Article

Rehabilitation services are increasingly targeting involvement in
daily life. In the International Classification of Functioning, Disability and
Health this is referred to as "participation". How-ever, questions have arisen
regarding the conceptualization of participation, and consensus is lacking.
METHODS: The first phase of this study is a critical review of the literature to
detect recurring conceptual problems in the application of participation and how
researchers deal with these.
The second phase is a systematic review to identify
how participation measures are operationalized. RESULTS: The critical review
found possible solutions to 4 recurring key limitations: (i) how to deal with
ambiguity and vagueness regarding the term "participation"; (ii) how to
differentiate between activity and participation; (iii) what is the current
empirical knowledge about the subjective aspects of participation; (iv) what are
the different ways to measure participation. The systematic review found 18
instruments operationalizing participation in different ways: (i) unidimensional:
frequency of performing activities; (ii) unidimensional: limitations in
experiencing participation when performing activities; (iii) multidimensional:
multiple subjective dimensions when performing activities; and (iv)
multidimensional: objective and subjective dimensions. CONCLUSION:
Notwithstanding an increasing body of knowledge, some issues remain unclear and
how participation is measured is subject to debate. This results in difficulties
in the use of participation in clinical practice. However, insight into the
current body of knowledge and awareness of shortcomings might help clinicians who
aim to apply participation in practice.
- OMS - ICF

Langue : ANGLAIS