Utilization of an ICF-based assessment from occupational therapists' perspectives

Abstract

The International Classification of Functioning, Disability and Health (ICF) is intended to provide a framework for practitioners. A client-centred ICF-based assessment (ICF-A) was developed to be used by occupational therapists in problem identification. The aim was to evaluate the ICF-based assessment (ICF-A) focusing on the examination of its utility on the basis of occupational therapists´ perspectives regarding clinical relevance and potential for implementation. Eleven occupational therapists, most of whom worked in hospitals, performed in total 99 ICF-A based assessments and completed three self-reported questionnaires related to the utility of the ICF-A, resulting in a total of 121 questionnaires.Data were analysed using descriptive statistics and directed content analysis. The results from this initial testing of ICF-A showed that its clinical relevance was considered low since ICF-A included too many categories. In addition, the time needed to perform the assessments decreased during the ten assessment occasions. Furthermore, concerning its implementation potential, the client-centred approach in the ICF-A was rated as weak. The target group did not benefit from using ICF-A in a hospital context. Hence, an investigation of its utility among occupational therapists in community and primary care will be the next step in the development of the ICF-A.

An overview and profile of the ICF's use in Brazil - a decade of history

“…Accordingly, Kjellberget al 65 evaluated patients in a hospital environment using the CIF aiming to investigate its clinical relevance and its potential implementation. They identified that the clinical relevance was considered low, its potential for application and patient centered approach was classified as weak, in addition of the target group not have not benefitted from the use of the ICF.…”

Explorando Las Actividades Diarias Y La Participación Social: Un Estudio en Personas Con Una Condición De Salud Del Aparato Locomotor

“…Diversos estudios muestran la existencia de una fuerte relación conceptual entre el modelo del funcionamiento y discapacidad de la OMS descrito en la CIF, los modelos teóricos propios de la TO y el dominio profesional de los terapeutas ocupacionales (HAGLUND; HENRIKSSON, 2003;STAMM et al, 2006;FARRELL et al, 2007;STAMM et al, 2004;KJELLBERG;BOLIC;HAGLUND, 2012). Modelos teóricos desarrollados dentro del ámbito de conocimiento específico de la TO como el Modelo Canadiense del Desempeño Ocupacional (CANADIAN..., 1991;LAW et al, 1998;TOWNSEND, 1997) o el Modelo de la Ocupación Humana (KIELHOFNER, 1995(KIELHOFNER, , 2002 concuerdan con los postulados de la CIF al destacar la existencia de una relación directa entre la participación en ocupaciones y la salud y bienestar.…”

Feasibility study of a single-blind randomised controlled trial of an occupational therapy intervention

“…Earlier studies also describe the lack of commitment and adherence of therapists to the standardised use of outcome measures (34,38). Reasons were various (e.g., refusal to implement standardised outcome measures because they were seen as too complicated (34), level of knowledge, and lack of time and experience (38).…”

“…Reasons were various (e.g., refusal to implement standardised outcome measures because they were seen as too complicated (34), level of knowledge, and lack of time and experience (38). Bland and colleagues (2013) examined practitioner adherence to standardised administration of outcome measures across settings and health professions and found that between 12% to 40% of the therapists did not follow the standardised testing procedures in practice.…”