scholarly journals Linking the patient experience of foot involvement related to psoriatic arthritis to the International Classification of Functioning, Disability and Health

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Kate Carter ◽  
Caterina Tannous ◽  
Steven Walmsley ◽  
Keith Rome ◽  
Deborah E Turner

Abstract Objective The aim was to categorize the patient experience of PsA-related foot involvement by linking it to the International Classification of Functioning, Disability and Health (ICF) framework. Methods Concepts, obtained from a previous qualitative investigation of people with PsA and health professionals into their perspective of PsA-related foot involvement, were linked to the full version of the ICF classification. Concepts were linked to the most appropriate ICF category using established linking rules, which enable a systematic and standardized linking process. All concepts were linked independently to the ICF by two investigators, followed by a third investigator for adjudication. The professional backgrounds of the investigators included occupational therapy and podiatry. Results More than 100 distinct ICF categories were linked to the interview concepts. The most represented ICF category was body functions (35%), followed by environmental factors (31%), activities and participation (19%) and body structure (15%). Concepts that could not be linked to the ICF were related to coping, aspects of time and knowledge. Health professionals identified a greater proportion of body functions and fewer activity and participation categories compared with patients, indicating a possible mismatch of key concerns. Interdisciplinary group analysis demonstrated merit. Conclusion A list of ICF categories was generated, defining aspects of functioning important and relevant to the impact of PsA-related foot involvement. Despite the localized anatomical focus of this study, the effect of foot problems in PsA was linked to all components of the ICF, confirming the profound impact on functioning and daily life.

2011 ◽  
Vol 35 (3) ◽  
pp. 302-309 ◽  
Author(s):  
Helena Burger

Background: The International Classification of Functioning, Disability and Health (ICF) covers all aspects and levels of human functioning. Objectives: The aim of the study was to find out whether the ICF can be used in everyday prosthetics and orthotics (P&O) clinical practice for description of human functioning, and whether it can demonstrate the influence of a prosthesis or an orthosis on a person's functioning. Study Design: Prospective clinical study. Methods: A short list of ICF codes was compiled from Annex 9 and used for one month for all patients seen at the author's P&O outpatient clinics. Results: One hundred patients (59 men, average age 58 years) with different medical problems were included in the study. From 6 to 27 (14 on average) ICF categories from all four components of ICF were used in these patients. The most frequently used category for body functions was mobility of joint functions, for body structures it was structure of the skin and for activities and participation it was walking. Public and private buildings were the only barriers identified. Conclusions: It can be concluded that the ICF can be used in everyday P&O clinical practice. An ICF list of categories provides quick additional information. To be able to demonstrate the influence of P&O devices on person's functioning, at least for activities and participation, one has to use qualifiers. Clinical relevance For clinicians it is important to know that it is possible to use the ICF in clinical practice and that it can demonstrate the impact of P&O devices on a person's functioning.


Author(s):  
Mariane Benicio Fontana ◽  
Rebeca Fernandes Rocha Paiva ◽  
Bárbara Cordeiro Santos ◽  
Karoleen Oswald Sharan ◽  
Auristela Duarte de Lima Moser ◽  
...  

Introduction: Pressure ulcers (PU) are defined as an injury to the skin and / or underlying tissue, resulting of pressure or combination of pressure and torsional strength. Its occurrence can be prevented by establishing protocols with risk assessment and preventive measures. The Braden Scale is a tool for assessing risk of developing PU. The International Classification of Functioning, Disability and Health (ICF), in turn, provides a scientific basis for the study of health and conditions related to it, as well as be used to guide the creation and the use of outcome measures in rehabilitation. Objective: List the contents of the Braden Scale with the contents of CIF. Method: The present study was exploratory descriptive. The content of the Braden Scale was linked to the content of the ICF, using rules proposed in the literature. Four health professionals participated in the linking process. Results: Twenty-nine meaningful concepts were identified in the Braden Scale. From this total, 21 were linked to 17 ICF categories, 6 were classified as nd (not definable) and 2 were classified as nc (not covered by ICF). None of the significant concepts of the Braden Scale was related to some category of the component Body Structures of ICF. Conclusion: The content of the Braden Scale showed a moderate convergence with the contents of the ICF, being possible to consider that this scale is within the biopsychosocial model of health. These results place the Braden Scale as a possible tool to be used to assist in the implementation of the ICF in patients at risk of developing PU.


Autism ◽  
2018 ◽  
Vol 23 (4) ◽  
pp. 869-901 ◽  
Author(s):  
Melissa Scott ◽  
Ben Milbourn ◽  
Marita Falkmer ◽  
Melissa Black ◽  
Sven Bӧlte ◽  
...  

The aim of this study is to holistically synthesise the extent and range of literature relating to the employment of individuals with autism spectrum disorder. Database searches of Medline, CINAHL, PsychINFO, Scopus, ERIC, Web of Science and EMBASE were conducted. Studies describing adults with autism spectrum disorder employed in competitive, supported or sheltered employment were included. Content analysis was used to identify the strengths and abilities in the workplace of employees with autism spectrum disorder. Finally, meaningful concepts relating to employment interventions were extracted and linked to the International Classification of Functioning, Disability and Health Core Sets for autism spectrum disorder. The search identified 134 studies for inclusion with methodological quality ranging from limited to strong. Of these studies, only 36 evaluated employment interventions that were coded and linked to the International Classification of Functioning, Disability and Health, primarily focusing on modifying autism spectrum disorder characteristics for improved job performance, with little consideration of the impact of contextual factors on work participation. The International Classification of Functioning, Disability and Health Core Sets for autism spectrum disorder are a useful tool in holistically examining the employment literature for individuals with autism spectrum disorder. This review highlighted the key role that environmental factors play as barriers and facilitators in the employment of people with autism spectrum disorder and the critical need for interventions which target contextual factors if employment outcomes are to be improved.


2016 ◽  
Vol 31 (8) ◽  
pp. 554-563
Author(s):  
Peter B Viehoff ◽  
Lianne Pelzer ◽  
Yvonne F Heerkens ◽  
Dorine C van Ravensberg ◽  
Martino Neumann

Purpose To capture the views of different health care providers involved in the treatment of patients with lymphoedema from various countries around the world on the functioning of lymphoedema patients and the factors influencing functioning of these patients using the international classification of functioning, disability and health (ICF). Method A worldwide e-mail survey with questions based on components of the ICF. Results In total, 142 health professionals from seven different health professions and 20 different countries answered the questions. The aspects of functioning that were named by the health professionals could be linked to 359 different ICF categories. Of these categories, 109 belonged to body functions (30.4%), 55 to body structures (15.3%), 121 to activities and participation (33.7%) and 74 to environmental factors (20.6%). Overall, the most mentioned items were health services, systems and policies, immunological system functions, looking after one’s health, products and technology for personal use in daily life and dressing. Conclusions The ICF provided a valuable reference for identifying concepts in statements from international health care professionals experienced in the treatment of lymphoedema patients. The results of this research will be used in the development of ICF core sets for lymphoedema.


2011 ◽  
Vol 33 (13-14) ◽  
pp. 1281-1297 ◽  
Author(s):  
Nenad Kostanjsek ◽  
Reuben Escorpizo ◽  
Annelies Boonen ◽  
Nicolas E. Walsh ◽  
T. Bedirhan Üstün ◽  
...  

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