The International Classification of Functioning, Disability and Health-orientated Occupational Therapy Assessment: a Rasch analysis of its domains

2008 ◽  
Vol 31 (1) ◽  
pp. 23-32 ◽  
Author(s):  
Markus A. Wirtz ◽  
Sebastian Voigt-Radloff
Author(s):  
Marissa Romano Da Silva ◽  
Rita de Cássia Ietto Montilha

Objetivo: Apresentar a organização e o conteúdo da Avaliação Terapêutica Ocupacional para Adolescentes e Adultos com Deficiência Visual validada.  Síntese: A Avaliação Terapêutica Ocupacional para Adolescentes e Adultos com Deficiência Visual aproxima o profissional, através da entrevista semiestruturada e observação direta das ocupações, relações interpessoais, contextos e ambientes, dificuldades, interesses, expectativas, capacidades, dentre outros aspectos fundamentais para o rastreio das demandas terapêuticas ocupacionais, empregando uma linguagem única, por meio da utilização da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Conclusão: A avaliação apresentada padroniza a avaliação terapêutica ocupacional em deficiência visual e faz uso de uma linguagem universal, facilitando o diálogo entre terapeutas ocupacionais e entre estes e outros profissionais, oportuniza e viabiliza a avaliação, a reavaliação e a análise das intervenções.Palavras-Chave: Terapia Ocupacional. Pessoas com deficiência visual. Classificação Internacional de Funcionalidade Incapacidade e Saúde. Avaliação da deficiência. AbstractObjective: To present the organization and content of the Occupational Therapeutic Assessment for validated Visually Impaired Adolescents and Adults. Synthesis: The Occupational Therapy Assessment for Adolescents and Adults with Visual Impairment offers the opportunity to approach, through semi-structured interview and direct observation, the occupations, interpersonal relationships, contexts and environments, difficulties, interests, expectations, capacities, among other fundamental aspects for the screening of occupational demands, employing a uniform language, through the use of the International Classification of Functioning, Disability and Health. Conclusion: The evaluation presented standardizes the occupational therapeutic evaluation in visual impairment and makes use of a universal language, facilitating the dialogue between occupational therapists and between these and other professionals, providing opportunities and enabling the evaluation, reevaluation and analysis of interventions.Keywords: Occupational Therapy. Visually Impaired Persons. International Classification of Functioning. Disability and Health. Disability Evaluation. ResumenObjetivo: Presentar la organización y contenido de la Evaluación Terapéutica Ocupacional para adolescentes y adultos con discapacidad visual validados. Síntesis: La Evaluación Terapéutica Ocupacional (ATO) para Adolescentes y Adultos con Discapacidad Visual acerca los profesionales, a través de entrevista semiestructurada y observación directa, a ocupaciones, relaciones interpersonales, contextos y entornos, dificultades, intereses, expectativas, capacidades, entre otros aspectos fundamentales para la deteccion de las demandas terapéuticas ocupacionales, con un lenguaje único, utilizando la Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud. Conclusión: La evaluación presentada estandariza la evaluación terapéutica ocupacional en la discapacidad visual y hace uso de un lenguaje universal, facilitando el diálogo entre los terapeutas ocupacionales y entre estos y otros profesionales, brindando oportunidades y posibilitando la evaluación, reevaluación y análisis de las intervenciones.Palabras clave: Terapia Ocupacional. Personas com Daño Visual. Clasificación Internacional del Funcionamiento de la Discapacidad y de la Salud. Evaluación de la Discapacidad.


2020 ◽  
Vol 7 ◽  
pp. 2329048X2093424
Author(s):  
Guðrun Jákupsdóttir Egholm ◽  
Margrethe Bjerknes ◽  
Niels Ove Illum

Aim: To describe a population of children with Down syndrome and evaluate their parents’ assessment of disability. Methods: Medical records of a population of 80 children with Down syndrome aged 5 to 17 years were analyzed for genetic background and associated diagnoses. And 27 parents to their children agreed to assess disability by employing a set of 26 International Classification of Functioning, Disability and Health body function (b) codes and activity and participation (d) codes. Clinical data were gathered and analysis of parents’ assessment of disability using psychometric and Rasch analysis was performed. Results: Clinical data on 27 children assessed by their parents and 53 children not assessed had identical associated diagnoses. The 26 International Classification of Functioning, Disability and Health codes and qualifiers had a mean score of 2.67 (range 1.26-4.11) and corrected code-total correlations mean of 0.55 (range −1.17 to 0.82). Rasch analysis showed proper code MNSQ infit and outfit values with mean 1.03 and 1.06. Conclusion: Clinical data on 27 children assessed were similar to 53 children that were not evaluated. Parents’ assessment of the 27 children showed good psychometric and Rasch analysis properties. Similar results might be expected in the total population of 80 children.


10.2196/20723 ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. e20723
Author(s):  
Mengmeng Jia ◽  
Jie Tang ◽  
Sumei Xie ◽  
Xiaokuo He ◽  
Yingmin Wang ◽  
...  

Background The International Classification of Functioning, Disability, and Health (ICF) is a unified system of functioning terminology that has been used to develop electronic health records and assessment instruments. Its application has been limited, however, by its complex terminology, numerous categories, uncertain operationalization, and the training required to use it well. Together is a mobile health app designed to extend medical support to the families of spinal cord injury (SCI) patients in China. The app’s core framework is a set of only 31 ICF categories. The app also provides rating guidelines and automatically transforms routine assessment results to the terms of the ICF qualifiers. Objective The goal of the research is to examine the suitability of the ICF set used in the app Together for use as an instrument for assessing the functioning of SCI patients. Methods A cross-sectional study was conducted including 112 SCI patients recruited before discharge from four rehabilitation centers in China between May 2018 and October 2019. Nurses used the app to assess patient functioning in face-to-face interviews. The resulting data were then subjected to Rasch analysis. Results After deleting two categories (family relationships and socializing) and one personal factor (knowledge about spinal cord injury) that did not fit the Rasch model, the body functions and body structures, activities and participation, and contextual factors components of the ICF exhibited adequate fit to the Rasch model. All three demonstrated acceptable person separation indices. The 28 categories retained in the set were free of differential item functioning by gender, age, education level, or etiology. Conclusions Together overcomes some of the obstacles to practical application of the ICF. The app is a reliable assessment tool for assessing functioning after spinal cord injury.


2015 ◽  
Vol 06 (17) ◽  
pp. 1914-1919 ◽  
Author(s):  
Ana Rita Costa de Souza Lobo Braga ◽  
Leonardo Petrus da Silva Paz ◽  
Vera Regina Fernandes da Silva Marães

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