ICF linking rules: an update based on lessons learned

Cieza, Alarcos; Geyh, Szilvia; Chatterji, Somnath; Kostanjsek, Nenad; Üstün, Bedirhan; Stucki, Gerold

doi:10.1080/16501970510040263

Cited by 1,110 publications

(1,057 citation statements)

References 8 publications

Supporting

Mentioning

962

Contrasting

Unclassified

Order By: Relevance

“…The ICF distinguishes further between disability (the limitations and restrictions experienced because of a health problem) and quality of life (QoL) (how the person feels about these limitations and restrictions) (11). Measures of QoL provide insight into the subjective experience of illness and disability, taking into account a broad range of areas including perceived health and physical functioning, social relationships, psychological well-being, and environmental support, and their inclusion in routine clinical assessment following amputation has been recommended (12).…”

mentioning

confidence: 99%

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Coffey

Desmond

2014

Archives of Physical Medicine and Rehabilitation

View full text Add to dashboard Cite

Objective: (1) To identify significant changes in disability and quality of life (QoL) across three time points (T1 = admission to rehabilitation, T2 = six weeks post-discharge, T3 = six months post-discharge) in individuals with lower limb amputation, and (2) to examine whether goal pursuit and goal adjustment at T1 were predictive of these outcomes at T3.Design: Prospective cohort study. Setting: Inpatient rehabilitation.Participants: Consecutive sample of 64 persons aged 18 years and over with major lower limb amputation.Interventions: Not applicable. Main Outcome Measures: World Health Organisation Disability Assessment ScheduleVersion 2.0 (WHODAS 2.0); World Health Organisation Quality of Life Questionnaire-Brief Version (WHOQOL-BREF).Results: Mean WHODAS 2.0 scores were in the 95 th percentile at each time point. Scores on the WHODAS 2.0 and the physical, psychological and social relationships domains of the WHOQOL-BREF remained stable across the study period. Environmental QoL scores decreased from T1 to T2, but returned to near-baseline levels between T2 and T3. Having a greater tendency towards goal pursuit at T1 was predictive of higher physical and psychological QoL at T3, while having a stronger disposition towards goal adjustment at T1 predicted lower disability and higher environmental QoL at T3. Conclusions:High levels of disability were experienced from admission to rehabilitation up to six months post-discharge. QoL in the physical, psychological and social relationships domains remained stable over the study period. Stronger goal pursuit and goal adjustment 3 tendencies on admission predicted lower disability and higher QoL six months postdischarge. and health classification system that offers a generic framework for describing the consequences of illness and disability and the dynamic interplay of personal and environmental factors (5), and has been applied to a number of conditions, including LLA (5, 6). The ICF classifies functioning and disability into two components: (1) body functions and structures (at the level of the body or body part), which are interpreted through changes in physiological systems or anatomical structures; and (2) activities (at the level of the whole person) and participation (at the level of the whole person in a social context), which are interpreted through capacity and performance.The primary goal of rehabilitation is to achieve optimal functioning (as appropriate to the individual) at each of these levels (7). Recent reviews indicate that most rehabilitation outcomes research among persons with LLA has been at the level of body functions and structures (2) or specific activities such as mobility (6) Theories of self-regulation may help to increase understanding of adjustment to LLA (17, 18). According to this perspective, human behaviour is organised around the pursuit of goals, which energise activities and give structure and meaning to people's lives and are thus closely linked with their subjective well-being (19-21). Indeed, negative associations hav...

show abstract

mentioning

confidence: 99%

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Coffey

Desmond

2014

Archives of Physical Medicine and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…11 The ICF can be used as a reference for already existing outcome measurements to provide a clear picture of which health domains that are addressed by the different measurements. 12 Reconstructive arm and hand surgery has the potential to improve both passive and active function in the arm and hand in patients with cervical SCI. 13,14 The basis for treatment is the patient's needs and desires as well as the remaining motor and sensory functions in the upper extremities, with no restrictions related to age or time since injury.…”

Section: Introductionmentioning

confidence: 99%

Activity performance and upper extremity function in cervical spinal cord injury patients according to the Klein–Bell ADL Scale

Dahlgren

Lundgren‐Nilsson

et al. 2006

Spinal Cord

View full text Add to dashboard Cite

“…This finding is consistent with results reported by Faria et al 26 , who observed that the SS-QOL included more distinct categories related to the participation component than did the NHP. Furthermore, two studies of the NHP 27,28 found that most of the concepts measured by this instrument are associated with the body function component and not the participation component. Considering these criteria, if the objective is to evaluate participation based on the use of these instruments and if there is a need to select only one of them, the SS-QOL appears to be more indicated.…”

Section: Discussionmentioning

confidence: 99%

Comparison of quality-of-life instruments for assessing the participation after stroke based on the International Classification of Functioning, Disability and Health (ICF)

Silva¹,

Corrêa²,

Faria³

et al. 2013

Braz. J. Phys. Ther.

View full text Add to dashboard Cite

| Background: According to the International Classification of Functioning, Disability and Health (ICF), the participation component is considered to be the most complex component characterized in existing instruments that assess quality of life related to health (HRQoL). Questionnaires such as the Nottingham Health Profile (NHP) and the Stroke-Specific Quality of Life (SS-QOL) are currently used to evaluate the participation of individuals in life activities after stroke. However, because participation and HRQoL are different constructs, it is unclear whether these instruments are best suited to this evaluation. Objective: To investigate whether the NHP and SS-QOL are suitable instruments for assessing the participation component of ICF. Method: A cross-sectional study was conducted in which a sample of 35 individuals completed the SS-QOL and NHP. The study correlated the total score on the questionnaires with the scores on items that evaluate the participation component of the ICF. Both analyses used the Spearman correlation coefficient (r). Results: There was a statistically significant, positive and strong correlation between total score on the SS-QOL and NHP and the score on specific components related to participation (r=0.8, p=0.001 and r=0.9, p=0.001, respectively). Conclusions: Both the NHP and the SS-QOL show strong correlations between the total score and the score on items that assess the participation categories of the ICF. However, the SS-QOL questionnaire appeared to be the most complete for this assessment because it evaluates more distinct domains and contains the largest number of items related to participation.

show abstract

ICF linking rules: an update based on lessons learned

Cited by 1,110 publications

References 8 publications

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Activity performance and upper extremity function in cervical spinal cord injury patients according to the Klein–Bell ADL Scale

Comparison of quality-of-life instruments for assessing the participation after stroke based on the International Classification of Functioning, Disability and Health (ICF)

Contact Info

Product

Resources

About