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Toward the International Classification of Functioning, Disability and Health (ICF) Rehabilitation Set: A Minimal Generic Set of Domains for Rehabilitation as a Health Strategy

  • Birgit Prodinger
    Correspondence
    Corresponding author Birgit Prodinger, PhD, Swiss Paraplegic Research, Guido A. Zäch Street 4, 6207 Nottwil, Switzerland.
    Affiliations
    Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland

    ICF Research Branch, a cooperation partner within the World Health Organization Collaborating Centre for the Family of International Classifications in Germany (at Deutsches Institu für Medizinische Dokumentation und Information), Nottwil, Switzerland

    Swiss Paraplegic Research, Nottwil, Switzerland
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  • Alarcos Cieza
    Affiliations
    Swiss Paraplegic Research, Nottwil, Switzerland

    Faculty of Social and Human Sciences, School of Psychology, University of Southampton, Highfield Campus, Southampton, United Kingdom

    Department of Medical Informatics, Biometry and Epidemiology (IBE), Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig Maximilian University of Munich, Munich, Germany
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  • Cornelia Oberhauser
    Affiliations
    Department of Medical Informatics, Biometry and Epidemiology (IBE), Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig Maximilian University of Munich, Munich, Germany
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  • Jerome Bickenbach
    Affiliations
    Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland

    ICF Research Branch, a cooperation partner within the World Health Organization Collaborating Centre for the Family of International Classifications in Germany (at Deutsches Institu für Medizinische Dokumentation und Information), Nottwil, Switzerland

    Swiss Paraplegic Research, Nottwil, Switzerland
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  • Tevfik Bedirhan Üstün
    Affiliations
    Classification, Standards and Terminology, World Health Organization, Geneva, Switzerland
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  • Somnath Chatterji
    Affiliations
    Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland
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  • Gerold Stucki
    Affiliations
    Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland

    ICF Research Branch, a cooperation partner within the World Health Organization Collaborating Centre for the Family of International Classifications in Germany (at Deutsches Institu für Medizinische Dokumentation und Information), Nottwil, Switzerland

    Swiss Paraplegic Research, Nottwil, Switzerland
    Search for articles by this author
Published:January 28, 2016DOI:https://doi.org/10.1016/j.apmr.2015.12.030

      Abstract

      Objective

      To develop a comprehensive set of the International Classification of Functioning, Disability and Health (ICF) categories as a minimal standard for reporting and assessing functioning and disability in clinical populations along the continuum of care. The specific aims were to specify the domains of functioning recommended for an ICF Rehabilitation Set and to identify a minimal set of environmental factors (EFs) to be used alongside the ICF Rehabilitation Set when describing disability across individuals and populations with various health conditions.

      Design

      Secondary analysis of existing data sets using regression methods (Random Forests and Group Lasso regression) and expert consultations.

      Setting

      Along the continuum of care, including acute, early postacute, and long-term and community rehabilitation settings.

      Participants

      Persons (N=9863) with various health conditions participated in primary studies. The number of respondents for whom the dependent variable data were available and used in this analysis was 9264.

      Interventions

      Not applicable.

      Main Outcome Measures

      For regression analyses, self-reported general health was used as a dependent variable. The ICF categories from the functioning component and the EF component were used as independent variables for the development of the ICF Rehabilitation Set and the minimal set of EFs, respectively.

      Results

      Thirty ICF categories to be complemented with 12 EFs were identified as relevant to the identified ICF sets. The ICF Rehabilitation Set constitutes of 9 ICF categories from the component body functions and 21 from the component activities and participation. The minimal set of EFs contains 12 categories spanning all chapters of the EF component of the ICF.

      Conclusions

      The identified sets proposed serve as minimal generic sets of aspects of functioning in clinical populations for reporting data within and across heath conditions, time, clinical settings including rehabilitation, and countries. These sets present a reference framework for harmonizing existing information on disability across general and clinical populations.

      Keywords

      List of abbreviations:

      EF (environmental factor), ICF (International Classification of Functioning, Disability and Health), MDS (Model Disability Survey), WHO (World Health Organization)
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