Functional performance in older adults with hearing loss: Application of the International Classification of Functioning brief core set for hearing loss: A pilot study
“…To our best knowledge, two validation studies of ICF Core sets for HL have been identified. One of them, a pilot study by Alfakir, Holmes, and Noreen (2015) focussing on older adults (n ¼ 49) and based on data from audiological patient files and from two questionnaires, demonstrated good content and construct validity where 18 of the 27 ICF categories were represented (Alfakir, Holmes, and Noreen 2015). Furthermore, explorative factor analysis (EFA) using orthogonal rotation showed a four-factor solution explaining 59.8% of the variance.…”
Objective: Hearing loss (HL) affects the everyday functioning of millions of people worldwide. The Brief International Classification of Functioning Disability and Health (ICF) core sets for HL was developed to meet the complex health care needs of adults with HL. Because the brief core set for HL has not yet been validated internationally, this study aimed to investigate its validity from an international perspective. Design: A cross-sectional validation study based on data from structured interviews with adults with HL. Study sample: Participants (n ¼ 571) from India, South Africa, Sweden and the US were included. Results: A six-factor solution explained 71% of the variance, focussing on issues related to communication, the social environment, participation in society, health care services, support, relationships and emotions (a ¼ 0.915). Three ICF categories demonstrated low reliabilitytemperament and personality functions, seeing functions and school education. Conclusion: The Brief ICF core set for HL is valid for adults with HL internationally. However, to further increase its international validity, we recommend adding the categories d920 recreation and leisure and replacing d850 school education with the more inclusive block, d810-d839 education.
“…To our best knowledge, two validation studies of ICF Core sets for HL have been identified. One of them, a pilot study by Alfakir, Holmes, and Noreen (2015) focussing on older adults (n ¼ 49) and based on data from audiological patient files and from two questionnaires, demonstrated good content and construct validity where 18 of the 27 ICF categories were represented (Alfakir, Holmes, and Noreen 2015). Furthermore, explorative factor analysis (EFA) using orthogonal rotation showed a four-factor solution explaining 59.8% of the variance.…”
Objective: Hearing loss (HL) affects the everyday functioning of millions of people worldwide. The Brief International Classification of Functioning Disability and Health (ICF) core sets for HL was developed to meet the complex health care needs of adults with HL. Because the brief core set for HL has not yet been validated internationally, this study aimed to investigate its validity from an international perspective. Design: A cross-sectional validation study based on data from structured interviews with adults with HL. Study sample: Participants (n ¼ 571) from India, South Africa, Sweden and the US were included. Results: A six-factor solution explained 71% of the variance, focussing on issues related to communication, the social environment, participation in society, health care services, support, relationships and emotions (a ¼ 0.915). Three ICF categories demonstrated low reliabilitytemperament and personality functions, seeing functions and school education. Conclusion: The Brief ICF core set for HL is valid for adults with HL internationally. However, to further increase its international validity, we recommend adding the categories d920 recreation and leisure and replacing d850 school education with the more inclusive block, d810-d839 education.
“…Fortunately, the brief core set is more clinically friendly. 23 As highlighted in this case, the brief core set covers the commonly experienced functional and contextual factors relating to hearing loss. Nevertheless, the core sets are limited in that they do not currently consider or code the activity limitations and participation restrictions and contextual factors of significant others.…”
Section: Discussionmentioning
confidence: 99%
“…Although the ICF offers broad structures and perspective on how audiological rehabilitation should be provided to older adults, 18 less has been published on the clinical use of the core sets for hearing loss. 23 The ICF contains over 4,000 codes for the description of the various aspects of body functions and structures, activities, participation and environmental factors, and the core sets include those codes most likely impacted by hearing loss. The comprehensive and brief core sets for hearing loss, as described in Meyer et al (this issue), offer a standard for hearing health professionals to document patients' functioning and a system for policy makers and researchers to quantify profiles of health conditions.…”
Section: Clinical Use Of the Icfmentioning
confidence: 99%
“…24 To date, just one publication purposefully linked the brief core set for hearing loss to audiological assessment. 23 In this article, we will use the core sets for hearing loss to describe the functioning and disability of an older adult with hearing impairment and a significant other.…”
Hearing impairment is highly prevalent in the older population, and it impacts communication and quality of life for both the people with the hearing difficulties and their significant others. In this article, typical audiological assessment and management of an older adult is contrasted with a best practice approach wherein the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework is applied. The aim of the comparison is to demonstrate how the ICF expands our focus: rather than merely focusing on impairment, we also consider the activities, participation, and contextual factors for both the person with the hearing impairment and his or her family. A case example of an older patient and her spouse is provided, and their shared experience of the patient's hearing impairment is mapped onto the ICF framework. Family-centered hearing care is recommended for individualizing care and improving outcomes for older patients and their families.
“…Although it is possible to infer how the ICF framework might apply to women with physical disabilities in and around the time of pregnancy, a search of the literature did not yield any articles describing how it would be applied with regard to pregnancy. 23-27 This gap in the literature suggests the need for a framework that applies a life span perspective in a manner that directly addresses the multiple determinants specific to women with physical disabilities around the time of pregnancy.…”
Background
Studies suggest that women with disabilities experience health and health care disparities before, during, and after pregnancy. However, existing perinatal health and health care frameworks do not address the needs and barriers faced by women with physical disabilities around the time of pregnancy. A new framework that addresses the perinatal disparities among women with physical disabilities is needed.
Objective
To propose a framework for examining perinatal health and health care disparities among women with physical disabilities.
Methods
We developed a perinatal health framework guided by the International Classification of Functioning, Disability and Health (ICF) and the integrated perinatal health framework by Misra et al.
Results
The proposed framework uses a life span perspective in a manner that directly addresses the multiple determinants specific to women with physical disabilities around the time of pregnancy. The framework is based on longitudinal and integrated perspectives that take into account women's functional status and environment over their life course.
Conclusion
The perinatal health framework for women with physical disabilities was developed to inform the way researchers and health care professionals address disparities in perinatal health and health care among women with physical disabilities.
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