VP26 HTA In Nursing: Scoping Trends With An ICF Component Analysis

2019 ◽  
Vol 35 (S1) ◽  
pp. 81-82
Author(s):  
Markus Wübbeler ◽  
Sebastian Geis
Keyword(s):  
Complex Interventions ◽  
Potential Outcomes ◽  
International Classification Of Functioning ◽  
Healthcare Outcomes ◽  
Disability And Health ◽  
Domestic Life ◽  
Current Trends ◽  
Wide Range ◽  
Icf Model

IntroductionNursing is a worldwide growing but still underdeveloped health technology assessment (HTA) field. A systematic overview about the current trends in HTA and nursing would shed some light on the issues of (i) the HTA base in this sector, and (ii) outcomes addressed with the interventions and technologies.MethodsWe conducted a scoping review using the National Health Service (NHS) Centre for Reviews and Dissemination HTA database, including all abstracts of HTA reports related to nursing. To systemize the interventions and technologies assessed in the HTA reports, we designed an International Classification of Functioning, Disability and Health (ICF) Map connecting the targeted healthcare outcomes with the components of the ICF Classification.ResultsWe identified seventy-eight HTA reports related to nursing care, published between the years 1992 and 2018. Overall, forty-four reports did not outline any particular outcome and had to be categorized as unclear. The remaining thirty-four reports addressed three ICF components (body functions, activities/ participation, environmental factors) with sixty-eight ICF content categories. Frequent ICF contents were services, systems and policies (code e5, n = 15), cardiovascular/ respiratory functions (code b4, n = 10), mental functions (code b1, n = 7), digestive functions (code b5, n = 7), domestic life (code d6, n = 7), and sensory functions/ pain (b2, n = 6). Six HTA reports evaluated interventions/ technologies with presumed effects on at least four ICF content categories from two ICF components.ConclusionsHTA in the field of nursing is often complex, including multicomponent approaches and a wide range of potential outcomes relevant for the HTA assessment. The ICF model might be useful to support a more streamlined understanding of complex interventions in this sector. Furthermore, reports might benefit from linking the ICF Classification with HTA, especially for the assessment of complex interventions.

scholarly journals Process for Applying the International Classification of Functioning, Disability and Health Model to a Patient With Patellar Dislocation

2008 ◽  
Vol 88 (8) ◽  
pp. 956-964 ◽  
Author(s):  
Kevin Helgeson ◽  
A Russell Smith
Keyword(s):  
Environmental Factors ◽  
Patellar Dislocation ◽  
Clinical Decision Making ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Diagnostic Process ◽  
Disability And Health ◽  
Lower Extremity Function ◽  
Icf Model

Background and PurposeThe International Classification of Functioning, Disability and Health (ICF) has been proposed as a possible framework for organizing physical therapist practice. The purpose of this case report is to describe an evaluative and diagnostic process that is based on the ICF framework for a patient with a patellar dislocation.Case DescriptionThe patient was a 23-year-old woman who sustained a right knee and patellofemoral joint injury, resulting in a sprain of the medial collateral ligament and a suspected sprain of the medial patellofemoral ligament. Evaluation at 4 weeks demonstrated a primary impairment of patellar instability associated with the primary activity limitation of limited walking distances. A plan of care to address impairments, activity limitations, and participation restrictions was developed, with modifications made on the basis of the patient's health condition and personal and environmental factors.OutcomesThe patient attained all of her goals for therapy and was able to return to her normal activities and recreational pursuits without a recurrence of a patellar dislocation. Lower-Extremity Function Scale scores increased from 30 out of 80 to 76 out of 80 during the course of treatment.DiscussionThe ICF model has been proposed as a framework for developing diagnostic classifications for rehabilitation professionals. The ICF model also should be assessed with regard to whether it provides a useful process for clinical decision making. The ICF model directs practitioners to address patients’ problems at the level of the whole person, with modifications made on the basis of health conditions and personal and environmental factors.

scholarly journals What do Kids with Acquired Brain Injury Want? Mapping Neuropsychological Rehabilitation Goals to the International Classification of Functioning, Disability and Health

2019 ◽  
Vol 25 (04) ◽  
pp. 403-412 ◽  
Author(s):  
Robyn Henrietta McCarron ◽  
Suzanna Watson ◽  
Fergus Gracey
Keyword(s):  
Brain Injury ◽  
Young People ◽  
Brain Injuries ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Neuropsychological Rehabilitation ◽  
Wide Range ◽  
Clinical Records

AbstractObjective: To increase understanding of the community neuropsychological rehabilitation goals of young people with acquired brain injuries (ABIs). Method: Three hundred twenty-six neuropsychological rehabilitation goals were extracted from the clinical records of 98 young people with ABIs. The participants were 59% male, 2–19 years old, and 64% had a traumatic brain injury. Goals were coded using the International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY). Descriptive statistical analysis was performed to assess the distribution of goals across the ICF-CY. Chi-squared and Cramer’s V were used to identify demographic and injury-related associations of goal type. Results: The distribution of goals was 52% activities and participation (AP), 28% body functions (BF), 20% environmental factors (EF), and <1% body structures (BS). The number of EF goals increased with age at assessment (V = .14). Non-traumatic causes of ABIs were associated with more EF goals (V = .12). There was no association between sex or time post-injury and the distribution of goals across the ICF-CY. Conclusions: Young people with ABIs have a wide range of community neuropsychological rehabilitation goals that require an individualized, context-sensitive, and interdisciplinary approach. Community neuropsychological rehabilitation services may wish to ensure they are resourced to focus intervention on AP, with increasing consideration for EF as a young person progresses through adolescence. The findings of this research support models of community neuropsychological rehabilitation that enable wellness by combining direct rehabilitative interventions with attention to social context and systemic working across agencies. (JINS, 2019, 25, 403–412)

Core Self-Evaluations as Personal Factors in the World Health Organization’s International Classification of Functioning, Disability and Health Model: An Application in Persons With Spinal Cord Injury

2017 ◽  
Vol 31 (2) ◽  
pp. 89-104 ◽  
Author(s):  
Rana Yaghmaian ◽  
Susan Miller Smedema ◽  
Kerry Thompson
Keyword(s):  
World Health ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Disability And Health ◽  
Cord Injury ◽  
Icf Model ◽  
Fit Index ◽  
Core Self

Purpose: To evaluate Chan, Gelman, Ditchman, Kim, and Chiu’s (2009) revised World Health Organization’s International Classification of Functioning, Disability and Health (ICF) model using core self-evaluations (CSE) to account for Personal Factors in persons with spinal cord injury (SCI).Method: One hundred eighty-seven adults with SCI were recruited to take an online survey including measurement scales representing each component of the revised ICF model: Functioning, Activities, Participation, Environmental Factors, Personal Factors, and Quality Of Life. Path analysis was used to evaluate the hypothesized relationships among the ICF components.Results: A respecified path model revealed a strong model-to-data fit, χ2(3, N = 187) = 6.84; p = .08; goodness-of-fit index (GFI) = .99; comparative fit index (CFI) = .99; and root mean square error of approximation (RMSEA) = .08. Taking into account all of the ICF components, CSE had the strongest direct effect on life satisfaction (β = .40, p < .01).Conclusion: This study supports CSE as a significant and direct predictor of life satisfaction in persons with SCI, indicating that CSE may be an important target for intervention in a biopsychosocial approach toward SCI rehabilitation. These findings provide a basis for future research to investigate the role of CSE in quality of life among people with varying health conditions.

Models of Rehabilitative Care after Critical Illness

2014 ◽  
Author(s):  
Margaret S Herridge ◽  
Jill I Cameron
Keyword(s):  
Critical Illness ◽  
Mood Disorders ◽  
Models Of Care ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Tailored Interventions ◽  
Rehabilitative Care ◽  
Icf Model ◽  
The Individual

Critical illness is transformative. Patients and caregivers are traumatized and acquire new mood disorders and disability. These are costly and consequential. Knowledge of current rehabilitation theory may help to inform emerging models of care for our critically ill patients and families. The International Classification of Functioning, Disability, and Health (ICF) model is presented as a candidate construct for patients and families after critical illness. It highlights the complexity and interdependence of factors that determine outcome and incorporates multiple facets of the individual experience. ICF may facilitate the development of a novel framework of aetiologically neutral clinical phenotypes with distinct recovery trajectories after critical illness. This informs tailored interventions for distinct patient and family groupings, independent of initial diagnostic groups, and acknowledges the similar themes of ICUAW, cognitive dysfunction, and mood disorders following complex critical illness.

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