Factors Associated With Quality of Life Among People With Spinal Cord Injury: Application of the International Classification of Functioning, Disability and Health Model

Chang, Feng Hang; Wang, Yen Ho; Jang, Yuh; Wang, Chih Wen

doi:10.1016/j.apmr.2012.06.008

Cited by 63 publications

(52 citation statements)

References 36 publications

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“…Possible explanations of the education not being a predictor in our study could be related to characteristics of the composite outcome measure and that education level is typically relatively homogeneous in Norway. Although earlier studies have reported that married people with a disability have fewer problems (70) and longer life expectancy (71) compared to their unattached counterparts, marital status was not predictive of outcome in this study.…”

Section: Discussioncontrasting

confidence: 92%

Predicting Outcome 12 Months after Mild Traumatic Brain Injury in Patients Admitted to a Neurosurgery Service

et al. 2017

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ObjectiveAccurate outcome prediction models for patients with mild traumatic brain injury (MTBI) are key for prognostic assessment and clinical decision-making. Using multivariate machine learning, we tested the unique and added predictive value of (1) magnetic resonance imaging (MRI)-based brain morphometric and volumetric characterization at 4-week postinjury and (2) demographic, preinjury, injury-related, and postinjury variables on 12-month outcomes, including global functioning level, postconcussion symptoms, and mental health in patients with MTBI.MethodsA prospective, cohort study of patients (n = 147) aged 16–65 years with a 12-month follow-up. T1-weighted 3 T MRI data were processed in FreeSurfer, yielding accurate cortical reconstructions for surface-based analyses of cortical thickness, area, and volume, and brain segmentation for subcortical and global brain volumes. The 12-month outcome was defined as a composite score using a principal component analysis including the Glasgow Outcome Scale Extended, Rivermead Postconcussion Questionnaire, and Patient Health Questionnaire-9. Using leave-one-out cross-validation and permutation testing, we tested and compared three prediction models: (1) MRI model, (2) clinical model, and (3) MRI and clinical combined.ResultsWe found a strong correlation between observed and predicted outcomes for the clinical model (r = 0.55, p < 0.001). The MRI model performed at the chance level (r = 0.03, p = 0.80) and the combined model (r = 0.45, p < 0.002) were slightly weaker than the clinical model. Univariate correlation analyses revealed the strongest association with outcome for postinjury factors of posttraumatic stress (Posttraumatic Symptom Scale-10, r = 0.61), psychological distress (Hospital Anxiety and Depression Scale, r = 0.52), and widespread pain (r = 0.43) assessed at 8 weeks.ConclusionWe found no added predictive value of MRI-based measures of brain cortical morphometry and subcortical volumes over and above demographic and clinical features.

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Section: Discussioncontrasting

confidence: 92%

Predicting Outcome 12 Months after Mild Traumatic Brain Injury in Patients Admitted to a Neurosurgery Service

et al. 2017

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“…Only two papers published in 2012 met the inclusion criteria, although we identified 155 studies published in 2012 which used the ICF to study chronic conditions. The focus of these studies were to link outcome measures to the ICF [69], to develop [70] or validate ICF core sets [40] or to develop assessment tools based on the ICF [71][72][73], while some of the studies used the ICF-CY with children [74,75] (Figure 3). …”

Section: Year Of Publicationmentioning

confidence: 99%

The use of the International Classification of Functioning, Disability and Health to understand the health and functioning experiences of people with chronic conditions from the person perspective: a systematic review

Alford

Ewen

Webb

et al. 2014

Disability and Rehabilitation

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The ICF encourages a bio-psycho-social and person-centred approach to healthcare and may provide a useful tool for guiding clinical assessment and encouraging clinicians to consider the multitude of factors which impact health, which may result in more specific and individualised treatment targeted at individual needs. Using a common framework that can be understood across health disciplines may enhance interdisciplinary communication and collaboration, improving health care delivery. The ICF may be used to compare perspectives of individuals and their health professionals and to identify people's needs that are not adequately being addressed, which may have significant implications for improving healthcare provided and overall health outcomes.

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“…1 The level of lesion and the degree of neurological completeness/incompleteness influence the physical ability following a spinal lesion, but quality of life in spinal cord injury (SCI) is largely determined by activity and participation issues, such as personal care, community transportation and stable relationships. 2 The ability to describe, classify and code information and measurements on such a broad range of health issues requires a common framework and language. The Word Health Organisation endorsed the International Classification of Functioning, Disability and Health (ICF) as a member of the family of international classifications and was designed to provide such a framework; it aimed to 'establish a common language for describing health-related states in order to improve communication ' (p3).…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation goals of people with spinal cord injuries can be classified against the International Classification of Functioning, Disability and Health Core Set for spinal cord injuries

et al. 2015

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Study design: Cross-sectional study. Objectives: To establish whether inter-professional rehabilitation goals from people with non-traumatic spinal cord injury (SCI) can be classified against the International Classification of Functioning, Disability and Health (ICF) SCI Comprehensive and Brief Core Sets early postacute situation. Setting: Neurological rehabilitation unit. Methods: Rehabilitation goals of 119 patients with mainly incomplete and non-traumatic SCIs were classified against the ICF SCI Core Sets following established linking rules. Results: A total of 119 patients generated 1509 goals with a mean (and s.d.) of 10.5 (9.1) goals per patient during the course of their inpatient rehabilitation stay. Classifying the 1509 rehabilitation goals against the Comprehensive ICF Core Set generated 2909 ICF codes. Only 69 goals (4.6%) were classified as 'not definable (ND)'. Classifying the 1509 goals against the Brief ICF Core Set generated 2076 ICF codes. However, 751(49.8%) of these goals were classified as 'ND'. In the majority of goals (95.7%), the ICF code description was not comprehensive enough to fully express the goals set in rehabilitation. In particular, the notion of quality of movement or specificity and measurability aspects of a goal (usually described with the criteria and acronyms SMART) could not be expressed through the ICF codes. Conclusion: Inter-professional rehabilitation goals can be broadly described by the ICF Comprehensive Core Set for SCI but not the Brief Core Set. Spinal Cord (2016) 54, 324-328; doi:10.1038/sc.2015.155; published online 8 September 2015 INTRODUCTIONSpinal cord injuries may have profound effects on the physical functioning of an individual and cause activity limitations and participation restrictions. 1 The level of lesion and the degree of neurological completeness/incompleteness influence the physical ability following a spinal lesion, but quality of life in spinal cord injury (SCI) is largely determined by activity and participation issues, such as personal care, community transportation and stable relationships. 2 The ability to describe, classify and code information and measurements on such a broad range of health issues requires a common framework and language. The Word Health Organisation endorsed the International Classification of Functioning, Disability and Health (ICF) as a member of the family of international classifications and was designed to provide such a framework; it aimed to 'establish a common language for describing health-related states in order to improve communication ' (p3). 3 The ICF understands human functioning to be the result of complex interactions between health conditions and environmental and personal factors.

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Factors Associated With Quality of Life Among People With Spinal Cord Injury: Application of the International Classification of Functioning, Disability and Health Model

Cited by 63 publications

References 36 publications

Predicting Outcome 12 Months after Mild Traumatic Brain Injury in Patients Admitted to a Neurosurgery Service

Predicting Outcome 12 Months after Mild Traumatic Brain Injury in Patients Admitted to a Neurosurgery Service

The use of the International Classification of Functioning, Disability and Health to understand the health and functioning experiences of people with chronic conditions from the person perspective: a systematic review

Rehabilitation goals of people with spinal cord injuries can be classified against the International Classification of Functioning, Disability and Health Core Set for spinal cord injuries

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