Spirituality and the International Classification of Functioning,Disability and Health: content comparison of questionnaires measuring mindfulness based on the International Classification of Functioning

Purpose.?To identify and compare the concepts contained in questionnaires measuring mindfulness using the International Classification of Functioning (ICF) as external reference.

Method.?Questionnaires which are published in peer-reviewed journals and listed in Pubmed or PsycInfo were included. The questionnaires were analysed and, using a content-analytical approach, the respective items were categorised and linked to the ICF.

Results.?Ten questionnaires were included. Ninety-four per cent (N == 341) of the concepts could be linked to 37 different ICF categories. One hundred and seventy-one (50.1%%) concepts were linked to ICF categories of the component Body Function, 74 (21.7%%) to categories of the component Activity and Participation and none to categories of the component Environmental Factors. In total, 28.2%% of the linked concepts belonged to Personal factors, which are not yet classified in the ICF. The questionnaires exhibited considerable differences regarding content density (i.e. the average number of concepts per item) and content diversity (i.e. the number of ICF categories per concept).

Conclusions.?The ICF provides an useful external reference to identify and compare the concepts contained in mindfulness questionnaires. Also, mindfulness questionnaire concepts suggest potentially useful factors for classification within the ICF.     

The Environment in the International Classification of Functioning,Disability and Health

Background The World Health Organization has adopted two classifications relating to disability, one was published in 1980 and the more recent one in 2001. Although the international classification of functioning, disability and health (ICF) was drafted as a revision of the international classification of impairments, disabilities and handicaps (ICIDH), the ICF is based on major changes when compared with the ICIDH. One of them has to do with the environment. Method Quotations from the classification manuals and related articles are presented in order to make clear the scope of the environment in the ICF. Results The ICF has a universal application. The gap between capacity and performance reflects the barriers created by the environment. Conclusions In the ICF, universalism and barriers have specific meanings, reflecting specific policy choices.     

《国际功能、残疾和健康分类》管理信息平台的开发①

应用当代医学知识管理架构,通过知识管理和文献研究,采用分类标识语言(ClaML)技术,开发世界卫生组织核心国际医学分类标准《国际功能、残疾和健康分类》(ICF)管理信息平台。管理信息平台对ICF的结构、编码系统、全部分类内容和内在语义实现了标准化的电子表征和管理,并在此基础上实现了ICF分类编辑、分类修改、分类查询、分类视图、分类合理性检查等功能,以及分类导入、分类输出、分类发布等应用。研究成果可以用于ICF维护、多语种对照更新以及ICF应用平台建设等领域。     

《国际功能、残疾和健康分类》研究总论

世界卫生组织 (ＷＨＯ)根据当代世界各国卫生事业发展的状况 ,从 1996开始制定了新的残疾与健康分类体系———《国际功能、残疾和健康分类》(ＩｎｔｅｒｎａｔｉｏｎａｌＣｌａｓｓｉｆｉｃａｔｉｏｎｏｆＦｕｎｃｔｉｏｎｉｎｇ ,ＤｉｓａｂｉｌｉｔｙａｎｄＨｅａｌｔｈ ,简称ＩＣＦ)。在 2 0 0 1年 5月第 5 4届世界卫生大会上 ,各成员国通过了将《国际损伤、残疾和障碍分类》(第 2版 )改名为《国际功能、残疾和健康分类》的决议 ,并鼓励各成员国考虑其具体情况 ,在研究、监测和报告中应用ＩＣＦ。ＩＣＦ已经正式由ＷＨＯ颁布 ,在世界各…     

《国际功能、残疾和健康分类》的发展和应用进展

世界卫生组织（WHO）于2001年正式发布了《国际功能、残疾和健康分类》（International Classification of Functioning,Disability and Health,简称ICF）。该分类是WHO分类家族中的重要成员,是WHO提出的国际通用的在个体和人群水平上描述和测量健康的理论性框架结构。WHO在世界卫生组织第五十八届世界卫生大会有关残疾与康复的决议（WHO58．23）《残疾,包括预防、管理和康复》中,将ICF列为残疾与康复的重要标准性文件,ICF的研究、开发与应用将对新世纪的残疾和康复工作产生极其重要的影响。     

《国际功能、残疾和健康分类》对当代康复医学教育发展的影响

世界卫生组织 (WHO)经过近 10年的努力 ,组织全世界 6 5个国家的专家共同开发了应用于描述和说明功能、残疾和健康状态的分类系统《国际功能、残疾和健康分类》(InternationalClassificationofFunction ing ,DisabilityandHealth ,ICF) ,并由WHO第 5 4届世界卫生大会正式通过 ,开始在全球实施。ICF作为重要的有关健康与残疾的理论与方法系统 ,必将对康复医学教育产生重大的影响。ICF作为一种教育工具 ,也可以用于康复课程的设计以及康复教育评估等诸多康复教育领域 ,本研究将探讨ICF在当代康复医学教育中应用的几个理论与实践问题…     

Functioning of women in the postpartum period: an International Classification of Functioning,Disability and Health-based consensus of physical therapists

BackgroundPhysical therapists provide treatment for pain and other common complaints for women in the postpartum period, thereby contributing to the improvement of their functioning. However, before applying any interventions, physical therapists should assess their patients to identify the desired therapeutic goals. In this context, the International Classification of Functioning, Disability and Health (ICF) may be a useful tool for documenting functioning data and operationalizing collaborative goal setting.ObjectiveTo identify ICF categories and the respective domains that should be considered in the evaluation of women postpartum.MethodsA consensus-building, three-round e-mail survey was conducted using the Delphi method. The sample included Brazilian physical therapists with expertise in women’s health. Meaningful content was analyzed in accordance to the ICF linking rules. The kappa coefficient and content validity index (CVI) were calculated.ResultsThe panel consisted of 45 participants with a median age of 33 years and more than 10 years of experience in women’s health. A total of 1261 meaningful contents were identified from the responses in the first round. After consensus was achieved, a final list of 62 items was prepared, including 53 categories (11 were on structures; 15 on body functions; 12 on activities and participation; 15 on environmental factors) and nine personal factors (CVI = 0.89).ConclusionFrom the perception of physical therapists, an ICF-based postpartum assessment to describe functioning and disability must comprise 53 ICF categories and nine personal factors.     

国际功能、残疾和健康分类脑卒中核心功能组合在不同时期脑卒中患者中的应用

目的在脑卒中患者中应用ICF脑卒中核心功能组合,分析不同时期脑卒中住院患者的评估特点,为ICF脑卒中核心功能组合的临床使用提供依据。 方法根据入院先后顺序选取自愿参加本研究的50例脑卒中住院患者,病程<1个月的25例患者为急性期组,病程&rt;1个月的25例患者为亚急性和慢性期组,获取患者的一般资料,采用常用Glasgow评分、Rankin分级和Barthel指数对2组患者进行评定。应用ICF脑卒中核心功能组合对患者进行评估,各评估项目按照严重程度分级,用频数表表示,并对2组之间对应项目进行列联表2检验。应用SPSS 12.0版统计软件进行统计分析。 结果2组患者一般情况比较,大部分项目组间差异无统计学意义;2组患者Rankin分级和Barthel指数评定比较,差异有统计学意义（P<0.05）,急性期组功能状态比亚急性和慢性期组好。2组患者ICF脑卒中核心功能组合评估中个别项目,如意识、眼相邻结构功能、听、替代发声、辅助呼吸、温度调节、皮肤的保护功能等差异无统计学意义（P&rt;0.05）;亚急性和慢性期组关节活动功能、关节稳定功能、肌肉耐力功能和随意运动控制能力严重受损的人数明显多于急性期组（P<0.05）;环境因素中的绝大部分评估项目对2组患者都存在不同程度的影响。 结论ICF脑卒中的核心功能组合评估项目中的关节活动功能、关节稳定功能、肌肉耐力功能和随意运动控制能力能反映不同时期脑卒中患者的功能损伤特点。     

Using a multidisciplinary classification in nursing: the International Classification of Functioning Disability and Health

AIM: This paper reports a study to explore systematically the usefulness of the International Classification of Functioning, Disability and Health to nurses giving patient care. BACKGROUND: The International Classification of Functioning, Disability and Health has a history of more than 20 years. Although this World Health Organization classification offers multidisciplinary use, nurses are not familiar with it. METHODS: Applications of the International Classification for nursing practice were developed and evaluated in a multi-centre project, composed of a series of 10 projects in a variety of settings. These applications were a variety of tools, such as assessment forms, care plans and transfer forms. The study used information from 653 patients, 469 nurses and 178 others (International Classification experts; other professionals with whom nurses communicate or discuss patient data). FINDINGS: Large sections of the International Classification were used in the 10 projects, revealing a predominant focus on body functions (53% of all three-digit codes and corresponding terms used). Although large sections of the Classification were useful in practice applications, some items were identified that could be added, improved or described with more detail. Positive remarks made by nurses referred to the scope of the International Classification, which encouraged assessing beyond a patient's functional impairments. CONCLUSIONS: The International Classification of Functioning, Disability and Health can be a useful tool in classifying and communicating aspects of patient functioning by nurses. A level of moderate detail within the Classification (three-digit level) seems appropriate for most nursing purposes. Our results on items that could be added or improved can serve as input in future revisions of the Classification. Future use of the International Classification should be encouraged, because of its relevance to nursing and its potential for multidisciplinary use in patient care.     

Between the ideal and the real: Reconsidering the International Classification of Functioning,Disability and Health

Purpose.?The World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF) is a disability classification and framework that was endorsed in 2001. Despite its endorsement from WHO member states, some rehabilitation researchers have argued that the ICF has been used and requires further inquiry. The purpose of this article is to examine the ICF critically using a feminist theoretical perspective.

Method.?In this commentary, I apply a feminist perspective to identify some of the assumptions that limit the ICF and to illustrate how the principles of feminist science could enhance the ICF.

Results.?The analysis reveals that although the ICF is premised on the assumptions of biopsychosocial theory (BPS), there are aspects of the classification that contradict the tenets of BPS. Moreover, although the ICF is purported to represent a change in thinking about disability, the stated principles of rehabilitation medicine have the potential to limit the ICF in this regard.

Conclusion.?The ICF has the potential to be a powerful tool for changing the way that we think about disability and to improve the lives of individuals of all abilities. Bringing the ICF into closer alignment with BPS theory is an important step in moving the ICF forward.     

The International Classification of Functioning, Disability and Health (ICF) and nursing

Background.  Nursing conceptualizes disability from largely medical and individual perspectives that do not consider its social dimensions. Disabled people are critical of this paradigm and its impact on their health care.
Aim.  The aims of this paper are to review the International Classification of Functioning, Disability and Health (ICF), including its history and the theoretical models upon which it is based and to discuss its relevance as a conceptual framework for nursing.
Method.  The paper presents a critical overview of concepts of disability and their implications for nursing and argues that a broader view is necessary. It examines ICF and its relationship to changing paradigms of disability and presents some applications for nursing.
Conclusion.  The ICF, with its acknowledgement of the interaction between people and their environments in health and disability, is a useful conceptual framework for nursing education, practice and research. It has the potential to expand nurses' thinking and practice by increasing awareness of the social, political and cultural dimensions of disability.     

Between the ideal and the real: Reconsidering the International Classification of Functioning,Disability and Health

Abstract

Purpose. The World Health Organization’s (WHO) International Classification of Functioning, Disability and Health (ICF) is a disability classification and framework that was endorsed in 2001. Despite its endorsement from WHO member states, some rehabilitation researchers have argued that the ICF has been used and requires further inquiry. The purpose of this article is to examine the ICF critically using a feminist theoretical perspective.

Method. In this commentary, I apply a feminist perspective to identify some of die assumptions that limit the ICF and to illustrate how the principles of feminist science could enhance the ICF.

Results. The analysis reveals that although the ICF is premised on the assumptions of biopsychosocial theory (BPS), there are aspects of the classification that contradict the tenets of BPS. Moreover, although the ICF is purported to represent a change in thinking about disability, the stated principles of rehabilitation medicine have the potential to limit die ICF in this regard.

Conclusion. The ICF has the potential to be a powerful tool for changing the way that we think about disability and to improve the lives of individuals of all abilities. Bringing the ICF into closer alignment with BPS theory is an important step in moving the ICF forward.     

《国际功能、残疾和健康分类》应用指导(二)

7ICF分类系统活动和参与部分应用指导活动是由个体执行一项任务或行动。活动受限是个体在进行活动时可能遇到困难。参与是投入到一种生活情景中。参与局限性是个体投入到生活情景中可能经历到不便。7.1活动和参与部分分类体系　附图显示了活动和参与部分分类体系7.2活动和参与之间的结构关系　根据领域列表 ,就活动 (A)和参与 (P)之间的联系 ,ICF提出了四种结构关系 ,可以满足不同的需求[1] 。具体如下 :7.2 .1活动领域和参与领域是不同的集合 (无交叉 )　即将一部分类目的集合仅作为活动 (即个体所执行的任务或行动 )进行编码 ,而另一…     

A review of participation instruments based on the International Classification of Functioning,Disability and Health

Purpose. To identify and review instruments which assess participation as defined by the International Classification of Functioning, Disability and Health (ICF).

Methods. A systematic search of the literature was conducted. Data related to the content, administration, scoring, reliability, validity and responsiveness was abstracted.

Results. Eleven instruments met the inclusion criteria. Seven instruments include questions with content from Chapters 4 to 9 in the ICF activities and participation component. Four instruments exclude Chapter 5 (self-care). Most of the instruments assess subjective aspects of participation. Evidence on reliability was available for 10 instruments and the majority met the criteria for group level comparisons for internal consistency and reproducibility in the health conditions assessed. In terms of validity, dimensionality was assessed in eight instruments, with six using modern measurement methods. Participation instruments have been compared with various generic and/or disease-specific instruments, but they have not been compared with each other. Evidence on responsiveness was only available for four instruments.

Conclusions. There has been considerable interest in developing instruments to measure participation. To date, the World Health Organisation Disability Assessment Schedule II has undergone the most psychometric testing. Future research must continue to assess these instruments in persons with various health conditions to advance the conceptualisation and measurement of participation.     

《国际功能、残疾和健康分类》应用指导(一)

在第 5 4届世界卫生大会上 ,世界卫生组织 191个成员国一致签署协议 ,认可《国际残疾分类》第 2版(ＩＣＩＤＨ 2 ) ,题为《国际功能、残疾和健康分类》(Ｉｎｔｅｒｎａ ｔｉｏｎａｌＣｌａｓｓｉｆｉｃａｔｉｏｎｏｆＦｕｎｃｔｉｏｎｉｎｇ ,Ｄｉｓａｂｉｌｉｔｙ ,ａｎｄＨｅａｌｔｈ ,ＩＣＦ) ,中文简称为《国际功能分类》 ,并敦促会员国结合本国的具体情况并特别考虑到今后可能作出的修订 ,在研究、监测和报告中酌情使用ＩＣＦ。同时 ,要求总干事根据会员国提出的要求在使用ＩＣＦ方面向它们提供支持。它标志着经过多年由多国专家共同努…     

Applications of the International Classification of Functioning,Disability and Health in goal-setting practices in healthcare

Abstract

Purpose: While evidence exists to support the adoption of collaborative goal-setting in healthcare, some clinicians feel that it is not feasible. This article proposes that the development of a standardized collaborative goal-setting approach using the framework and classification system of the International Classification of Functioning, Disability and Health (ICF) could address these feasibility issues. It is the objective of this article to understand the extent to which the ICF has been integrated into current goal-setting literature in order to assess its potential use in a standardized collaborative goal-setting approach. Methods: A scoping review of the literature published in English since 2001 was conducted in EMBASE, Medline and CINAHL. Articles were included in this review if they integrated the ICF into goal-setting practices in any healthcare discipline. Results: Nineteen articles were included in this review. Analysis of these articles revealed that the ICF has been integrated into goal-setting practices. The benefits associated with this integration suggest that integrating the ICF into goal-setting practices can standardize collaborative goal-setting. Conclusion: Evidence from this scoping review supports the use of the ICF in healthcare goal-setting practices because it provides clinicians and patients with specific steps to follow when attempting to set goals collaboratively.

• Implications for Rehabilitation

• Collaborative goal-setting.

• Collaborative goal-setting involves patients working with their clinicians to develop health outcome goals together and is a fundamental component of patient-centered care.

• Some rehabilitation disciplines have yet to fully embrace collaborative goal-setting due to feasibility issues.

• This article proposes that the integration of the International Classification of Functioning, Disability and Health (ICF) into goal-setting practices could standardize collaborative goal-setting in a way that would address these feasibility issues.