Purposefulness as a critical factor in functioning, disability and health

2016 ◽  
Vol 31 (8) ◽  
pp. 1005-1018 ◽  
Author(s):  
Joshua Y Lee ◽  
Emily A Ready ◽  
Eric N Davis ◽  
Philip C Doyle
Keyword(s):  
Critical Factor ◽  
Severe Trauma ◽  
Health Condition ◽  
International Classification Of Functioning ◽  
Human Beings ◽  
Personal Factors ◽  
Disability And Health ◽  
Theoretical Frameworks ◽  
Rehabilitation Outcomes ◽  
The Individual

Guided by theoretical frameworks of health and illness such as the International Classification of Functioning, Disability, and Health (ICF), we seek to describe the importance of purposefulness in the context of rehabilitation. We argue that ascribing meaning to life events, particularly changes in health, and acting in a manner that is driven by purpose is a universal characteristic of human beings. The ability to contextualize purposefulness within the broader biopsychosocial model of illness may provide a greater understanding of the relationship of purpose in the process of rehabilitation. We support the notion that purposefulness is an ever-present component throughout our lives and it exists as a convergence of personal factors, past experiences, and our personal narrative. Having a sense of purposefulness and being able to understand the meaning of different aspects of our lives is what allows us to find purpose while experiencing a health condition. More importantly, and in the context of rehabilitation efforts, we believe that if purposefulness can be identified or collectively defined by the individual, then rehabilitation outcomes may be enhanced. In a variety of contexts ranging from disease, aging, severe trauma, and even war, purposefulness and its component elements consistently distinguish themselves as being essential for regaining a sense of direction and facilitating one’s response to any health condition.

Wheelchairs and seating

2019 ◽  
pp. 305-318
Author(s):  
Manoj Sivan ◽  
Margaret Phillips ◽  
Ian Baguley ◽  
Melissa Nott
Keyword(s):  
Health Condition ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Freedom Of Movement ◽  
Health Model ◽  
The Individual ◽  
And Function ◽  
Life Roles

Freedom of movement is an essential component of independence and mobility is closely associated with quality of life. People who have difficulty with independent walking often require a wheelchair to assist with mobility. The International Classification of Functioning, Disability and Health model can be used to guide the provision of wheelchairs and seating through consideration of the individual personal factors and preferences, environmental limitations, the person’s desired activities and participation in life roles, as well as the person’s health condition or impairments of body structure and function. This chapter describes the steps in prescribing a wheelchair, types of manual and powered wheelchairs, and specialized seating and positioning components.

The International Classification of Functioning, Disability, and Health (ICF) as a community participation model for people with multiple sclerosis: A hierarchical regression analysis

2020 ◽  
Vol 26 (2) ◽  
pp. 55-72
Author(s):  
Joseph Pfaller ◽  
Fong Chan ◽  
Kanako Iwanaga ◽  
Jia-Rung Wu ◽  
Stuart Rumrill ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Regression Analysis ◽  
Community Participation ◽  
International Classification Of Functioning ◽  
Self Management ◽  
Hierarchical Regression ◽  
Personal Factors ◽  
Disability And Health ◽  
The Relationship

AbstractMultiple sclerosis (MS) is a central nervous system disorder that impacts more than 400,000 people in the U.S. The disease results in multiple functional impairments that are diverse and varied across individuals. Additonally, MS has a profound impact on community participation which, like other rehabilitation outcomes, cannot be explained on the basis of functional limitations alone. The purpose of this study was to develop and evaluate a model of community participation for people living with MS using the World Health Organization (WHO) International Classification of Functioning, Disability, and Health (ICF) framework. The model focused on the roles that personal factors have as predictors of community participation, while also serving as mediators and moderators for the relationship between activity limitation and participation. Results from the hierarchical regression analysis indicated that demographic characteristics (i.e. MS type), personal factors (i.e. core self-evaluations (CSE), MS self-management, resilience, and social skills), and activity limitations accounted for 64% of the variance in participation. Further, mediation analysis indicated that CSE mediated the relationship between activity limitation and community participation. Finally, moderation analysis indicated an interaction effect between educational attainment and MS self-management. Implications for future research in rehabilitation and clinical application are discussed.

Functioning in Schizophrenia: Similarities and Differences Between Clinical, Patient and Expert Perspectives

2017 ◽  
Vol 41 (S1) ◽  
pp. S105-S105
Author(s):  
M. Barrios ◽  
G. Guilera ◽  
O. Pino ◽  
E. Rojo ◽  
S. Wright ◽  
...  
Keyword(s):  
Health Professionals ◽  
Health Condition ◽  
World Health ◽  
International Classification Of Functioning ◽  
Unique Contribution ◽  
Disability And Health ◽  
Clinical Patient ◽  
Competing Interest ◽  
Health Organization ◽  
Icf Core Sets

IntroductionIn 2001, the World Health Organization (WHO) created the International Classification of Functioning, Disability and Health (ICF) to offer a comprehensive and universally accepted framework to describe functioning, disability and health. The ICF Core Sets (ICF-CS) are a selection of categories that serve as a minimal standard for the assessment of functioning and disability in a specific health condition. The ICF-CS for schizophrenia was created in 2015 based on four preliminary studies that intend to capture different perspectives.ObjectivesThe aim of this study is to describe the similarities (i.e. overlap) and discrepancies (i.e. unique contribution) between the clinical, patient and expert perspectives on the most relevant problems in functioning of individuals with schizophrenia, being focused on the European WHO region.MethodsForty-four experts from 14 European countries participated in an expert survey, patients with schizophrenia were involved in four focus groups, and health professionals assessed 127 patients in relation to daily life functioning. Information gathered from these three preliminary studies was linked to the ICF.ResultsData showed that although a considerable number of second-level ICF categories agreed on the three preparatory studies (n = 54, 27.7%), each perspective provided a unique set of ICF categories. Specifically, experts reported 65 unique ICF categories, patients 23 and health professionals 11.ConclusionsEven though there were similarities between perspectives, each one underlined different areas of functioning, showing the importance of including different perspectives in order to get a complete view of functioning and disability in individuals with schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals An Integrated Account of Expert Perspectives on Functioning in Schizophrenia

2021 ◽  
Vol 10 (18) ◽  
pp. 4223
Author(s):  
Laura Nuño ◽  
Georgina Guilera ◽  
Emilio Rojo ◽  
Juana Gómez-Benito ◽  
Maite Barrios
Keyword(s):  
Content Validity ◽  
Expert Consensus ◽  
International Classification Of Functioning ◽  
Interdisciplinary Care ◽  
Personal Factors ◽  
Disability And Health ◽  
Professional Perspectives ◽  
Core Sets ◽  
Delphi Studies

An integrated and interdisciplinary care system for individuals with schizophrenia is essential, which implies the need for a tool that assesses the difficulties and contextual factors of relevance to their functioning, and facilitates coordinated working across the different professions involved in their care. The International Classification of Functioning, Disability and Health Core Sets (ICF-CS) cover these requirements. This study aimed to evaluate the content validity of the ICF-CSs for schizophrenia from the perspective of experts. Six three-round Delphi studies were conducted with expert panels from different professional backgrounds which have played a significant role in the treatment of individuals with schizophrenia (psychiatry, psychology, nursing, occupational therapy, social work and physiotherapy). In total, 790 experts from 85 different countries participated in the first round. In total, 90 ICF categories and 28 Personal factors reached expert consensus (reached consensus from four or more professional perspectives). All the categories in the brief version of the ICF-CS for schizophrenia reached consensus from all the professional perspectives considered. As for the comprehensive version, 89.7% of its categories reached expert consensus. The results support the worldwide content validity of the ICF-CSs for schizophrenia from an expert perspective and underline the importance of assessing functioning by considering all the components implied.

Poster 386 Evaluating Personal Factors of Age and Gender within the International Classification of Functioning, Disability, and Health (ICF)

PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S287
Author(s):  
Elisabeth Fehrmann ◽  
Simone Kotulla ◽  
Thomas Kienbacher ◽  
Patrick Mair ◽  
Josef Kollmitzer ◽  
...  
Keyword(s):  
International Classification ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Disability And Health ◽  
Age And Gender ◽  
And Gender

scholarly journals Concepts of functioning and health important to people with systemic sclerosis: a qualitative study in four European countries

2011 ◽  
Vol 70 (6) ◽  
pp. 1074-1079 ◽  
Author(s):  
Tanja A Stamm ◽  
Malin Mattsson ◽  
Carina Mihai ◽  
Juliane Stöcker ◽  
Alexa Binder ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Hand Function ◽  
Health Condition ◽  
European Countries ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Focus Group Interviews ◽  
Team Care ◽  
Group Interviews

ObjectiveTo describe the experiences of people with systemic sclerosis (SSc) in different European countries of functioning and health and to link these experiences to the WHO International Classification of Functioning, Disability and Health (ICF) to develop a common understanding from a bio-psycho-social perspective.MethodA qualitative multicentre study with focus-group interviews was performed in four European countries: Austria, Romania, Sweden and Switzerland. The qualitative data analysis followed a modified form of ‘meaning condensation’ and the concepts that emerged in the analysis were linked to the ICF.Results63 people with SSc participated in 13 focus groups. In total, 86 concepts were identified. 32 (37%) of these were linked to the ICF component body functions and structures, 21 (24%) to activities and participation, 26 (30%) to environmental factors, 6 (7%) to personal factors and 1 (1%) to the health condition itself. 19 concepts (22%) were identified in all four countries and included impaired hand function, household activities, paid work, drugs, climate and coldness, support from others and experiences with healthcare institutions, non-pharmacological treatment, social security and benefits.ConclusionConcepts identified in all four countries could be used for guiding clinical assessment, as well as interdisciplinary team care and rheumatological rehabilitation for patients with SSc. For a full understanding of the aspects of the disease that were most relevant to people with SSc, people with SSc from multiple countries needed to be involved.

Physical activity participation among older adults with diabetes: Applying the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) Guidelines

2021 ◽  
pp. 1-15
Author(s):  
Chenchen Yang ◽  
Elias Mpofu ◽  
Xiaoli Li ◽  
Diana Dorstyn ◽  
Qiwei Li ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
International Classification ◽  
World Health ◽  
International Classification Of Functioning ◽  
Activity Participation ◽  
Personal Factors ◽  
Disability And Health ◽  
The World

Abstract Objective: Physical activity (PA) is a known benefit to older adults with diabetes; however, the determinants of PA are less well studied in this population. Applying the World Health Organization’s International Classification of Functioning, Disability and Health (ICF), a well-established biopsychosocial framework, we explored PA participation among older adult with type 2 diabetes. Method: Using data from the Health and Retirement Study and the RAND Center for the Study of Aging (N = 2,016; mean age = 73.19; SD = 6.16), we conducted hierarchical stepwise regression analysis to evaluate the relative contribution of different biopsychosocial predictors to PA – namely, body functions and structure, activity and participation, personal, and environmental factors. Results: Altogether, biopsychosocial factors accounted for 20% of the variance in PA participation. Of the personal factors, high extraversion and low neuroticism explained approximately 54% of the variance in PA among the older adults – beyond sociodemographics. Low body mass index, reduced pain, reduced depression, and higher cognitive functioning also had good explanatory power (25% of explained variance), whereas activity participation and environment did not (10% each). Conclusion: Aligning care with components of the ICF will help to ensure a focus on person-centric practices and, in turn, optimize participation outcomes such as PA.

CONTEMPORARY CONTEXTS OF THE MEANING OF THE TERM “DISABILITY” – IMPLICATIONS OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH (ICF)

2016 ◽  
Vol 4 (34) ◽  
pp. 15-31
Author(s):  
Stanisława Byra ◽  
Magdalena Boczkowska ◽  
Marlena Duda
Keyword(s):  
Medical Model ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Complex Nature ◽  
Disability And Health ◽  
The Social ◽  
Different Dimensions ◽  
The Individual

The article provides a theoretical analysis of the contemporary contexts of the meaning of the term “disability.” Starting with the original medical model, through the social and biopsychosocial model, it shows the concept development process. Reference is made to the International Classification of Impairments, Disabilities and Handicaps and its modified version - the International Classification of Functioning, Disability and Health. The article explains the concept of disability included in ICF and focuses mainly on the various contexts of its meaning. The analysis presented in the paper shows the complexity of the phenomenon of disability itself, different dimensions of disability experience, the role of personal and contextual factors, as well as the complex nature of relationships between the individual components of ICF: functioning, disability and health.

Sign in / Sign up

Export Citation Format

Share Document