends were found to be significant predictors of participation after controlling for the effect of other ICF variables.Conclusion:In this ICF model, insight, social competency, and social support from friends were found to be associated with participation and mediated the individual contributions of types of psychiatric disabilities and self-care activity to participation. Rehabilitation practitioners should focus on interventions that increase these factors for people with SMI. Rehabilitation researchers should continue to use the ICF as a model from which to predict participation in specific life activities (e.g., employment) for people with SMI. Continued application and validation of the ICF model could positively impact recovery-oriented outcomes for individuals with SMI.
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Escorpizo, Reuben, Gerold Stucki, Alarcos Cieza, Kandace Davis, Teri Stumbo, and Daniel L. Riddle. "Creating an Interface Between the International Classification of Functioning, Disability and Health and Physical Therapist Practice." Physical Therapy 90, no. 7 (July 1, 2010): 1053–63. http://dx.doi.org/10.2522/ptj.20090326.
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The American Physical Therapy Association (APTA) has endorsed the International Classification of Functioning, Disability and Health (ICF) as a framework to be integrated into physical therapist practice. The ICF is a universal and inclusive platform for the understanding of health and disability and a comprehensive classification system for describing functioning. The APTA's Guide to Physical Therapist Practice was designed to guide patient management, given the different settings and health conditions that physical therapists encounter in their daily clinical practice. However, physical therapists may be unclear as to how to concretely apply the ICF in their clinical practice and to translate the application in a way that is meaningful to them and to their patients. This perspective article proposes ways to integrate the ICF and the Guide to Physical Therapist Practice to facilitate clinical documentation by physical therapists.
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Danermark, Berth, Sarah Granberg, Sophia E. Kramer, Melissa Selb, and Claes Möller. "The Creation of a Comprehensive and a Brief Core Set for Hearing Loss Using the International Classification of Functioning, Disability and Health." American Journal of Audiology 22, no. 2 (December 2013): 323–28. http://dx.doi.org/10.1044/1059-0889(2013/12-0052).
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Purpose In May 2001, to integrate biological, psychological, and social aspects of human functioning, the World Health Assembly endorsed the International Classification of Functioning, Disability and Health (ICF). The aim of this article is to describe the creation of Comprehensive and Brief ICF Core Sets for Hearing Loss. The core sets consist of the most relevant ICF categories for hearing loss. Method and Results Four preparatory studies were carried out and presented at a consensus conference, resulting in a Comprehensive ICF Core Set for Hearing Loss, consisting of 117 ICF categories, and a Brief ICF Core Set for Hearing Loss, consisting of 27 categories (of the 117). Conclusion The Comprehensive ICF Core Set for Hearing Loss can be a user-friendly tool for conducting comprehensive, multidisciplinary assessments. The Brief ICF Core Set can be used for many purposes, such as research and population studies. However, its most common use is by individuals seeking to provide a brief description and assessment of functioning of a person with hearing loss.
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Rasmussen, Gitte. "The International Classification of Disability, Functioning and Health (ICF)." Pragmatics and Society 7, no. 2 (June 7, 2016): 217–38. http://dx.doi.org/10.1075/ps.7.2.03ras.
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Hollenweger, J., and O. Kraus de Camago. "International Classification of Functioning (ICF) - Von A bis Z." ergopraxis 6, no. 03 (March 8, 2013): 41. http://dx.doi.org/10.1055/s-0033-1338284.
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Rggia Piexak, Diéssica, Marta Regina Cezar-Vaz, Clarice Alves Bonow, and Silvana Sidney Costa Santos. "How Nurses are Using the International Classifi cation of Functioning, Disability and Health: An Integrative Review." Aquichan 15, no. 3 (September 1, 2015): 351–67. http://dx.doi.org/10.5294/aqui.2015.15.3.4.
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Aim: The purpose of this study is to report the results of an integrative review of use of the International Classification of Functioning, Disability and Health (ICF) by nurses. This review is justified by the need for further investigation into use of the ICF in nursing, by nurses, so as to contribute to dialogue for the development of global, interdisciplinary and classification system comprehension. Methods: This integrative review included studies from 2001 to May 2015 in peer-reviewed journals. Two reviewers independently screened titles and abstracts for inclusion and completed data extraction. The papers were sourced from a number of electronic databases: MEDLINE/NML/PubMed, Web of Science, LILACS, CINAHL and SCIELO. Results: Twenty-six articles were included. Three themes on use of the ICF were identified: clinical nursing practice; teaching nursing students and nurses; and nursing research. Conclusion: This review helps nurses to visualise how and in what care environments the ICF is being used. It demonstrates the ICF has been used specifically in the rehabilitation nursing field, but offers some evidence of its use in occupational health as well.
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Castaneda, Luciana, Anke Bergmann, and Ligia Bahia. "The International Classification of Functioning, Disability and Health: a systematic review of observational studies." Revista Brasileira de Epidemiologia 17, no. 2 (June 2014): 437–51. http://dx.doi.org/10.1590/1809-4503201400020012eng.
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Objective: To systematically review the use of the International Classification of Functioning, Disability and Health (ICF) in observational studies. Methods: This study is a systematic review of articles that use the ICF in observational studies. We took into account the observational design papers available in databases such as PubMed, Lilacs and SciELO, published in English and Portuguese from January 2001 to June 2011. We excluded those in which the samples did not comprise individuals, those about children and adolescents, and qualitative methodology articles. After reading the abstracts of 265 identified articles, 65 met the inclusion criteria. Of these, 18 were excluded. The STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) adapted Checklist, with 15 items needed for observational studies, was applied to the 47 remaining articles. Any paper that met 12 of these criteria was included in this systematic review. Results: 29 articles were reviewed. Regarding the ICF application methodology, the checklist was used in 31% of the articles, the core set in 31% and the ICF categories in 31%. In the remaining 7%, it was not possible to define the applied methodology. In most papers (41%), qualifiers were used in their original format. As far as the area of knowledge is concerned, most of the studies were related to Rheumatology (24%) and Orthopedics (21%). Regarding the study design, 83% of the articles used cross-sectional studies. Conclusion: Results indicate a wide scientific production related to ICF over the past 10 years. Different areas of knowledge are involved in the debate on the improvement of information on morbidity. However, there are only a few quantitative epidemiological studies involving the use of ICF. Future studies are needed to improve data related to functioning and disability.
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Lindner, Helen Y. N., Birgitta Sjöqvist Nätterlund, and Liselotte M. Norling Hermansson. "Upper Limb Prosthetic Outcome Measures: Review and Content Comparison Based on International Classification of Functioning, Disability and Health." Prosthetics and Orthotics International 34, no. 2 (June 2010): 109–28. http://dx.doi.org/10.3109/03093641003776976.
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The International Classification of Functioning, Disability and Health (ICF) has been recommended as a framework for evaluation of aspects of health. The aim of this study was to compare the contents of outcome measures for upper limb prosthesis users by using the ICF. Measurement focus and psychometric properties of these measures were also investigated. Outcome measures that used upper limb prosthesis users as subjects in their development and psychometric evaluations were selected. The psychometric studies ( n = 14) were reviewed and scored and the items in the measures were linked to the ICF. One measure for all ages (ACMC), five paediatric measures (CAPP-FSI, CAPP-PSI, PUFI, UBET and UNB) and two adult measures (OPUS and TAPES) were selected. The concepts extracted ( n = 393) were linked to 54 categories in the ICF. The ACMC, CAPP-FSI, UBET, UNB and PUFI measure categories mostly under the ICF component ‘Activity and participation’. The TAPES and OPUS also measure ICF categories that describe the emotional and social status of a person. The main conclusion is that the use of a mixture of outcome measures would give a better picture on the aspects of our clients. Measures that focus on the social interaction in paediatric users are required.
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Burger, Helena. "Can the International Classification of Functioning, Disability and Health (ICF) be used in a prosthetics and orthotics outpatient clinic?" Prosthetics and Orthotics International 35, no. 3 (September 2011): 302–9. http://dx.doi.org/10.1177/0309364611418019.
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Background: The International Classification of Functioning, Disability and Health (ICF) covers all aspects and levels of human functioning. Objectives: The aim of the study was to find out whether the ICF can be used in everyday prosthetics and orthotics (P&O) clinical practice for description of human functioning, and whether it can demonstrate the influence of a prosthesis or an orthosis on a person's functioning. Study Design: Prospective clinical study. Methods: A short list of ICF codes was compiled from Annex 9 and used for one month for all patients seen at the author's P&O outpatient clinics. Results: One hundred patients (59 men, average age 58 years) with different medical problems were included in the study. From 6 to 27 (14 on average) ICF categories from all four components of ICF were used in these patients. The most frequently used category for body functions was mobility of joint functions, for body structures it was structure of the skin and for activities and participation it was walking. Public and private buildings were the only barriers identified. Conclusions: It can be concluded that the ICF can be used in everyday P&O clinical practice. An ICF list of categories provides quick additional information. To be able to demonstrate the influence of P&O devices on person's functioning, at least for activities and participation, one has to use qualifiers. Clinical relevance For clinicians it is important to know that it is possible to use the ICF in clinical practice and that it can demonstrate the impact of P&O devices on a person's functioning.
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Fréz, Andersom Ricardo, Amirah Ali Abdallah, Christiane Riedi, Janaine Galindo, João Afonso Ruaro, and Simone de Carvalho Ribeiro. "Proposed use of the international classification of functioning, disability and health to evaluate quality of life after an amputation." Fisioterapia em Movimento 27, no. 1 (March 2014): 49–56. http://dx.doi.org/10.1590/0103-5150.027.001.ao05.
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Objective To quantify the quality of life of people with a lower limb amputation, and to propose a relationship between the quality of life and the International Classification of Functioning, Disability and Health (ICF). Materials and methods After a retrospective study of medical records, 15 amputees met the inclusion criteria. The characteristics of the amputation and quality of life were evaluated, and both were correlated with the ICF. The 36-Item Short-Form Survey (SF-36) was used to assess quality of life. Results It was possible to establish ICF codes for levels of amputation and the quality of life. A high and significant correlation was found between quantitative descriptors of the ICF and SF-36 scores (r = -0.9376, p < 0.0001). Conclusion People with a lower limb amputation showed a reduced quality of life, which was reflected in scores from a generic questionnaire and their correlation with the ICF.
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Helgeson, Kevin, and A. Russell Smith. "Process for Applying the International Classification of Functioning, Disability and Health Model to a Patient With Patellar Dislocation." Physical Therapy 88, no. 8 (August 1, 2008): 956–64. http://dx.doi.org/10.2522/ptj.20070233.
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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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Jahiel, Rene I. "A Structural and Conceptual Modification of the International Classification of Function, Disability and Health (ICF)." Rehabilitation Process and Outcome 4 (January 2015): RPO.S13340. http://dx.doi.org/10.4137/rpo.s13340.
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Current criticisms of the International Classification of Function, Disability and Health (ICF) are focused on its activity/participation component and on its conceptual basis. I propose structural and conceptual changes. (1) The components would be body structure, body function, intent, actual environment, and participation. (2) Intent would be linked to the concept of self-agency, and its codes would have two qualifiers associating it with capability and strength of willed activity. (3) All activity/participation codes of the original ICF would be moved to the modified ICF's participation component. This component is based on interaction between intent and environment, and it is linked to the concept of joint agency. (4) A new entity, scene setting, represents the sum total of all components' codes involved in a given act of participation. (5) Additional constructs are suggested to elucidate the relations between intent and environment that allow enactment of a given act of participation. The modified ICF is consistent with current concepts of disability and unambiguous in distinctions between body function, activity, and participation. There are no significant alterations in the original ICF codes.
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Stucki, Gerold, Milos Maksimovic, Dragana Davidovic, and Jagoda Jorga. "New international classification of functioning, disability and health." Srpski arhiv za celokupno lekarstvo 135, no. 5-6 (2007): 371–75. http://dx.doi.org/10.2298/sarh0706371s.
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The WHO International Classification of Functioning, Disability and Health (ICF) provides a coherent view of health from a biological, individual and social perspective. This view may be defined both as multi- and interdisciplinary management of one?s functioning and health. This new classification is currently being assessed in multiple centers in 32 countries, on 12 health conditions. The Institute of Hygiene and Medical Ecology, School of Medicine, University of Belgrade, is one of them, serving as the centre where the classification is being tested in obese population. The objective of this paper is to provide information needed for further development and practical application of this classification in various health conditions. The new language of ICF is an exciting landmark event for preventive medicine and rehabilitation. It may lead to a stronger position of rehabilitation within the medical community, change multiprofessional communication and improve communication between patients and health professionals. .
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Kirchberger, Inge, Andrea Glaessel, Gerold Stucki, and Alarcos Cieza. "Validation of the Comprehensive International Classification of Functioning, Disability and Health Core Set for Rheumatoid Arthritis: The Perspective of Physical Therapists." Physical Therapy 87, no. 4 (April 1, 2007): 368–84. http://dx.doi.org/10.2522/ptj.20050237.
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Background and PurposeThe Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Rheumatoid Arthritis (RA) represents the typical spectrum of problems in the functioning of patients with RA. The objective of this study was to validate this ICF Core Set from the perspective of physical therapists.MethodsPhysical therapists were asked about their intervention goals in a 3-round Delphi survey. Intervention goals were compiled, and the physical therapists were asked whether they considered the goal classes to be relevant. The goal classes then were linked to the ICF.ResultsA total of 82 physical therapists in 12 countries named 562 intervention goals. A total of 45 goal classes covering all ICF components were identified. The goal classes addressing muscle tone, balance and coordination, and psychological distress were not represented in the ICF Core Set for RA.Discussion and ConclusionThe validity of the ICF Core Set for RA was largely supported. However, some categories currently not covered by the ICF Core Set for RA will need to be investigated further.
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Pino, O., G. Guilera, E. Rojo, and J. Gómez-Benito. "Presentation of the Comprehensive and Brief International Classification of Functioning, Disability and Health Core Sets (ICF-CS) for schizophrenia." European Psychiatry 33, S1 (March 2016): S365. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1308.
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ObjectiveThe aim this presentation is present the results of the preparatory studies were presented at an international consensus conference, a multi-stage, iterative, decision-making and consensus process that took place 12–14 May 2015 in Barcelona, Spain. At this consensus conference, schizophrenia experts from different countries worldwide and working in a broad range of professions decided which ICF categories should be included in the first version of the ICF Core Sets for schizophrenia.MethodFour preliminary studies intend to capture the researcher's perspective, the patient's perspective, the expert's perspective and the clinician's perspective, respectively, on the most relevant aspects of functioning of persons living with schizophrenia. The final definition of ICF Core Sets for schizophrenia have been determined by integrating the results of preliminary studies in a consensus conference with international expert.ResultThe experts included 97 categories in the Comprehensive ICF Core Set and 25 categories in the Brief ICF-CS. The specific categories of each ICF-CS are shown in this presentation. The Comprehensive ICF-CS can guide multidisciplinary assessments of functioning in persons with schizophrenia, and the brief version is ideal for use in both clinical and epidemiological research, since it includes a small and practical number of categories, but sufficiently wide for finding utility in clinical assessments.ConclusionICF-CS are being designed with the goal of providing useful standards for research, clinical practice and teaching, and it will stimulate research and will improve understanding of functioning, health and environmental factors in schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Southwick, Joshua D., and Saara T. Grizzell. "Utilizing the ICF to Enable Evidence-Based Practice Among Vocational Rehabilitation Counselors." Rehabilitation Counseling Bulletin 64, no. 1 (March 14, 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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Castro, Shamyr Sulyvan, Paulo Sergio Batista Almeida Filho, Mara Franklin Bonates, Maria Caroline Silva, and Luciana Castaneda Ribeiro. "Thoughts on the discussion about the revision of the International Classification of Functioning, Disability and Health (ICF) scheme." Acta Fisiátrica 26, no. 4 (December 31, 2019): 230–33. http://dx.doi.org/10.11606/issn.2317-0190.v26i4a169816.
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The International Classification of Functioning, Disability and Health (ICF) presents an innovative approach to functioning: the biopsychosocial model. Since then, the ICF framework and its explanatory scheme has been used in many settings, including health, social security, and education. Recently, some criticism has arisen and proposals have ensued regarding its revisions. Objective: This paper discusses previous proposals for revisions to the ICF scheme and present suggestions of a new one. Methods: We outline some of the suggestions of ICF alternative functioning schemes, and present some of their features. Results: We also propose our own scheme, highlighting its advantages over predecessors. In our proposal, current scheme components are kept and arranged equidistantly along a three dimension ‘ball shell’ structure connected by double-headed arrows. Our scheme is innovative in that it does not present any component as central, allowing the scheme to be more adaptable to the reality of each functioning profile. It is also dynamic, by rotating on 3 axes, making possible the central positioning of the most important component. The spheres for each component can be enlarged, demonstrating the magnitude of each component. Conclusion: We hope to contribute to the current discussion on ICF scheme and its revision.