The International Classification of Functioning, Disability and Health: a systematic review of observational studies

Abstract

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.

Métodos usados para avaliar o en dehors ou turnout de dançarinos e bailarinos clássicos: revisão da literatura

“…However, the STROBE scale was modified, i.e., the items 1(b), 4, 9, 15, 16 (a) (b) (c), 17, and 21 were excluded, considering they did not apply to this study. A similar procedure was also performed in other systematic reviews [27][28][29][30][31] . For insertion of the article in this review, it was intentionally set as minimum criteria a minimum of five points in the modified STROBE scale, whose maximum score is 17 points.…”

Carta ao editor

“…A problem may mean disability for the components of body functions and structures and limitation or restriction for the components of activities and participation, respectively, and barriers to the component environmental factors. The use of qualifiers provide information on the magnitude of the disability, limitation, restriction, barriers, or facilitators of health conditions (3) .…”

“…A problem may mean disability for the components of body functions and structures and limitation or restriction for the components of activities and participation, respectively, and barriers to the component environmental factors. The use of qualifiers provide information on the magnitude of the disability, limitation, restriction, barriers, or facilitators of health conditions (3) .Participation is one of the components of functioning, just as language is an attribute of body functions. Considering that the article aims to conduct an assessment of human functioning, it should also incorporate the other components of the ICF, such as body functions and/or structures, activities and participation, and environmental and/or personal factors.…”

Avaliação neuropsicomotora e classificação funcional em escolares de 10 a 12 anos da rede pública.

“…A versão da CIF para crianças e Jovens (CIF-CJ) é utilizada para avaliar crianças e adolescentes, a qual analisa os mesmos domínios relacionados à saúde abordados na CIF com algumas especificidades da infância à adolescência 10,11 e que atualmente foi incorporada à nova versão da CIF 9 . Embora o atual modelo preconize a atenção à saúde e a CIF possa ser amplamente utilizada, observa-se que em termos de pesquisas, a maioria dos estudos que a utilizam a fazem em condições patológicas 12 , sendo necessárias investigações e descrições dos domínios da CIF também em condições de ausência de doenças. Para ser possível a classificação com a CIF e CIF-CJ é necessária à utilização prévia de instrumentos de medida qualitativos ou quantitativos.…”