scholarly journals Contextualizing the impact of snakebite envenoming on patients: A qualitative content analysis of Patient-Specific Functional Scale activities using the International Classification of Functioning, Disability and Health

2021 ◽  
Author(s):  
Joao Ricardo Nickenig Vissoci
Keyword(s):  
Treatment Approach ◽  
Qualitative Content Analysis ◽  
International Classification Of Functioning ◽  
Patient Specific ◽  
Patient Centered ◽  
Functional Scale ◽  
Daily Lives ◽  
Icf Model ◽  
The Impact

Abstract: without Background and including Keywords: 251/275 wordsBackground: There are no disease specific theoretical models describing dysfunction in Snakebite Envenoming (SBE). The International Classification of Functioning, Disability, and Health (ICF) created by the WHO provides a conceptual basis for defining all aspects of functioning and disability within the biopsychosocial model. The Patient-Specific Functional Scale (PSFS) is a patient-centered and patient-reported outcome that assesses activities chosen by the patient as limiting and important. Objective: In this study, we analyze the PSFS activities in SBE and apply it to the existing ICF model in order to describe the impact of SBE in patients’ activities and daily lives’ that goes beyond the description of the physiological effects and to develop a theoretical SBE model of functioning. Design: This study performed a post-hoc analysis of two multi-center, prospective studies, conducted at 14 clinical sites across the southeastern United States. Participants: Patients undergoing treatment for mild, moderate and severe SBE.Main outcome measures: Activities listed in the PSFS were used for a combination of qualitative content analysis and Natural Language Processing to categorize responses using the ICF model.Results: Our sample included 86 patients. The mean age was 43.0 (SD 17.6) years, most had lower extremity injuries (62%). A total of 99 unique activities were chosen by patients when completing the PSFS, representing eight of the nine domains within the Activity and Participation component of the ICF model, with the majority in the Mobility and General Tasks and Demands domains.Conclusion: The main concerns of SBE patients are related to the ability to perform regular daily activities and to engage within their social environment, having a multifaceted impact in a variety of areas in their daily lives. Applying the ICF model to SBE can facilitate the creation of a patient centered treatment approach, moving beyond body-structural impairments towards a function-based treatment approach and facilitate early integration of rehabilitation services. Keywords: Snakebite envenoming, snake bite, PSFS, ICF, Function, Disability

scholarly journals Contextualizing the Impact of Snakebite Envenoming on Patients: A Qualitative Content Analysis of Patient-Specific Functional Scale Activities Using the International Classification of Functioning, Disability and Health

2021 ◽  
Vol 18 (18) ◽  
pp. 9608
Author(s):  
Anna Tupetz ◽  
Ashley J. Phillips ◽  
Patrick E. Kelly ◽  
Loren K. Barcenas ◽  
Eric J. Lavonas ◽  
...  
Keyword(s):  
Content Analysis ◽  
Treatment Approach ◽  
Qualitative Content Analysis ◽  
The United States ◽  
International Classification ◽  
Patient Specific ◽  
Functional Scale ◽  
Icf Model ◽  
The Impact

To categorize the Patient-specific Functional Scale (PSFS) activities in snakebite envenoming (SBE) using the International Classification of Function (ICF) model in order to describe the impact of SBE on patients’ activities and daily lives and to develop a theoretical SBE model of functioning, we performed a post-hoc analysis of two multi-center, prospective studies, conducted at 14 clinical sites in the United States with consecutive SBE patients presenting to the emergency department. Qualitative content analysis and natural language processing were used to categorize activities reported in the PSFS using the ICF model. Our sample included 93 patients. The mean age was 43.0 (SD 17.9) years, most had lower extremity injuries (59%). A total of 99 unique activities representing eight domains came within the Activity and Participation component of the ICF model, with the majority in the Mobility and General Tasks and Demands domains. The main concerns of SBE patients are the ability to perform daily activities and to engage within their social environment. Applying the ICF model to SBE can facilitate the creation of a patient-centered treatment approach, moving beyond body-structural impairments towards a function-based treatment approach and facilitate early integration of rehabilitation services.

scholarly journals Mapping Patient-Specific Functional Scale (PSFS) Items to the International Classification of Functioning, Disability and Health (ICF)

2012 ◽  
Vol 92 (2) ◽  
pp. 310-317 ◽  
Author(s):  
Kate Fairbairn ◽  
Kate May ◽  
Yvonne Yang ◽  
Sharan Balasundar ◽  
Cheryl Hefford ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Clinical Outcome ◽  
Outcome Measures ◽  
International Classification Of Functioning ◽  
Patient Specific ◽  
Disability And Health ◽  
Functional Scale ◽  
Activity Component ◽  
Subgroup Analyses

Background The International Classification of Functioning, Disability and Health (ICF) provides a common framework for clinical outcome measurement. Because the Patient-Specific Functional Scale (PSFS) is widely used for documenting change over time in individual patients receiving musculoskeletal physical therapy, investigation of the extent to which PSFS items reflect the ICF is needed. Objective The study objective was to investigate the extent to which patient-generated PSFS items reflect ICF domains. Design This investigation was an observational content validity study. Methods A total of 2,911 PSFS items from 1,050 files for patients with musculoskeletal disorders were analyzed. The data were from a random sample of participants in the Otago Outcome Measures Project at 4 clinics of the School of Physiotherapy, University of Otago, situated in 3 New Zealand cities. Patient-nominated PSFS items were categorized and mapped with thematic analysis techniques to ICF components, chapters, and categories. Subgroup analyses were conducted for body region of injury and age ranges. Results All (100%) of the analyzed items could be mapped to the ICF. Most patient-nominated items mapped to the activity component (80.0%), some items mapped to the participation component (7.7%), other items were related to impairment (7.4%), and the fourth group contained items that overlapped the activity and participation components (4.9%). Similar results were found for each of the 5 body regions and across age ranges in subgroup analyses. Limitations These results are limited to individual patients seeking musculoskeletal physical therapy. Patient-generated PSFS items were investigated. Conclusions The ICF activity component was most commonly represented by patient-nominated PSFS items, the participation component was moderately represented, and impairment was least represented. Hence, the PSFS would complement impairment-based clinical outcome measures.

Athletic Trainers’ Viewpoints of Patient-Centered Care

2021 ◽  
Author(s):  
Carly J. Wilson ◽  
Lindsey E. Eberman ◽  
Ansley S. Redinger ◽  
Elizabeth R. Neil ◽  
Zachary K. Winkelmann
Keyword(s):  
Athletic Training ◽  
Task Force ◽  
Athletic Trainers ◽  
Core Competency ◽  
Principal Component ◽  
Patient Centered Care ◽  
International Classification Of Functioning ◽  
Patient Centered ◽  
Centered Care ◽  
Icf Model

Abstract Background The core competency of patient-centered care (PCC) states that for positive patient outcomes, the provider must respect the patient’s views and recognize their experiences. The Athletic Training Strategic Alliance Research Agenda Task Force identified a profession-wide belief that examining the extent to which athletic trainers (ATs) provide PCC in their clinical practice would benefit the profession. To first address this line of inquiry, we must study the subjectivity of how ATs view PCC. Methods We used Q methodology to allow participants to share their viewpoints while simultaneously exploring the study aim from a quantitative and qualitative perspective. A total of 115 (males = 62, females = 53, age = 37 ± 10 y, experience = 13 ± 10 y) ATs dispersed between 11 job settings volunteered for this study. Participants were asked to pre-sort (agree, disagree, neutral) 36 validated statements representing the 8 dimensions of PCC. The participants completed a Q-sort where they dragged-and-dropped the pre-sorted statements based on perceived importance in providing PCC. The Q-sorts were analyzed using QMethod software. A principal component analysis was used to identify statement rankings and factors. Factors were determined by an Eigenvalue > 1 and analyzed using a scree plot. The 6 highest selected statements per factor were assessed to create the distinguishing viewpoints. Results Two distinguishing viewpoints emerged from the Q-sorts. The statement “ATs treat patients with dignity and respect” appeared as a high ranked statement in both distinguishing viewpoints. The lowest ranked statement from viewpoint 1 was “ATs integrate the International Classification of Functioning, Disability, and Health (ICF) model as a framework for delivery of patient care.” The lowest ranked statement from viewpoint 2 was “Appointment scheduling is easy.” Conclusions ATs value patient’s preferences. However, a lack of importance was identified for incorporating the ICF model, which is a core competency and adopted framework by the NATA since 2015.

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 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
Keyword(s):  
Patient Experience ◽  
Health Professionals ◽  
Group Analysis ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Body Structure ◽  
Disability And Health ◽  
Foot Problems ◽  
The Impact

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.

Can the International Classification of Functioning, Disability and Health (ICF) be used in a prosthetics and orthotics outpatient clinic?

2011 ◽  
Vol 35 (3) ◽  
pp. 302-309 ◽  
Author(s):  
Helena Burger
Keyword(s):  
Clinical Practice ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Prospective Clinical Study ◽  
Disability And Health ◽  
Medical Problems ◽  
Additional Information ◽  
Human Functioning ◽  
The Impact

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.

Using the International Classification of Functioning to Conceptualize Quality of Life Among Rehabilitation Services Recipients

2014 ◽  
Vol 28 (1) ◽  
pp. 2-23 ◽  
Author(s):  
Allison R. Fleming ◽  
Michael J. Leahy
Keyword(s):  
Quality Of Life ◽  
Social Impact ◽  
Health Condition ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Her Family ◽  
Relational Support ◽  
The Impact

Researchers and policy makers have proposed that quality of life (QOL) is an important and useful way to measure the impact of services, although practical application of QOL in rehabilitation has been limited. In this study, a comprehensive framework (the International Classification of Functioning [ICF]) is used to compare the relationship between QOL and function in key life areas in a sample of adults with disabilities receiving vocational services (n = 224). Results of a multiple regression analysis indicated that level of education, duration of disability, difficulty with social relationships and inclusion, the impact of the disability or health condition on the person or his or her family, and relational support and attitudes of family, friends, and acquaintances showed significant relationships with QOL. This study highlights the role of the social impact of disability on QOL and provides support for the use of the ICF for conceptualizing disability and its impact in a way that is inclusive of personal and environmental factors.

scholarly journals Classification and Intellectual Disabilities: An Investigation of the Factors That Predict the Performance of Athletes With Intellectual Disability

2018 ◽  
Vol 12 (3) ◽  
pp. 285-301
Author(s):  
Rosanna Gilderthorp ◽  
Jan Burns ◽  
Fergal Jones
Keyword(s):  
Down Syndrome ◽  
Intellectual Disabilities ◽  
Athletic Performance ◽  
Classification Systems ◽  
International Classification Of Functioning ◽  
The Impact ◽  
The Relationship ◽  
Multiple Health ◽  
Sporting Performance

It has been shown that having intellectual disabilities impacts to reduce performance compared to athletes without this impairment. However, it has also been demonstrated that there is a not a direct link between intelligence and athletic performance. To advance elite ID sport more needs to be understood about the relationship between this impairment and sporting performance. This is vital if competition classification systems are to be based on theory and evidence. This study used the International Classification of Functioning, Disability and Health (ICF) as an approach to classification and examined the impact of multiple health problems on athletic performance. A health survey was administered to two groups of athletes with ID: elite and regional level athletes. Athletes with Down Syndrome were also identified. Overall disability scores predicted sporting performance, but not IQ or Down Syndrome. The implications of these findings are discussed with reference to the ICF framework and classification.

scholarly journals TYPES OF READINESS OF SPECIALISTS IN PHYSICAL THERAPY AND OCCUPATIONAL THERAPY FOR THE USE OF HEALTH-PRESERVING TECHNOLOGIES IN THEIR PROFESSIONAL ACTIVITY

2020 ◽  
pp. 98-109
Author(s):  
Anhelina Korobchenko
Keyword(s):  
Physical Therapy ◽  
Occupational Therapy ◽  
Well Being ◽  
The Body ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Professional Activity ◽  
Professional Activities ◽  
The Impact

The article considers the types of readiness of specialists in physical therapy and occupational therapy to use health-preserving technologies in professional activities, which are determined by: scientific knowledge about the nature, patterns, features, principles, purpose, objectives and content of work to restore public health and implement such technologies. The main indicator of the effectiveness of specialist training is the psychological, pedagogical, professional, practical, social, personal and physical readiness of a specialist in physical therapy and occupational therapy to work to restore the health of the socio-component of our society. It is shown that the main property of a specialist in physical therapy and occupational therapy is a generalized ability to think pedagogically, which implies that the teacher has analytical, prognostic, design and reflexive skills. Features of both practical and professional readiness of the specialist are external (subject) skills, which include organizational and communication skills. The main types of readiness (professional, personal, psychological, physical, social, pedagogical and practical) of specialists in physical therapy and occupational therapy to use health technology in professional activities are described; the peculiarities of use in working with patients when compiling rehabilitation programs based on the International Classification are indicated. functioning, limitation of life and health, which aims to define a unified and standardized language and schemes for describing health and health-related conditions, which introduces the definition of the components of health and some related to health, components of well-being (in particular, such as education and work). This classification has moved away from the classification of "disease consequences" and has become a classification of "health components". The components of health determine the components of health, while the "consequences" focus on the impact of disease or other health conditions on the end result. The international classification of functioning, limitation of life and health is not nosologically oriented, but takes into account changes in health without regard to the facts, at the time of the examination. This classification is focused not only on the severity of the consequences of diseases, it for the first time emphasizes the adaptive and compensatory capabilities of the body, the importance of maximum involvement of people with special educational needs in public life, which deal with physical therapists and occupational therapists activities.

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