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1

Arya, Richa. "Vertigo in ICF Framework: A Pilot Study". International Journal Of Community Health And Medical Research 2, n.º 2 (20 de junio de 2106): 32–37. http://dx.doi.org/10.21276/ijchmr.2016.2.2.05.

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Üstün, T. B. y N. Kostanjsek. "The International Classification of Functioning, Disability and Health (ICF)". Die Psychiatrie 7, n.º 03 (julio de 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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Ramkumar, Vidya y R. Rangasayee. "Studying tinnitus in the ICF framework". International Journal of Audiology 49, n.º 9 (13 de agosto de 2010): 645–50. http://dx.doi.org/10.3109/14992027.2010.484828.

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Schreuer, Naomi. "Accommodation Outcomes and the ICF Framework". Assistive Technology 21, n.º 2 (30 de junio de 2009): 94–104. http://dx.doi.org/10.1080/10400430903050510.

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Southwick, Joshua D. y Saara T. Grizzell. "Utilizing the ICF to Enable Evidence-Based Practice Among Vocational Rehabilitation Counselors". Rehabilitation Counseling Bulletin 64, n.º 1 (14 de marzo de 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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Ziebart, Christina, Allyson D. Page y Joy C. MacDermid. "Application of ICF conceptual framework in Osteoporosis". Physiotherapy Theory and Practice 36, n.º 10 (10 de enero de 2019): 1077–87. http://dx.doi.org/10.1080/09593985.2018.1563932.

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Simmons-Mackie, Nina. "Using the ICF Framework to Define Outcomes". Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders 14, n.º 1 (abril de 2004): 9–11. http://dx.doi.org/10.1044/nnsld14.1.9.

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Guptill, Christine. "Musicians' health: Applying the ICF framework in research". Disability and Rehabilitation 30, n.º 12-13 (enero de 2008): 970–77. http://dx.doi.org/10.1080/09638280701800517.

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Patel, Kajal, Sofia Straudi, Ng Yee Sien, Nora Fayed, John L. Melvin y 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, n.º 18 (5 de septiembre de 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 y 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, n.º 2 (diciembre de 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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11

Rämä, Irene, Elina Kontu y Raija Pirttimaa. "The usefulness of the ICF framework in goal setting for students with autism spectrum disorder". Journal of International Special Needs Education 22, n.º 2 (1 de diciembre de 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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Badarunisa, Mohamad Basheer, Daly Sebastian, Raghunath Rao Rangasayee y Baby Kala. "ICF-Based Analysis of Communication Disorders in Dementia of Alzheimer's Type". Dementia and Geriatric Cognitive Disorders Extra 5, n.º 3 (5 de diciembre de 2015): 459–69. http://dx.doi.org/10.1159/000441183.

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Purpose: Dementia of Alzheimer's type (DAT) is a major cognitive communication disorder. The present study attempted to analyse communication disorders in DAT in the International Classification of Functions (ICF) framework. The study investigated the impact of the severity of communication disorders in persons with DAT on activity participation and environment components of the ICF. Method: Thirty bilingual individuals with DAT in the age range of 65-88 years were classified into three groups of mild, moderate and severe degree of dementia. Forty-three items of the American Speech-Language-Hearing Association Functional Assessment of Communication Skills for Adults (ASHA FACS) were linked to the ICF framework. A few additional items were also added for a complete profiling of DAT. A total of 50 (ASHA FACS + ICF) items were rated and administered for the purpose of the study. Results: The study revealed a disproportionate impact of the severity of DAT on activity participation and environment components of the ICF. Conclusion: The present study investigated the utility of the ICF framework for profiling the functionality of persons with DAT. This profiling highlighted the need for ensuring effective communication and quality of life in the DAT population.
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Granberg, Sarah, Berth Danermark y Jean-Pierre Gagné. "The Development of ICF Core Sets for Hearing Loss". Perspectives on Audiology 6, n.º 1 (junio de 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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Moran, Monica, Jane Bickford, Sarah Barradell y 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 (enero de 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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15

Landon, Trenton J., Andrew Nay, Annemarie Connor, Brian N. Phillips, Antonio R. Reyes y Jeremy Leavitt. "Exploring the Relationship Between Familiarity With the ICF and Rehabilitation Counselor Confidence in Facilitating Workplace Accommodations". Rehabilitation Research, Policy, and Education 35, n.º 2 (1 de junio de 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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Boonen, Annelies y Walter P. Maksymowych. "Measurement: function and mobility (focussing on the ICF framework)". Best Practice & Research Clinical Rheumatology 24, n.º 5 (octubre de 2010): 605–24. http://dx.doi.org/10.1016/j.berh.2010.05.008.

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Verstappen, Suzanne M. M. "Outcomes of early rheumatoid arthritis – The WHO ICF framework". Best Practice & Research Clinical Rheumatology 27, n.º 4 (agosto de 2013): 555–70. http://dx.doi.org/10.1016/j.berh.2013.09.004.

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Maharaj, Jagdish. "No. 178 Use of ICF Framework in Stroke Rehabilitation". PM&R 6, n.º 8 (agosto de 2014): S129—S130. http://dx.doi.org/10.1016/j.pmrj.2014.08.173.

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Fortune, Nicola. "A Framework for Human Functioning—The ICF in Australia". Health Information Management 33, n.º 4 (diciembre de 2004): 134–36. http://dx.doi.org/10.1177/183335830403300406.

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Gagné, Jean-Pierre, Mary Beth Jennings y Kenneth Southall. "The ICF: A Classification System and Conceptual Framework Ideal for Audiological Rehabilitation". Perspectives on Aural Rehabilitation and Its Instrumentation 16, n.º 1 (octubre de 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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MADDEN, ROS, CHING CHOI y CATHERINE SYKES. "The ICF as a framework for national data: the introduction of ICF into Australian data dictionaries". Disability and Rehabilitation 25, n.º 11-12 (enero de 2003): 676–82. http://dx.doi.org/10.1080/0963828031000137171.

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Westby, Carol y Karla N. Washington. "Using the International Classification of Functioning, Disability and Health in Assessment and Intervention of School-Aged Children With Language Impairments". Language, Speech, and Hearing Services in Schools 48, n.º 3 (26 de julio de 2017): 137–52. http://dx.doi.org/10.1044/2017_lshss-16-0037.

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Purpose The aim of this tutorial is to support speech-language pathologists' (SLPs') application of the International Classification of Functioning, Disability and Health (ICF) in assessment and treatment practices with children with language impairment. Method This tutorial reviews the framework of the ICF, describes the implications of the ICF for SLPs, distinguishes between students' capacity to perform a skill in a structured context and the actual performance of that skill in naturalistic contexts, and provides a case study of an elementary school child to demonstrate how the principles of the ICF can guide assessment and intervention. Implications The Scope of Practice and Preferred Practice documents for the American Speech-Language-Hearing Association identify the ICF as the framework for practice in speech-language pathology. This tutorial will facilitate clinicians' ability to identify personal and environmental factors that influence students' skill capacity and skill performance, assess students' capacity and performance, and develop impairment-based and socially based language goals linked to Common Core State Standards that build students' language capacity and their communicative performance in naturalistic contexts.
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Gómez-Salgado, Juan, Lia Jacobsohn, Fátima Frade, Macarena Romero-Martin y 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, n.º 10 (13 de octubre de 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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Aronsky, Dominik, Birgit Prodinger y Roxanne Maritz. "The International Classification of Functioning, Disability and Health (ICF) in Electronic Health Records". Applied Clinical Informatics 08, n.º 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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Threats, Travis T. "Severe Aphasia: Possible Contributions of Using the ICF in Assessment". Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders 19, n.º 1 (abril de 2009): 7–14. http://dx.doi.org/10.1044/nnsld19.1.7.

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Abstract Purpose: This article discusses the use of the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) in the evaluation of persons with severe aphasia. Method: Patterson and Chapey's (2008) descriptions of the hallmarks of the assessment in aphasia are presented. The ICF is described and examined in terms of whether it could be beneficial in meeting these hallmarks. Results and Conclusions: The ICF is demonstrated to be able to contribute towards meeting the goals of this evaluation framework. It is concluded that use of the ICF by clinicians could assist in meeting the special challenges of conducting quality assessments of persons with severe aphasia.
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Helgeson, Kevin y A. Russell Smith. "Process for Applying the International Classification of Functioning, Disability and Health Model to a Patient With Patellar Dislocation". Physical Therapy 88, n.º 8 (1 de agosto de 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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Tanaka, Hideyuki, Masahiro Yoshikawa, Eimei Oyama, Yujin Wakita y Yoshio Matsumoto. "Development of Assistive Robots Using International Classification of Functioning, Disability, and Health: Concept, Applications, and Issues". Journal of Robotics 2013 (2013): 1–12. http://dx.doi.org/10.1155/2013/608191.

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Many assistive robots for elderly and disabled people have been developed in the past few decades. However, very few of them became commercially available. The major cause of the problem is that the cost-benefit ratio and the risk-benefit ratio of them are not good or not known. The evaluation of them should be done in the light of the impacts of assistive technologies on users’ whole life, both in short-term and long-term. In this paper, we propose a framework of evaluation and design of assistive robots using ICF (International Classification of Functioning, Disability, and Health). The goal of the framework is the realization of the life design and the improvement of the quality of life using assistive technologies. We describe the concept of utilizing ICF in the development process of assistive robots, and demonstrate its utility by using some examples of practical application such as the analysis of daily living, the design of assistive robots and the evaluation of assistive robots. We also show the issues of using ICF for further development of the framework.
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Li, Qiwei y Becky Knight. "Evaluating the International Classification of Functioning, Health, and Disability Model as an Aging Model". Innovation in Aging 4, Supplement_1 (1 de diciembre de 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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Arumugam, Vanitha, Joy C. MacDermid y Ruby Grewal. "Content Analysis of Work Limitation, Stanford Presenteeism, and Work Instability Questionnaires Using International Classification of Functioning, Disability, and Health and Item Perspective Framework". Rehabilitation Research and Practice 2013 (2013): 1–11. http://dx.doi.org/10.1155/2013/614825.

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Background. Presenteeism refers to reduced performance or productivity while at work due to health reasons. WLQ-26, SPS-6, and RA-WIS are the commonly used self-report presenteeism questionnaires. These questionnaires have acceptable psychometric properties but have not been subject to structured content analysis that would define their conceptual basis.Objective. To describe the conceptual basis of the three questionnaires using ICF and IPF and then compare the distribution and content of codes to those on the vocational rehabilitation core set.Methods. Two researchers independently linked the items of the WLQ-26, SPS-6, and RA-WIS to the ICF and IPF following the established linking rules. The percentage agreement on coding was calculated between the researchers.Results. WLQ-26 was linked to 62 ICF codes, SPS-6 was linked to 17 ICF codes, and RA-WIS was linked to 74 ICF codes. Most of these codes belonged to the activity and participation domains. All the concepts were classified by the IPF, and the most were rational appraisals within the social domain. Only 12% of codes of the core set for vocational rehabilitation were used in this study to code these questionnaires.Conclusion. The specific nature of work disability that was included in these three questionnaires was difficult to explain using ICF since many aspects of content were not confined. The core set for vocational rehabilitation covered very limited content of the WLQ-26, SPS-6, and RA-WIS.
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Papelard, Agathe, Camille Daste, Sophie Alami, Katherine Sanchez, Alexandra Roren, François Segretin, Marie-Martine Lefèvre-Colau et al. "Construction of an ICF core set and ICF-based questionnaire assessing activities and participation in patients with systemic sclerosis". Rheumatology 58, n.º 12 (20 de junio de 2019): 2260–72. http://dx.doi.org/10.1093/rheumatology/kez209.

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Abstract Objectives To develop an International Classification of Functioning, Disability and Health (ICF) core set for SSc and to conceive a patient-centred ICF-based questionnaire assessing activities and participation in patients with SSc. Methods The construction of the ICF core set followed two steps. In the first step, meaningful concepts related to SSc were collected using data source triangulation from patients (n = 18), experts (n = 10) and literature (n = 174 articles). In the second step, concepts were linked to the best-matching ICF categories by one reviewer according to prespecified linking rules. Finally, patient-reported activities and participation categories of the ICF core set were translated into understandable questions. Results After linking concepts to ICF categories, 150 ICF categories were collected from focus groups, 22 from experts and 82 from literature. After fusion of the sources and removal of duplicates, the ICF core set included 164 categories: one at the first level, 157 at the second level and six at the third level, with 50 categories on body functions, 15 on body structures, 52 on activities and participation, and 47 on environmental factors. Patient-reported ICF categories on activities and participation were translated into a patient-centred ICF-based 65-item questionnaire. Conclusion The present study proposes an ICF core set that offers a conceptual framework for SSc patients’ care and health policy. Using a patient-centred approach, a patient-centred ICF-based questionnaire, the Cochin Scleroderma ICF-65 questionnaire, assessing activities and participation in patients with SSc, was conceived. Trial registration ClinicalTrials.gov, http://clinicaltrials.gov, NCT01848418.
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Threats, Travis T. "Towards an international framework for communication disorders: Use of the ICF". Journal of Communication Disorders 39, n.º 4 (julio de 2006): 251–65. http://dx.doi.org/10.1016/j.jcomdis.2006.02.002.

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Awuviry-Newton, Kofi, Meredith Tavener, Kylie Wales, Paul Kowal y Julie Byles. "ACTIVITIES OF DAILY LIVING DIFFICULTIES AND TOILETING AMONG OLDER GHANAIANS: AN APPLICATION OF WHO-ICF FRAMEWORK". Innovation in Aging 3, Supplement_1 (noviembre de 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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Schuler, Patrik T. y Clive D’Souza. "Use of the International Classification of Functioning, Disability and Health to Measure Public Transportation Barriers among Older Adults". Proceedings of the Human Factors and Ergonomics Society Annual Meeting 64, n.º 1 (diciembre de 2020): 1171–75. http://dx.doi.org/10.1177/1071181320641280.

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The International Classification of Functioning, Disability, and Health (ICF) is a universal framework used to classify human functioning in clinical and rehabilitative domains. The objective of this study was to examine the utility of the ICF as a framework to categorize and measure barriers to public transportation reported by older adults. ICF coding techniques were applied to sixty paratransit applications for analyzing user-reported barriers to public transportation. Paratransit users were divided into groups based on age (young old vs. oldest old) and ambulatory level (non- vs. ambulatory). Analysis identified 119 instances of user- reported environmental barriers ranging from technology requirements to system/service-based factors, though the prevalence of different barriers differed across groups. Overall, the methodology appears promising. Understanding the complex relationships between functioning and different transportation barriers experienced by specific sub-populations could help identify unmet transportation needs, generate precise research questions, and support the development of inclusive transportation technologies and systems.
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Ulum, Ihyaul. "INTELLECTUAL CAPITAL FRAMEWORK PERGURUAN TINGGI DI INDONESIA BERDASARKAN INSTRUMEN AKREDITASI PROGRAM STUDI (IAPS) 4.0". Jurnal Reviu Akuntansi dan Keuangan 9, n.º 3 (3 de diciembre de 2019): 309. http://dx.doi.org/10.22219/jrak.v9i3.10227.

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This study aims to construct the intellectual capital framework (ICF) of universities in Indonesia based on the Study Program Accreditation Instrument (IAPS) 4.0. Using an exploratory approach, this research was conducted through a focus group discussion (FGD). The FGD was conducted with researchers in the field of intellectual capital (IC) and a number of assessors of the National Accreditation Board for Higher Education (BAN PT) who understood the process of changing from 7 standards to 9 criteria (IAPS 4.0). This study resulted in a university ICF consisting of 60 items: 30 items of human capital components, 18 items of structural capital components, and 12 items of relational capital components. In addition, this study also suggests the use of six ways of numerical coding system in conducting content analysis of this framework.
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Haasis, Timon Immanuel y Ingo Liefner. "Reviewing the research on the internationalization of Chinese firms". International Journal of Emerging Markets 14, n.º 1 (21 de enero de 2019): 24–50. http://dx.doi.org/10.1108/ijoem-03-2017-0094.

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Purpose Supplementing a previous review article on the internationalization of Chinese firms (ICF) by Deng (2012) that covers the period 1991–2010, the purpose of this paper is to examine how research on this subject has thematically expanded in recent years, systematically investigating the literature concerning the ICF between 2011 and June 2017 and highlighting the research advancements. Furthermore, it provides impulses for future research and outlines potential avenues for the overall future development of the entire ICF field. Design/methodology/approach Based on a systematic literature review, this paper categorizes the surveys reviewed according to the organizational framework of the research on the ICF provided by Deng (2012). Findings The results indicate that the research on the ICF has become more widespread and mature during the time period investigated. First, there are more articles examining functional management processes of Chinese firms. Consequently, new knowledge exists regarding the role, control and organization of foreign subsidiaries of Chinese enterprises and their host country institutional integration. Second, the state of knowledge regarding the implications of the ICF has increased. It is argued that the future convergence or divergence of the Chinese economic system determines the overall future development of research on the ICF. Originality/value This is the first review paper in the emerging ICF field that consciously continues the work of a previous review article, enabling the tracing of the thematic expansion of research on the ICF.
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Kesselring, J., Michaela Coenen, Alarcos Cieza, Alan Thompson, Nenad Kostanjsek y Gerold Stucki. "Developing the ICF Core Sets for multiple sclerosis to specify functioning". Multiple Sclerosis Journal 14, n.º 2 (17 de octubre de 2007): 252–54. http://dx.doi.org/10.1177/1352458507082615.

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Functioning is increasingly being taken into account for evaluating the impact of multiple sclerosis (MS) on the individual and the effectiveness of treatment and rehabilitation. With the International Classification of Functioning, Disability and Health (ICF), we can now rely on a globally-agreed-upon framework and system for classifying the typical spectrum of problems in functioning of persons given the environmental context in which they live. ICF Core Sets are lists of ICF categories selected to capture those aspects of functioning that are most likely to be affected by specific diseases. The objective of this document is to outline the development process for the ICF Core Sets for MS. The ICF Core Sets for MS will be defined at an ICF Core Set Consensus Conference, which will integrate evidence from preparatory studies, namely: a) a systematic review on parameters reported in MS studies; b) a qualitative study using focus groups and individual interviews with individuals with MS; c) an expert survey with international health professionals participating and d) an empirical cross-sectional study. The ICF Core Sets for MS are being designed with the goal of providing useful standards for research and clinical practice. Multiple Sclerosis 2008; 14: 252—254. http://msj.sagepub.com
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Majewski-Schrage, Tricia, Todd A. Evans y 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, n.º 8 (1 de agosto de 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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Escorpizo, Reuben, Gerold Stucki, Alarcos Cieza, Kandace Davis, Teri Stumbo y Daniel L. Riddle. "Creating an Interface Between the International Classification of Functioning, Disability and Health and Physical Therapist Practice". Physical Therapy 90, n.º 7 (1 de julio de 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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Rauch, Alexandra, Reuben Escorpizo, Daniel L. Riddle, Inge Eriks-Hoogland, Gerold Stucki y 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, n.º 7 (1 de julio de 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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Aftenberger, Hannes, Gabriele Schwarze, Beate Salchinger y 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, n.º 2 (16 de noviembre de 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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Schiariti, Verónica, Egmar Longo, Alexander Shoshmin, Ludmila Kozhushko, Yanina Besstrashnova, Maria Król, Taynah Neri Correia Campos et al. "Implementation of the International Classification of Functioning, Disability, and Health (ICF) Core Sets for Children and Youth with Cerebral Palsy: Global Initiatives Promoting Optimal Functioning". International Journal of Environmental Research and Public Health 15, n.º 9 (1 de septiembre de 2018): 1899. http://dx.doi.org/10.3390/ijerph15091899.

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Background: The International Classification of Functioning, Disability, and Health (ICF) Core Sets for children and youth with cerebral palsy (CP) offer service providers and stakeholders a specific framework to explore functioning and disability for assessment, treatment, evaluation, and policy purposes in a global context. Objective: Describe global initiatives applying the ICF Core Sets for children and youth with CP, with a focus on contributions to clinical practice and challenges in their implementation. Methods: This is a descriptive cross-sectional study. Ongoing initiatives applying the ICF Core Sets for CP in Russia, Poland, Malawi, and Brazil are included. Results: The main contributions of applying the ICF Core Sets for children and youth with CP include: (1) an objective description of abilities and limitations in everyday activities; (2) a consistent identification of facilitators and barriers influencing functioning; (3) a practical communication tool promoting client-centered care and multidisciplinary teamwork; and, (4) a useful guideline for measurement selection. The main challenges of adopting the ICF Core Sets are related to lack of ICF knowledge requiring intense training and translating results from standardized measures into the ICF qualifiers in a consistent way. Conclusions: Global initiatives include research and clinical applications at the program, service and system levels. The ICF Core Sets for CP are useful tools to guide service provision and build profiles of functioning and disability. Global interprofessional collaboration, capacity training, and informatics (e-records) will maximize their applications and accelerate adoption.
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Dong, Yang, Yu Xiaoqi y Zhang Chi. "Development of the Data Processing and Analysis System Framework for ICF Experiments". Plasma Science and Technology 7, n.º 3 (junio de 2005): 2872–74. http://dx.doi.org/10.1088/1009-0630/7/3/021.

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McLeod, Sharynne y Ken Bleile. "The ICF: a framework for setting goals for children with speech impairment". Child Language Teaching and Therapy 20, n.º 3 (octubre de 2004): 199–219. http://dx.doi.org/10.1191/0265659004ct272oa.

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Bond, Malcolm. "International Classification of Functioning, Disability, and Health: A Contemporary Model of Disablement". Guides Newsletter 20, n.º 4 (1 de julio de 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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Lindner, Helen Y. N., Birgitta Sjöqvist Nätterlund y 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, n.º 2 (junio de 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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Finger, Monika E., Alarcos Cieza, Juerg Stoll, Gerold Stucki y 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, n.º 9 (1 de septiembre de 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 y 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, n.º 2 (enero de 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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Castro, Shamyr Sulyvan, Paulo Sergio Batista Almeida Filho, Mara Franklin Bonates, Maria Caroline Silva y Luciana Castaneda Ribeiro. "Thoughts on the discussion about the revision of the International Classification of Functioning, Disability and Health (ICF) scheme". Acta Fisiátrica 26, n.º 4 (31 de diciembre de 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.
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Idzerda, Leanne, Tamara Rader, Peter Tugwell y Maarten Boers. "Can We Decide Which Outcomes Should Be Measured in Every Clinical Trial? A Scoping Review of the Existing Conceptual Frameworks and Processes to Develop Core Outcome Sets". Journal of Rheumatology 41, n.º 5 (1 de marzo de 2014): 986–93. http://dx.doi.org/10.3899/jrheum.131308.

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Objective.The usefulness of randomized control trials to advance clinical care depends upon the outcomes reported, but disagreement on the choice of outcome measures has resulted in inconsistency and the potential for reporting bias. One solution to this problem is the development of a core outcome set: a minimum set of outcome measures deemed critical for clinical decision making. Within rheumatology the Outcome Measures in Rheumatology (OMERACT) initiative has pioneered the development of core outcome sets since 1992. As the number of diseases addressed by OMERACT has increased and its experience in formulating core sets has grown, clarification and update of the conceptual framework and formulation of a more explicit process of area/domain core set development has become necessary. As part of the update process of the OMERACT Filter criteria to version 2, a literature review was undertaken to compare and contrast the OMERACT conceptual framework with others within and outside rheumatology.Methods.A scoping search was undertaken to examine the extent, range, and nature of conceptual frameworks for core set outcome selection in health. We searched the following resources: Cochrane Library Methods Group Register; Medline; Embase; PsycInfo; Environmental Studies and Policy Collection; and ABI/INFORM Global. We also conducted a targeted Google search.Results.Five conceptual frameworks were identified: the WHO tripartite definition of health; the 5 Ds (discomfort, disability, drug toxicity, dollar cost, and death); the International Classification of Functioning (ICF); PROMIS (Patient-Reported Outcomes Measurement System); and the Outcomes Hierarchy. Of these, only the 5 Ds and ICF frameworks have been systematically applied in core set development. Outside the area of rheumatology, several core sets were identified; these had been developed through a limited range of consensus-based methods with varying degrees of methodological rigor. None applied a framework to ensure content validity of the end product.Conclusion.This scoping review reinforced the need for clear methods and standards for core set development. Based on these findings, OMERACT will make its own conceptual framework and working process more explicit. Proposals for how to achieve this were discussed at the OMERACT 11 conference.
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Barrios, M., G. Guilera, O. Pino, E. Rojo, S. Wright y J. Gómez-Benito. "Functioning in Schizophrenia: Similarities and Differences Between Clinical, Patient and Expert Perspectives". European Psychiatry 41, S1 (abril de 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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