Knowledge and use of the ICF in clinical practice by physiotherapists and occupational therapists of Minas Gerais

Abstract

This study aims to evaluate the profile and knowledge of physiotherapists and occupational therapists from Minas Gerais about the International Classification of Functioning, Disability and Health (ICF) application in professional practice, trying to understand the reason for the underutilization of this universal instrument in Brazil. Observational and cross-sectional study was conducted using an online questionnaire prepared by specialists. An email was sent to all physiotherapists and occupational therapists enrolled in the Regional Council of the 4th Region. Of 22,121 emails, 1,313 were answered. 53% of the sample had graduate certificate, 65% had between two to ten years of experience, and 62% reported that clinics and patients’ houses are the places where they work. 72% of the professionals knew the ICF and 84% correctly answered the meaning of the acronym. However, 71% of professionals are unaware of the fields that make up this classification. The first contact with the ICF happened during graduation to 50% of professionals, and 28% had never had contact with ICF. 74% reported not using it in clinical practice. However, 82% of the participants believed that the use of ICF is viable in clinical practice. Most professionals had graduate certificate, worked in clinics and patients’ homes and, although most of them claim to know the ICF, the largest portion of the sample reported they did not use this classification in their professional lives, even though believing the ICF use is feasible. The lack of knowledge about the ICF prevents professionals from complying with the recommendations of the World Health Organization (WHO), the Brazilian National Health Council (CNS) and COFFITO (Brazilian Federal Council of Physical Therapy and Occupational Therapy) on the adoption of this instrument in exchange of information about health and clinical practice.

ICF as a Problem Solving Tool in Transdisciplinary Teams

“…The main challenge might be that it is mostly considered as an assessment instrument (Leonardi et al, 2005), mainly for clinical practice. Pernambuco et al (2018) observed that 82% of users believe that the ICF is only clinically applicable. The ICF's holistic approach (overcoming a mere deficit-symptom orientation) leads to a joint assessment of life areas without problems, but also of restrictions in participation and to meaningful participation goals in interaction with relevant environments.…”

Sistematização de instrumentos de avaliação para os dois primeiros anos de vida de bebês típicos ou em risco conforme o modelo da CIF

“…Although the use of the ICF is not yet so widespread in Brazil 20 , the WHO suggests its use to contemplate the evaluation of individuals -in this case, of the infants in an integral way -and facilitate communication among professionals.…”

Awareness and Attitudes of Physiotherapists Towards "International Classification of Functioning, Disability and Health (Icf)" in Turkey

“…Yanılma olasılığı p<0,05 olarak alındı. Çalışma için prospektif güç analizi yapılmadığından, 1-β=0,05 alınarak, post-hoc güç analizi yapıldı ve çalışmanın post-hoc gücü % 85,5 olarak hesaplandı (10,11).…”