“…The revised International Classification of Functioning, Disability, and Health (ICF) shifts thinking from a biomedical model to a biopsychosocial model, that includes consideration of the body functions and structure, activity, participation, the environmental and personal factors [43]. Application of this model in research and practice encourages a focus on the family, functional use of skills and the child's participation in real world contexts [44,45]. Definition and measurement of the family environment in pediatric rehabilitation [46] and the personal factors component of the ICF has been a challenge [47].…”