Measuring Participation as Defined by the International Classification of Functioning, Disability and Health: An Evaluation of Existing Measures |
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Authors: | Linda Resnik Matthew A. Plow |
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Affiliation: | a Providence VA Medical Center, Providence, RI b Department of Community Health, Brown University, Providence, RI c Dept of Occupational Therapy, University of Illinois at Chicago, Chicago, IL |
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Abstract: | Resnik L, Plow M. Measuring participation as defined by the International Classification of Functioning, Disability and Health: an evaluation of existing measures.ObjectivesThe content and theoretic underpinning of measures designed to assess participation, disability, and handicap vary widely, and few authors have attempted to compare the content of existing measures. The objectives of this study were to use the International Classification of Functioning, Disability and Health (ICF) taxonomy to (1) evaluate the participation content of measures and (2) identify the most comprehensive measures.DesignWe searched PubMed, Cumulated Index of Nursing and Allied Health Literature, and Health and Psychosocial Instruments databases to identify appropriate measures. Content analysis was conducted by classifying participation-related items of each measure into 1 or more of the 9 activities and participation chapters of the ICF taxonomy.SettingNot applicable.ParticipantsWe evaluated 40 generic and condition-specific self-report measures that met study inclusion criteria.InterventionsNot applicable.Main Outcome MeasuresThe most comprehensive measures were identified and coded by using second- and third-level ICF codes.ResultsFive measures containing participation items linked to all 9 chapters were the Community Living Skills Scale, the Assessment of Life Habits, Mayo-Portland Adaptability Inventory, the participation measure for postacute care, and the Psychosocial Adjustment to Illness Scale. The breadth and coverage of these 5 measures were compared.ConclusionsWe identified 5 measures that had items that were linkable to all 9 chapters of activities and participation; however, these measures differed in specifics of coverage and the approach to assessing participation. These findings can be used by clinicians and researchers to select the most comprehensive participation outcome measure for their populations. |
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Keywords: | Disability evaluation Outcomes assessment (health care) Questionnaires Rehabilitation |
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