Functioning assessment vs. conventional medical assessment: a comparative study on health professionals' clinical decision‐making and the fit with patient's own perspective of health

Stallinga, Hillegonda A.; Roodbol, Petrie F.; Annema, Coby; Jansen, Gerard; Wynia, Klaske

doi:10.1111/jocn.12266

Cited by 27 publications

(20 citation statements)

References 22 publications

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“…Furthermore, a biopsychosocial approach through use of ICF is recommended in the management of patients with LBP (Buchbinder, et al, 2018). Evidence shows that a biopsychosocial approach captures issues of importance to patients (Coenen et al, 2006;Kirchberger et al, 2009), and adds value in clinical practice compared with a conventional biomedical approach (Stallinga, Roodbol, Annema, Jansen, & Wynia, 2014). However, our study revealed that, even though we used the ICF Core Sets as a starting point, patients still have the need to address self-identified concerns.…”

Section: Individualitymentioning

confidence: 80%

“Keep it simple”: Perspectives of patients with low back pain on how to qualify a patient‐centred consultation using patient‐reported outcomes

Ibsen

Schiøttz‐Christensen

Maribo

et al. 2019

Musculoskeletal Care

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Background: Patient-reported outcomes are expected to play an important role in patient-centred health care. To capture patients' perspectives, patient involvement in the development of patient-reported outcome (PRO) instruments is essential, but often lacking. This qualitative study explored the perspectives of patients with low back pain, to gain an understanding of how to qualify a patient-centred consultation by using PROs. This was done by exploring patients' perspectives regarding the assessment of functioning and disability as part of the development of a new PRO instrument based on the International Classification of Functioning, Disability and Health Core Set. Methods: Semi-structured focus group interviews with seven patients with low back pain were conducted. Data were analysed by drawing on the Interpretive Description methodology.Results: The analysis revealed three core themes: simplicity, individuality and application. Simplicity represented keeping items to a minimum and avoiding overlaps; individuality implied the need for individualized answers; and application signified that PROs should be utilized during the consultation, and that they can provide useful information for clinical decision-making. Conclusions:The study provides essential knowledge about elements of importance to patients with low back pain when aiming for a patient-centred consultation using PROs. Furthermore, it underlines the importance of involving patients in PRO development because their perspectives improved the new PRO instrument.

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Section: Individualitymentioning

confidence: 80%

“Keep it simple”: Perspectives of patients with low back pain on how to qualify a patient‐centred consultation using patient‐reported outcomes

Ibsen

Schiøttz‐Christensen

Maribo

et al. 2019

Musculoskeletal Care

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“…There are studies, in other countries, that utilised the ICF to inform interprofessional practice in different health conditions, but these were mostly within academic rather than clinical settings (Skarakis-Doyle and Doyle, 2008;Cahill et al, 2013;Snyman et al, 2015). Furthermore, the majority of studies using ICF in interprofessional care were conducted in rehabilitation settings and in high income countries (Rainey, van Nispen, & van Rens, 2014;Stallinga et al, 2014;Wijayaratne, 2015). However, studies involving interprofessional training using ICF as a communicating framework in hospital settings in resource constrained environments are scarce.…”

Section: Discussionmentioning

confidence: 99%

“…The ICF presents a common and standardised language for the description of health and health-related states (WHO, 2002). The six interactive components of ICF are structured in two main parts (WHO, 2001;Jansen, & Wynia, 2014). Part one covers information related to body functioning and disability, while part two deals with contextual factors (WHO,2001;WHO, 2013).…”

mentioning

confidence: 99%

The Impact of a Training Programme Incorporating The Conceptual Framework Of The International Classification of Functioning (ICF) on Knowledge And Attitudes Regarding Interprofessional Practice in Rwandan Health Professionals: A Cluster Randomized Control Trial

Sagahutu

Kagwiza

Cilliers

et al. 2020

Preprint

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Background: The first step in improving interprofessional teamwork entails training health professionals (HP) to acknowledge the role and value the contribution of each member of the team.ICF has been developed by WHO to provide a common language to facilitate communication between HPs.Objective: To determine whether ICF training programme would result in improved knowledge and attitudes regarding interprofessional practice within Rwandan district hospitals.Design, setting and participants: A cluster randomised, single blinded, control trial design was used to select four district hospitals. Participants included physicians, social workers, Physiotherapists, nutritionists, clinical psychologists/mental health nurses. Intervention: Health professionals either received one day’s training in interprofessional practice (IPP) based on the ICF framework (experimental group) or a short talk on the topic (control group).Outcome measures: Validated questionnaires were used to explore changes in knowledge and attitudes. Ethical approval was obtained from the relevant authorities.Results: There were 103 participants in the experimental and 100 in the control group. There was no significant difference between Knowledge and Attitude scales at baseline. Post-intervention the experimental group (mean=41.3, SD=9.5) scored significantly higher on the knowledge scale than the control group (mean=17.7, SD=4.7 (t=22.5; p<.001)). The median scores on the Attitude Scale improved in the Experimental group from 77.8 to 91.1%, whereas the median scores of the control remained approximately 80% (Adjusted Z =10.72p<.001).Conclusion: The ICF proved to be a useful framework for structuring the training of all HPs in IPP and the training resulted in a significant improvement in knowledge and attitudes regarding IPP. As suggested by the HPs, more training and refresher courses were needed for sustainability and the training should be extended to other hospitals in Rwanda. It is thus recommended that the framework can be used in interprofessional education and practice in Rwanda and possibly in other similar countries.Name of the registry: Pan African Clinical Trial Registry Trial registration number: PACTR201604001185358 Date of registration: 22/04/2016URL of trial registry record: www.pactr.orgFunding: Republic of Rwanda through Rwanda Education Board

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Section: Introductionmentioning

confidence: 99%

“…The functional characteristics of the ICF as a terminology have been examined in multiple use cases [16][17][18][19][20]. Some countries have started initiatives using the ICF as a standard of reporting functioning in routine EHRs [18], and evidence suggests that ICF-based documentation adds value in clinical practice [20]. Furthermore, several studies provide evidence that the ICF adequately captures what matters to patients [16,17], and that the ICF is suitable to serve as a starting point for developing standardized record headings [19].…”

Section: Introductionmentioning

confidence: 99%

The International Classification of Functioning, Disability and Health (ICF) in Electronic Health Records

Maritz¹,

Aronsky²,

Prodinger³

2017

Appl Clin Inform

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Different approaches and technical solutions exist for integrating the ICF in EHRs, such as combining the ICF with other existing standards for EHR or selecting ICF codes with natural language processing. Though the use of the ICF in EHRs is beneficial as this review revealed, the ICF could profit from further improvements such as formalizing the knowledge representation in the ICF to support and enhance interoperability.Citation: Maritz R, Aronsky D, Prodinger B. The International Classification of Functioning, Disability and Health (ICF) in Electronic Health Records. Appl Clin Inform 2017; 8: 964-980 https://doi.org/10.4338/ACI-2017050078.

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Functioning assessment vs. conventional medical assessment: a comparative study on health professionals' clinical decision‐making and the fit with patient's own perspective of health

Abstract: This study has shown that some health problems remain unnoticed by a medical assessment alone, which is especially important for the chronically ill. A functioning assessment provides a strong foundation for identifying all relevant information related to health.

Cited by 27 publications

References 22 publications

“Keep it simple”: Perspectives of patients with low back pain on how to qualify a patient‐centred consultation using patient‐reported outcomes

“Keep it simple”: Perspectives of patients with low back pain on how to qualify a patient‐centred consultation using patient‐reported outcomes

The Impact of a Training Programme Incorporating The Conceptual Framework Of The International Classification of Functioning (ICF) on Knowledge And Attitudes Regarding Interprofessional Practice in Rwandan Health Professionals: A Cluster Randomized Control Trial

The International Classification of Functioning, Disability and Health (ICF) in Electronic Health Records

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