Evaluating the population with intellectual disability unable to comply with routine dental treatment using the International Classification of Functioning, Disability and Health

Petrović, Bojan; Marković, Dejan; Peric, Tamara

doi:10.3109/09638288.2010.546934

Cited by 18 publications

(22 citation statements)

References 16 publications

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“…Thus maintenance of oral health seems more related to the cognitive ability to comprehend daily oral care and cope with examination and treatment than to specific medical diagnoses. This corresponds with previous studies of the ICF profile of disabled patients with difficulty tolerating dental treatment or patients requiring treatment under general anaesthesia [16], [31]. Oral function was not identified in the top ten impairments in the current study despite the fact that a high level of oral impairment was reported with 40% of children reporting impaired chewing and 28% impaired swallowing.…”

Section: Discussionsupporting

confidence: 90%

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Using the International Classification of Functioning, Disability and Health (ICF) to Describe Children Referred to Special Care or Paediatric Dental Services

et al. 2013

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Children in dentistry are traditionally described in terms of medical diagnosis and prevalence of oral disease. This approach gives little information regarding a child’s capacity to maintain oral health or regarding the social determinants of oral health. The biopsychosocial approach, embodied in the International Classification of Functioning, Disability and Health - Child and Youth version (ICF-CY) (WHO), provides a wider picture of a child’s real-life experience, but practical tools for the application of this model are lacking. This article describes the preliminary empirical study necessary for development of such a tool - an ICF-CY Core Set for Oral Health. An ICF-CY questionnaire was used to identify the medical, functional, social and environmental context of 218 children and adolescents referred to special care or paediatric dental services in France, Sweden, Argentina and Ireland (mean age 8 years ±3.6yrs). International Classification of Disease (ICD-10) diagnoses included disorders of the nervous system (26.1%), Down syndrome (22.0%), mental retardation (17.0%), autistic disorders (16.1%), and dental anxiety alone (11.0%). The most frequently impaired items in the ICF Body functions domain were ‘Intellectual functions’, ‘High-level cognitive functions’, and ‘Attention functions’. In the Activities and Participation domain, participation restriction was frequently reported for 25 items including ‘Handling stress’, ‘Caring for body parts’, ‘Looking after one’s health’ and ‘Speaking’. In the Environment domain, facilitating items included ‘Support of friends’, ‘Attitude of friends’ and ‘Support of immediate family’. One item was reported as an environmental barrier – ‘Societal attitudes’. The ICF-CY can be used to highlight common profiles of functioning, activities, participation and environment shared by children in relation to oral health, despite widely differing medical, social and geographical contexts. The results of this empirical study might be used to develop an ICF-CY Core Set for Oral Health - a holistic but practical tool for clinical and epidemiological use.

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Section: Discussionsupporting

confidence: 90%

“…The ICF has only twice been used empirically in the domain of oral health [16], [31]. Practical use of the ICF is notoriously difficult as the classification is unwieldy and deliberately exhaustive, listing over 1400 items.…”

Section: Introductionmentioning

confidence: 99%

Using the International Classification of Functioning, Disability and Health (ICF) to Describe Children Referred to Special Care or Paediatric Dental Services

et al. 2013

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“…In line with the findings of a previous study by Norderyd et al, children with limitations in interpersonal relations and interactions were more likely to have experience of DGA than those without such limitations 11 . The children in the international DGA group also had significantly more problems in their intellectual function, as confirmed in other studies 11,22,23 . It has been suggested that problems in intellectual function therefore could be an indicator for experience of DGA, and limitations in interpersonal relationships represents a mechanism 11 .…”

Section: Discussionsupporting

confidence: 84%

Which factors most influence referral for restorative dental treatment under sedation and general anaesthesia in children with complex disabilities: caries severity, child functioning, or dental service organisation?

Norderyd

Faulks

Molina

et al. 2017

Int J Paed Dentistry

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“…Another way of using the ICF is to introduce the tripartite ICF model as the theoretical background of a study, but to use only the participation concept in the empirical part (Petrovic, Markovic & Peric, 2011;Faulks et al, 2013). For example, Faulks et al (2013) give an explicit theoretical reference to the ICF distinction between activity and participation, but then shift to describing a wide range of participation aspects, from acquiring skills (Chapter 1) to community, social and civic life (Chapter 9).…”

Section: Theoretical Reference To Tripartite Icf Concept Without Actumentioning

confidence: 99%

“…An interpretation that the discussed studies actually use the participation aspect and not the ICF concept of activities is supported by the fact that they do not use the ICF concept of capacity. Instead, the term ability is used (Maeda et al, 2005;Petrovic et al, 2011;Faulks et al, 2013). In the ICF, ability is only mentioned as an unspecified term when the term capacity is introduced in order to explain the ability to perform an activity in a socalled standard environment.…”

Section: Ability As a General Concept In Relation To Activity And Parmentioning

confidence: 99%

How are the activity and participation aspects of the ICF used? Examples from studies of people with intellectual disability

Arvidsson

Granlund

Thyberg

2015

NRE

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INTRODUCTION: Interdisciplinary differences regarding understanding the International Classification of Functioning, Disability and Health (ICF) concepts activity/participation may hinder its unifying purpose. In the ICF model, functioning (and disability) is described as a tripartite concept: 1) Body structures/functions, 2) Activities, and 3) Participation. Activities refer to an individual perspective on disability that does not tally with the basic structure of social models. OBJECTIVE: To review how activity and participation are actually used in studies of intellectual disability (ID). CONCLUSION: Based on 16 papers, four different usages of activity/participation were found. 1) Theoretical reference to tripartite ICF concept with attempts to use it. 2) Theoretical reference to tripartite ICF concept without actual use of activities. 3) "Atheoretical" approach with implicit focus on participation. 4) Theoretical reference to bipartite concept with corresponding use of terms. The highlighted studies have in common a focus on participation. However, the usage of the term "activity" differs both within and between studies. Such terminology will probably confuse interdisciplinary communication rather than facilitating it. Also, the use of an explicit underlying theory differs, from references to a tripartite to references to a bipartite concept of disability. This paper is focused on ID, but the discussed principles regarding the ICF and interdisciplinary disability theory are applicable to other diagnostic groups within rehabilitation practices.

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Evaluating the population with intellectual disability unable to comply with routine dental treatment using the International Classification of Functioning, Disability and Health

Abstract: The use of GA increases with the severity of ID. Acute and painful conditions result in more frequent use of GA. Unfavourable environmental factors present barrier to routine dental management.

Cited by 18 publications

References 16 publications

Using the International Classification of Functioning, Disability and Health (ICF) to Describe Children Referred to Special Care or Paediatric Dental Services

Using the International Classification of Functioning, Disability and Health (ICF) to Describe Children Referred to Special Care or Paediatric Dental Services

Which factors most influence referral for restorative dental treatment under sedation and general anaesthesia in children with complex disabilities: caries severity, child functioning, or dental service organisation?

How are the activity and participation aspects of the ICF used? Examples from studies of people with intellectual disability

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