ICF Core Set for geriatric patients in early post-acute rehabilitation facilities.
ABSTRACT The aim of this consensus process was to decide on a first version of the ICF Core Set for geriatric patients in early post-acute rehabilitation facilities.
The ICF Core Set development involved a formal decision-making and consensus process, integrating evidence gathered from preliminary studies including focus groups of health professionals, a systematic review of the literature and empiric data collection from patients.
Fifteen experts selected a total of 123 second-level categories. The largest number of categories was selected from the ICF component Body Functions (51 categories or 41%). 14 (11%) of the categories were selected from the component Body Structures, 30 (29%) from the component Activities and Participation, and 28 (23%) from the component Environmental Factors.
The Post-acute ICF Core Set for geriatric patients is a clinical framework to comprehensively assess patients in early post-acute rehabilitation facilities, particularly in an interdisciplinary setting. This first version of the ICF Core Set will be further tested through empiric studies in German-speaking countries and internationally.
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ABSTRACT: The aim of this study was to explore older people's experience of environmental factors that impact on their activity and participation in home rehabilitation. Older people aged between 68 and 93 years and receiving home rehabilitation were interviewed. A qualitative content analysis was performed on the interview text using the predetermined structure of the International Classification of Functioning, Disability and Health (ICF) environmental domain. The text was linked to the closest ICF category. The results identified environmental facilitators and barriers that influenced activity and participation among older people receiving home rehabilitation. Approaches that provided a facilitative environment were access to assistive products and technologies, alterations to the physical environment, social support and relationships, and adjusted health and social care services. A qualitative study using ICF-listed environmental factors contributed a holistic view of facilitators and barriers in home rehabilitation for older people. Awareness of the importance of the impact of the social environment on activities and participation could improve home rehabilitation services for older people. The study represents an important step towards a holistic approach using the ICF, which aims to enable all health care professionals to describe, plan and evaluate rehabilitation services together with older people across the health and social care sectors.Disability and Rehabilitation 10/2011; 34(9):779-87. · 1.54 Impact Factor
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ABSTRACT: Abstract Purpose: This study aimed to document the content of the EASY-Care Standard questionnaire to the International Classification of Functioning, Disability and Health (ICF) and present its ICF Core Set. Method: The EASY-Care was linked to the ICF by two trained health professionals according to the established linking rules. The agreement between the health professionals was determined using the Cohen's kappa. Results: The agreement between the two health professionals was almost perfect for each level of the ICF (Cohen's kappas between 0.91 and 0.97). The 65 items of the EASY-Care were linked to 61 different ICF categories, 16 (26%) from the Body functions component, 3 from the Body structures (5%), 30 from the Activities and participation (49%) and 12 from the Environmental factors (20%). Twelve concepts could not be linked to the ICF at all: 6 were classified as Personal factors, 1 as not defined-general health and 5 were not classified. Conclusions: The integration of the universal language of the ICF in the EASY-Care illustrates the potential of use this instrument in primary care settings at community level. Implications for Rehabilitation The integration of the universal language of the ICF in the EASY-Care potentiates the use of this comprehensive instrument in assessing older people needs at primary care settings. The information obtained with the EASY-Care Standard can be worldwide understood and can be used to plan rehabilitation interventions at community settings for older adults.Disability and Rehabilitation 06/2013; · 1.54 Impact Factor
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ABSTRACT: Abstract Purpose: To identify self-reported disability measures developed for older adults by performing a systematic literature review and to compare the contents of all identified measures based on the International Classification of Functioning, Disability and Health (ICF). Method: A broad systematic literature search was performed in March 2012 in the following databases: MEDLINE, EMBASE, CINAHL, PsycINFO and PROQOLID. Each item in the identified measures was extracted and linked to the ICF categories. A content comparison between measures was performed. The content density and diversity of each measure were assessed by calculating the content density ratio (the number of meaningful concepts divided by the number of items in each questionnaire) and content diversity ratio (the number of different ICF categories divided by the number of linked meaningful concepts), respectively. Results: We reviewed 5622 published articles and identified 13 eligible measures. In total, 293 meaningful concepts from 265 items were extracted, of which, 270 concepts were linked to the ICF. A total of 62 different ICF categories were addressed. EARRS, FHS and SF-LLFDI had the highest content density ratio, while FHS and KI had the highest content diversity ratio. Different measures differed considerably in content. Conclusions: The ICF can be used as a conceptual framework not only for assessing measures but also for developing new measures. According to this ICF-based content comparison, the contents of currently available measures for disability in older adults vary significantly from one another. Our study may provide useful information for the selection of suitable measures for a particular purpose, as well as the development of new measures. Implications for Rehabilitation The ICF provides an excellent framework when comparing the contents of self-reported disability measures for the elderly. Thirteen self-reported disability measures developed for the elderly are identified and their content is compared directly according to the ICF. The content of currently available measures is considerably varied. This review may help readers select proper measures for specific purposes.Disability and Rehabilitation 08/2013; · 1.54 Impact Factor