Personbezogene Faktoren der ICF

Grotkamp, S.; Cibis, Wolfgang; Nüchtern, E; Baldus, Angelika; Behrens, Johann; Bucher, Peter O.; Nyffeler, I. D.; Gmünder, Hans Peter; Gutenbrunner, C.; Hagen, T.; Keller, Klaus; Pöthig, D.; Queri, S.; Rentsch, H. P.; Rink, M.; Schian, H.; Schian, Marcus; Schwarze, Michael; Mittelstaedt, Gert von; Seger, Wolfgang

doi:10.1055/s-0032-1314823

Cited by 12 publications

(13 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Auch in unserer Studie wird deutlich, dass das Ausmaß oder die individuelle Verarbeitung von kritischen Lebensereignissen oder belastenden Kontextfaktoren mit einer höheren psychischen Symptomlast verbunden ist. Die häufigen Korrelationen der Kontextfaktoren "Soziale Beziehungen", "Soziale Unterstützung", "Enttäuschende oder kränkende Erfahrung mit wichtigen Menschen" und der "Gesamtbelastung" mit den Skalen von ICF AT-50 Psych, HEALTH-49 und BDI-II unterstreichen die Wichtigkeit der Diagnostik und Berücksichtigung spezifischer Kontextfaktoren bei der Rehabilitationsplanung [5,22]. Vergleichbare Befunde resultierten aus Studien zu personenbezogenen Faktoren wie Selbstwertgefühl, Durchsetzungsvermögen und Bewältigungsstilen.…”

Section: Fragestellungenunclassified

Evaluation von Kontextfaktoren in der psychosomatischen Rehabilitation

et al. 2016

View full text Add to dashboard Cite

Although individualized and ICF-oriented implementation of rehabilitation treatment requires knowledge of relevant contextual factors, there is a lack of operationalized documentation and measurement tools to evaluate these factors. Therefore, an ICF-oriented semi-structured interview was designed. 20 contextual factors were externally assessed whether they negatively affected mental functioning and participation of psychosomatic patients. Additionally, psychometric scales were applied. Six relevant impairing contextual factors were identified. Contextual factors significantly correlated with psychometric scales. Patients with higher contextual impairment showed significantly higher psychological stress levels. Anamnesis of contextual factors at the beginning of psychosomatic rehabilitation yields important information for therapy planning. Further research on contextual factors in medical rehabilitation is needed.

show abstract

Section: Fragestellungenunclassified

Evaluation von Kontextfaktoren in der psychosomatischen Rehabilitation

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Besides describing the content of contextual factors, a further aim of this contribution was to assign the themes found in the interviews to categories of contextual factors, specifically the environmental factors of the ICF-CY or personal factors. [10,11] Table 1 suggests this corresponding classification.…”

Section: Assumed Attitudes Of the Parentsmentioning

confidence: 88%

“…However, there are national approaches to specifying them. [11] A theoretical approach that also highlights the influence of contextual factors on illness management is the Common-Sense Model of Self-Regulation (CSM). [12] This framework describes how individuals who experience or anticipate a health threat select, initiate, and maintain behaviours to manage their illness.…”

Section: Introductionmentioning

confidence: 99%

“…As rehabilitation plays a significant role for chronically ill children and adolescents, the goal of our analysis was to explore the subjectively perceived contextual factors of rehab-related treatment representations of children and adolescents, and to assign those perceptions to the environmental factors of the ICF-CY [10] and the recommendations of personal factors of Grotkamp and colleagues. [11] Methods Design and setting:…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Contextual factors of self-regulation in adolescent medical rehabilitation patients—a qualitative study

Höhn

Metzner

Waldeck³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background:In recent decades, the prevalence of chronic diseases in children and adolescents has increased significantly. Contextual factors play a central role in the self-regulation of chronic diseases. They influence illness and treatment representations, disease management, and health outcomes. While previous studies have investigated the influence of contextual factors on children's beliefs about their illness, little is known about subjective contextual factors of treatment representations of children and adolescents with chronic diseases, especially in the context of rehabilitation. Therefore, the aim of this qualitative analysis was to examine the contextual factors reported by chronically ill adolescents in relation to their treatment representations. Furthermore, we aimed to assign the identified themes to classifications of environmental and personal contextual factors in the context of the ICF.Methods:Between July and September 2018, semi-structured interviews were conducted with N=13 adolescent rehabilitants to explore their rehab-related treatment representations and associated contextual factors. The interviews started with an open narrative question about expectations and beliefs about rehabilitation, followed by further detailed questions. The interviews were recorded on audio tape, transcribed, and analysed using thematic content analysis. Results:Participants raised six themes associated with their rehab-related treatment representations that were interpreted as contextual factors: the living situation before rehabilitation, characterised by school and family problems, few social contacts, and intensive media consumption; the idea of rehabilitation, which mostly came from various people in the adolescent’s social environment; previous solution attempts; rehab pre-experiences; information that the adolescents received from the clinic or sought themselves; and the assumed attitudes of their parents concerning the presumed necessity of rehabilitation and expectations regarding the process and its outcome. All the themes could be assigned to the classification of environmental and personal factors in the context of the ICF for children and youth.Conclusions:Although contextual factors have an important impact on self-regulation, little attention is paid to their investigation. Personal and environmental factors probably influence patients’ treatment representations in terms of expectations and concerns as well as emotions regarding the treatment. Considering contextual factors could lead to the more appropriate allocation of medical care and the better customisation of treatment.

show abstract

“…Zur Entwicklung der ICF-Checkliste haben wir ein etabliertes amerikanisches Instrument zur Messung von Funktionalität (Adaptive Behavior), VINELAND-II [8], verwendet, das wir mit dem Linking-Verfahren [9] in die Sprache der ICF, also auf Item-Ebene der Kapitel Körperstrukturen, Körperfunktionen, Aktivitäten/Partizipation sowie Umweltfaktoren, übersetzt haben. Zusätzlich wurden die in der ICF nicht codierten Personbezogenen Kontextfaktoren nach dem Codierungsvorschlag von Grotkamp et al [10] Einschlusskriterien waren der Altersbereich von 55 bis 85 Jahren und leichte sowie mittelgradige Intelligenzminderung (F70 und F71 gemäß ICD-10, [3]). Das Durchschnittsalter betrug 67,8 Jahre (SD = 7,65) bei einem Range von 56 bis 83.…”

Section: Konstruktion Der Checklisteunclassified

Eine ICF-Checkliste als Instrument zur Beurteilung von Inklusion bei alten Menschen mit geistiger Behinderung – Pilotstudie zur psychometrischen Güte

et al. 2017

View full text Add to dashboard Cite

An instrument should have been developed to measure participation as one possible criterion to evaluate inclusion of elderly people with intellectual disability. The ICF was utilized, because participation is one part of health related functioning, respectively disability. Furthermore ICF includes environmental factors (contextual factors) and attaches them an essentially influence on health related functioning, in particular on participation. Thus ICF Checklist additionally identifies environmental barriers for elimination. A linking process with VINELAND-II yielded 138 ICF items for the Checklist. The sample consists of 50 persons with a light or moderate intellectual disability. Two-thirds are female and the average age is 68. They were directly asked about their perceived quality of life. Additionally, proxy interviews were carried out with responsible staff members concerning necessary support and behavioral deviances. The ICF Checklist was administered twice, once (t2) the current staff member should rate health related functioning at the given time and in addition, a staff member who knows the person at least 10 years before (t1) should rate the former functioning. Content validity was investigated with factor analysis and criterion validity with correlational analysis related to supports need, behavioral deviances and perceived quality of life. Quantitative analysis was validated by qualitative content analysis of patient documentation. Factor analysis shows logical variable clusters across the extracted factors but neither interpretable factors. The Checklist is reliable, valid related to the chosen criterions and shows the expected age-related shifts. Qualitative analysis corresponds with quantitative data. ICF Checklist is appropriate to manage and evaluate patient-centered care.

show abstract

Personbezogene Faktoren der ICF

Cited by 12 publications

References 2 publications

Evaluation von Kontextfaktoren in der psychosomatischen Rehabilitation

Evaluation von Kontextfaktoren in der psychosomatischen Rehabilitation

Contextual factors of self-regulation in adolescent medical rehabilitation patients—a qualitative study

Eine ICF-Checkliste als Instrument zur Beurteilung von Inklusion bei alten Menschen mit geistiger Behinderung – Pilotstudie zur psychometrischen Güte

Contact Info

Product

Resources

About