Article

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS