Validation of the Italian version of Mini-ICF-APP, a short instrument for rating activity and participation restrictions in psychiatric disorders

Abstract

Aims. The assessment of limitations in social capacities can be done with the Mini-ICF-APP, a rating scale built in reference to the International Classification of Functioning, Disability and Health (ICF). The aim of this study was to assess the reliability and the convergent validity of the Italian version of this scale. Methods. We recruited 120 consecutive patients diagnosed with schizophrenia, major depression, bipolar I disorder and anxiety disorders. Included measures were the Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impression Scale (CGI-S), the Personal and Social Performance Scale (PSP) and the Social and Occupational Functioning Assessment Scale (SOFAS). Results. The median CGI-S and BPRS scores were 5 and 16.5. Mean Mini-ICF-APP total score was 18.1. Schizophrenics' Mini-ICF-APP score was higher, while that of anxious patients was lower than in the other diagnoses. Intra-class correlations (ICC) revealed a significant inter-rater agreement for total score (ICC 0.987) and for each item of the Mini-ICF-APP. The test-retest agreement was also highly significant (ICC 0.993). The total score of the Mini-ICF-APP obtained good negative correlations with PSP (r s = -0.767) and with SOFAS scores (r s = -0.790). The distribution items of the Mini-ICF-APP showed some skewness, indicating that self-care (item 12) and mobility (item 13) were amply preserved in most patients. The Mini-ICF-APP total score was significantly correlated with both CGI-S (r s = 0.777) and BPRS (r s = 0.729). Conclusions. As a short instrument, the Mini-ICF-APP scale seems to be well suited to everyday psychiatric practice as a means of monitoring changes in psychosocial functioning, in particular in schizophrenic patients.

Different work capacity impairments in patients with different work-anxieties

“…Lowest impairment was found in self-care. This rank order of capacity impairment was similar to findings from comparable other study samples (Balestrieri et al 2013;Baron and Linden 2009).…”

“…The Mini-ICF-APP capacity rating is a short observer rater instrument for the description of (work) capacity impairment. It is internationally validated (Balestrieri et al 2013; Baron and Linden 2009;Linden et al 2015;Molodynski et al 2013) and has become a recommended instrument in socio-medical work ability description (DGPM 2012;DRV 2012;Schneider et al 2012;SGVP 2012). The Mini-ICF-APP covers 13 dimensions of psychological capacities which are often impaired due to mental disorders: adherence to regulations, planning and structuring of tasks, flexibility, applying expertise, capacity to judge and decide, endurance, assertiveness, contacts with others, teamwork capacity, self-care, mobility and the non-work domains of non-work recreational activities, familiar and intimate relationships.…”

Application of participation in clinical practice: Key issues

“…Twenty-six instruments had participation in their title; 6 of which were excluded because of the combined words and narrowing the concept to social or community participation in the title: Australian Community Participation Questionnaire (ACPQ) (104), the Maastricht Social Participation Profile (MSPP) (105), the Activity & (community) Participation Questionnaire (APQ) (106), the Temple University Community Participation (TUCP) (107), the Community Participation Domains Measure (CPDM) (108) and the ICF Mental activities and Participation Measure (ICF-Mental-A&P) (109). Two instruments were excluded because they were not available in English: the Index zur messing von Einschränkungen der Teilhabe (IMET) (110) and the Mini Instrument for the observer rating according to ICF of Activities and Participation in Psychological disorders (MINI-ICF-APP) (111). Finally, 18 instruments were included (Fig.…”

Arbeitsfähigkeitsbeschreibung bei psychischen Erkrankungen

“…Das Mini-ICF-APP ist ein Fremdbeurteilungsinstrument zur Beschreibung von Fähigkeits-und Teilhabebeeinträchtigungen aufgrund psychischer Erkrankungen. Es ist international validiert [Linden et al, 2015;Molodynski et al, 2013;Balestrieri et al, 2013] und wird in Gutachterleitlinien als Grundlage für die klinische Arbeitsfähig-keitsbeurteilung im sozialmedizinischen Sinne empfohlen [DRV, 2012;SGPP, 2012]. Das Mini-ICF-APP beschreibt 13 Dimensionen psychologischer Fähigkeiten, die häufig bei psychischen Erkrankungen beeinträchtigt sind: Anpassung an Regeln und Routinen, Planung und Strukturierung von Aufgaben, Flexibilität und Umstellungsfähigkeit, Kompetenz-und Wissensanwendung, Entscheidungs-und Urteilsfähigkeit, Widerstands-und Durchhaltefähig-keit, Selbstbehauptungsfähigkeit, Konversations-und Kontaktfä-higkeit, Gruppenfähigkeit, Selbstpflege und Selbstversorgung, Verkehrsfähigkeit und Mobilität, Proaktivität und Spontanaktivitäten, Fähigkeit zu engen dyadischen Beziehungen.…”