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)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 28, 2016
Footnotes
Disclosures: none.
Identification
Copyright
© 2016 by the American Congress of Rehabilitation Medicine
