Using the ICF to develop the capability-oriented database of persons with disabilities: a case study in Nakornpanom province, Thailand

Tongsiri, Sirinart; Riewpaiboon, Wachara

doi:10.3109/09638288.2012.720351

Cited by 9 publications

(5 citation statements)

References 8 publications

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“…To support this they have translated the ICF into Thai, produced an ICF user guide, and established local committees to monitor and evaluate its use. They have also undertaken pilot studies using ICF codes and qualifiers to describe functionality and environmental barriers, which has enabled health personnel to work with the local administrative organizations to modify housing environments and physical barriers and to objectively measure change (Tongsiri 2013; Tongsiri and Riewpaiboon 2013). …”

Section: Resultsmentioning

confidence: 99%

Strengthening health information systems for disability-related rehabilitation in LMICs

McPherson

Durham

Richards

et al. 2016

Health Policy Plan.

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The purpose of this study was to describe the state of rehabilitation health information systems (HIS) in different settings, and identify key processes and actions which contribute to the development of HIS which can effectively support low- and middle-income countries (LMICs) allocate resources to health-related rehabilitation to people with disabilities. Nine case studies were conducted across different disability and developmental settings using documentary review and semi-structured key informant interviews (N = 41). Results were analysed against the six building blocks of a HIS, based on the Health Metrics Network Framework and Standards for Country Health Information Systems and existing HIS capacity. Key barriers or enablers to good disability data collection and use, were documented for each HIS component. Research results suggest there is no gold standard HIS for rehabilitation. There was broad consensus however, that effective health related disability planning requires reliable data on disability prevalence, functional status, access to rehabilitation services and functional outcomes of rehabilitation. For low-resource settings, and where routine HIS are already challenged, planning to include disability and rehabilitation foci starting with a minimum dataset on functioning, and progressively improving the system for increased utility and harmonization, is likely to be most effective and minimize the potential for overburdening fragile systems. The recommendations from this study are based on the successes and challenges of countries with established information systems, and will assist LMICs to prioritize strategic measures to strengthen the collection and use of data for rehabilitation, and progressively realize the rights of people with disabilities.

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Section: Resultsmentioning

confidence: 99%

Strengthening health information systems for disability-related rehabilitation in LMICs

McPherson

Durham

Richards

et al. 2016

Health Policy Plan.

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“…Quantitative study aims to collect functioning data of PWDs. The research team provided materials including an ICF-based questionnaire developed by Tongsiri and Riewpaiboon [ 25 ] where 46 ICF codes—4–6 qualifiers representing levels of impairments or difficulties (0 represents no impairment/ difficulty, 1 mild impairment/ difficulty, 2 moderate impairment/ difficulty, 3 severe impairment/disability and 4 total impairment/ disability, 8 for not specified and 9 for not applicable) for each code—were used to measure functioning of PWDs. To ensure that the providers were adequately trained in the workshop,both lecture and hand-on practices were used in the training.…”

Section: Methodsmentioning

confidence: 99%

Scaling-up community-based rehabilitation programs in rural Thailand: the development of a capacity building program

Tongsiri

2022

BMC Health Serv Res

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Background Approximately 15% of the world population have some forms of disability and their quality of life is compromised. According to Thailand Persons with Disabilities (PWDs) Empowerment Act, B.E. 2550 (2007), PWDs are entitled for benefits ranging from medical care to social support services. The CBR framework and the International Classification of Functioning, Disability and Health (ICF) can be used to promote the interdisciplinary approach across staff from different organizations. This study aimed to demonstrate the capacity building strategy for user organizations and resource teams, the key components in environment of scale-up as described in “WHO/ExpandNet Scaling-up Framework” to promote the implementation process of CBR interventions in Thailand. Methods The study was conducted with a network of representative from five sub-districts in Thailand. A set of capacity building training courses was designed. Fieldworkers were trained to administer the ICF questionnaire to collect data of PWDs in community. A qualitative interview was conducted to investigate the changes of the interdisciplinary teams. Results The total of 1,783 PWDs data were collected during 1 April 2018–30 December 2019. All of them have, at least, one type of impairment and one type of difficulty in activity of daily living (ADL). Needs of assistive devices and home modifications were also recognized. Individual ICF profiles can also developed to monitor change of their functioning after receiving services. After the discussions in the qualitative interviews, it is indicated that their perceptions towards work with PWDs were changed. The six steps in capacity building include: dialogue, team building, disability role-play; ICF data collection and analysis; developing individual care plans for PWDs; home and environmental modifications for PWDs; training to promote employment opportunities; and evaluation of the care plan. Conclusions The study highlighted the innovative training methodology for building up the capacity of staff to work as a team and to become agents of change to set up a strategic plan for delivering CBR interventions in their own settings.

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“…Functioning was measured using the International classification of functioning, disability and health (ICF). 8 , 9 Seven difficulty levels as defined in the ICF were used as selection criteria: (i) having difficulties walking (ICF code d450); (ii) having difficulties getting up from the floor (d4101); (iii) having difficulties getting up from a chair or bed (d4103); (iv) having difficulties moving around (d460); (v) having difficulties climbing (d4551); (vi) moving around using equipment (d465); (vii) having at least some difficulties walking (d450) with assistive devices or with assistive devices and personal support. Quality of life and risk from fall were measured using EQ-5D-5L 10 and the Berg Balance Scale Test, 11 respectively.…”

Section: Functioning Difficulty Assessmentmentioning

confidence: 99%

Modifying homes for persons with physical disabilities in Thailand

Tongsiri

Ploylearmsang

Hawsutisima

et al. 2017

Bull. World Health Organ.

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ProblemThailand passed the Persons with Disabilities Empowerment Act in 2007. The Act, which is in compliance with the United Nations Convention on the Rights of Persons with Disabilities, ensures that registered persons with disabilities are entitled to home environment modifications’ benefits up to a maximum of 20 000 baht (670 United States dollars); however, the Act’s enforcement is still weak in Thailand.ApproachIn 2013, researchers developed a home modification programme, consisting of a multidisciplinary team of medical and nonmedical practitioners and volunteers, to modify homes for persons with disabilities. The programme recruited participants with physical disabilities and assessed their functioning difficulties. Participants’ homes were modified to address identified functioning difficulties.Local settingThe project was implemented in four provinces in collaboration with staff from 27 district hospitals located in north-eastern Thailand.Relevant changesAfter the home modifications, all 43 recruited participants reported reduced difficulties in all areas, except for participants with severe degrees of difficulties, such as those reporting being unable to walk and unable to get up from the floor. The participants’ quality of life had also improved. The average EQ-5D-5L score, measuring quality of life, increased by 0.203 – from 0.346 at baseline to 0.549 after the modifications.Lessons learntHome modifications in low-resourced settings are technically and financially feasible and can lead to reducing functioning difficulties and improving the quality of life of persons with disabilities. Implementation requires government subsidies to finance home modifications and the availability of technical guidelines and training on home modifications for implementing agents.

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Using the ICF to develop the capability-oriented database of persons with disabilities: a case study in Nakornpanom province, Thailand

Cited by 9 publications

References 8 publications

Strengthening health information systems for disability-related rehabilitation in LMICs

Strengthening health information systems for disability-related rehabilitation in LMICs

Scaling-up community-based rehabilitation programs in rural Thailand: the development of a capacity building program

Modifying homes for persons with physical disabilities in Thailand

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