ICF Core Set for patients with neurological conditions in early post-acute rehabilitation facilities

Stier-Jarmer, Marita; Grill, Eva; Ewert, Thomas; Bartholomeyczik, Sabine; Finger, Monka; Mokrusch, T.; Kostanjsek, Nenad; Stucki, Gerold

doi:10.1080/09638280400014022

Cited by 78 publications

(47 citation statements)

References 23 publications

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“…Since the publication of the ICF, research on the measurement and treatment of social and occupational consequences of illnesses has increased [14][15][16] . The severity of illness is no longer defined only by symptoms, but also by the severity of consequences.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Work-Related Attitudes, Performance and Capacities according to the ICF in Patients with Mental Disorders

2010

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Background: The International Classification of Functioning Disability and Health (ICF) differentiates between functions, activities/capacities, contextual factors and participation. Dysfunctions can result in impaired capacities, which in turn can lead to problems with participation depending on the context. Motivational and volitional deficits are intervening factors. The question is to what degree work performance (i.e. participation), motivational factors, and the inability to perform activities (i.e. dysfunctions) interact. Method: Incapacities were measured in 213 patients (70% women) admitted to the Department of Behavioral Medicine using the Mini-ICF-Rating for Mental Disorders (Mini-ICF-APP), work performance was measured with the Endicott Work Productivity Scale (EWPS), and volitional and motivational problems in regard to work were assessed with the Arbeitsbezogenes Verhaltens- und Erlebensmuster (AVEM). Sick leave prior to admission and work-related problems were assessed in a special clinical interview. Results: The mean global score of the Mini-ICF-APP across all patients was 0.84 ± 0.56 (SD), corresponding to ‘mild disability’. The highest disabilities in this patient population were found for ‘flexibility’ (item 3, 1.64 ± 0.94); the lowest disabilities were found for ‘self maintenance’ (item 11, 0.19 ± 0.44) and ‘mobility’ (item 12, 0.43 ± 0.85). Partial correlations between the Mini-ICF-APP, AVEM and EWPS showed highly significant correlations between the Mini-ICF-APP and EWPS and no or weak correlations between the AVEM and the Mini-ICF-APP or EWPS. Conclusion: Work performance is primarily related to the inability to perform activities and incapacities, and only due to attitudes or volitional/motivational factors to a much lesser degree. Therefore, capacity and motivation can and must be separated.

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Section: Discussionmentioning

confidence: 99%

Relationship between Work-Related Attitudes, Performance and Capacities according to the ICF in Patients with Mental Disorders

2010

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“…In the extended version, the comprehensive ICF core set for stroke was amended with categories from the core set for patients with neurological conditions in the acute hospital and in early postacute rehabilitation facilities [17,30]. Thus, the core set can be said to be applicable not only in the chronic but also in the early post-stroke phases.…”

Section: Variables and Instrumentsmentioning

confidence: 99%

Functioning of stroke survivors – A validation of the ICF core set for stroke in Sweden

Algurén¹,

Lundgren‐Nilsson²,

Sunnerhagen³

2009

Disability and Rehabilitation

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Purpose. To validate the body functions and activities and participation part of the extended International Classification of Functioning, Disability, and Health (ICF) core set for stroke with a Swedish population in the first 3 months post-stroke. Method. At 6 weeks and at 3 months post-stroke, stroke survivors were evaluated by 59 ICF categories of body functions, 59 categories of activities and participation from the stroke ICF core set (extended version).Results. The study sample included 99 stroke survivors (54% women) with an average age of 72 years. Statistical significant problems were identified in 28 ICF categories of body functions and in 41 ICF categories of activities and participation at both time points, at 6 weeks and at 3 months. About 17 ICF categories were reported as problems in independent (i.e. modified Rankin Scale (mRS) 2) and about 34 categories in dependent (i.e. mRS 4 2) stroke survivors. Conclusions. The results suggest a possible reduction of the stroke ICF core set from 59 to 28 categories of body functions and from 59 to 41 categories of activities and participation. Hence, feasibility of the core set for multiprofessional assessment increases and the core set might find more integration in clinical practice. The number of problems in mobility and self-care mainly distinguished between independent and dependent stroke survivors.

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“…The Comprehensive ICF Core Set is a list of ICF categories that are assumed to be of importance in most of stroke survivors [14]. It was amended with categories from the Core Set for patients with neurological conditions in the acute hospital and in early post-acute rehabilitation facilities [15,16] in the scope of the international WHO Collaboration Project to validate ICF Core Sets [20]. This extended version of the Core Set comprises 166 ICF categories of which 37 are environmental categories.…”

Section: Variablesmentioning

confidence: 99%

“…The Comprehensive ICF Core Set for Stroke was developed to guide multidisciplinary assessments in patients with chronic stroke [14]. The extended version was amended with categories from the Core Set for patients with neurological conditions in acute hospital and early post-acute rehabilitation facilities [15,16]. As the natural pattern of recovery after stroke shows the greatest changes in the first 3 months [17,18], knowledge about possible facilitators and barriers in this early period might contribute to making the recovery process more effective and preventing the disability creation process.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers of stroke survivors in the early post-stroke phase

Algurén

Lundgren‐Nilsson

Sunnerhagen

2009

Disability and Rehabilitation

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Purpose. To identify facilitators and barriers among persons with first-ever stroke discharged to the home in the first 3 months post-stroke by means of ICF categories. Method. Stroke survivors were interviewed using semi-structured questions based on the ICF categories of Environmental factors of the Comprehensive ICF Core Set for Stroke (extended version) at 6 weeks and at 3 months post-stroke.Results. The study sample exists of 67 stroke survivors with an average age of 71 years (51% women). Eleven environmental factors from the ICF chapters 'support and relationship', 'products and technology' and 'services, systems and policies' were experienced to be facilitators and only 'physical geography' was experienced as a barrier by 50% or more of the participants in the study. Conclusions. It was possible to document facilitators and barriers among stroke survivors in a structured way using ICF categories. The high number of experienced facilitators gives an idea of how well stroke care functions in Sweden. There is a great need for further studies examining environmental factors in the post-stroke phase.

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ICF Core Set for patients with neurological conditions in early post-acute rehabilitation facilities

Cited by 78 publications

References 23 publications

Relationship between Work-Related Attitudes, Performance and Capacities according to the ICF in Patients with Mental Disorders

Relationship between Work-Related Attitudes, Performance and Capacities according to the ICF in Patients with Mental Disorders

Functioning of stroke survivors – A validation of the ICF core set for stroke in Sweden

Facilitators and barriers of stroke survivors in the early post-stroke phase

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