Preliminary results of ICF dissemination in primary health care in Mozambique: Sharing the Italian experience

Abstract

The very first phase of this project indicates that the use of the ICF checklist is feasible also in a crowded and busy environment like some PHC units of a developing country. However, data collection require a simpler and lighter to use data compilation tool. The proposed new checklist, which includes a PEIC tree, makes easier the compilation and the collection of data.

Exploring use of the ICF in health education

“…Developing or adapting carefully planned educational materials was identified as critical to a given program's success [8][9][10][11], the practice of effectively designing and delivering such materials was not without difficulty [9][10][11][12]. Some authors discussed difficulty with balancing the needs of participants based on skill, expertise and previous ICF exposure [11,13,14].…”

“…In addition, a few authors described trouble identifying appropriately trained educators with expert knowledge in the ICF [12,15,16]. Furthermore, two groups identified the ICF as complex [9,14], while other groups discussed the ambiguity of coding rules and qualifiers [10,12], and subjectivity with the coding process [14] as problematic. Moreover, the relationship between the activity and participation components was identified as confusing for participants [10].…”

“…Two groups reported a broadening awareness of the range of potential concerns that clients may face [9,20]. In one case, clinical students, in particular, felt better-informed and more confident in their practice [22], while three other groups reported improved needs assessments, problem solving and treatment planning skills in recipients [9,10,14]. Moreover, Jelsma and Scott [23] noted that students who rigorously applied the ICF when assessing and analyzing clinical problems displayed enhanced clinical reasoning.…”

“…Others found time requirements demanding [9,12], including the availability of adequate practice time in clinical settings [9,10,14]. In addition, a few authors described trouble identifying appropriately trained educators with expert knowledge in the ICF [12,15,16].…”

“…Furthermore, two groups identified the ICF as complex [9,14], while other groups discussed the ambiguity of coding rules and qualifiers [10,12], and subjectivity with the coding process [14] as problematic. Moreover, the relationship between the activity and participation components was identified as confusing for participants [10]. However, despite these difficulties, the use of ICF experts as trainers [13] and multiple education sessions [14] were found to facilitate learning.…”