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WHO model of functioning and disability (ICF)

ICF. WHO model of functioning and disability (ICF). Health Condition (disorder/disease). Body Function & Structure. Activities. Participation. Environmental Factors. Personal Factors. Contextual Factors. Typically, disability instruments measure this portion of the ICF.

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WHO model of functioning and disability (ICF)

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  1. ICF WHO model of functioning and disability (ICF) Health Condition (disorder/disease) BodyFunction & Structure Activities Participation Environmental Factors Personal Factors Contextual Factors

  2. Typically, disability instruments measure this portion of the ICF Health Condition (disorder/disease) BodyFunction & Structure Activities Participation Environmental Factors Personal Factors Contextual Factors

  3. Differential item functioning HAQ-DI SF-36 PF

  4. Differential item functioning DIF also shown by Singh et al. 2005 HAQ-DI SF-36 PF

  5. Participation • Defined as “involvement in a life-situation” • Generally, viewed as functioning from a societal perspective • ? Closest ICF-based instrument to measure “participation” is the WHODAS-II • Not yet tested in PsA population (study close to commencement)

  6. ICF Core Sets -- Development Process Preliminary Studies Phase I • Consensus • conferences Patients’ data Multicentre study Expert opinion Delphi exercise Study outcomes Literature review Patient opinion Focus group 2005/06 2006/07

  7. ICF Core Sets -- Development Process Preliminary Studies Phase I • Consensus • conferences  About to commence data collection Patients’ data Multicentre study Expert opinion Delphi exercise  Study complete Study outcomes Literature review  Study complete Patient opinion Focus group  Data collection complete (Stamm et al) 2005/06 2006/07

  8. Items from patients (Stamm T et. al, focus groups) Items from health professionals (Delphi study by email) d410 Changing basic body position d4100 Lying d4103 Sitting d4105 Bending d430 Lifting and carrying objects d4300 Lifting d4301 Carrying in the hand d440 Fine hand use d4400 Picking up d4401 Grasping d4402 Manipulating d445 Hand and arm use d4452 Reaching d450 Walking d455 Moving around d470 Using transportation d4702 Using public motorized transportation d475 Driving d170 Writing d4 Mobility d410 Changing basic body position d415 Maintaining a body position d430 Lifting and carrying objects d440 Fine hand use d445 Hand and arm use d4751 Driving a car d230 Carrying out daily routine d2303 Managing one’s own activity level d510 Washing oneself d5101 Washing whole body d520 Caring for body parts d5200 Caring for skin d5203 Caring for fingernails d5204 Caring for toenails d530 Toileting d540 Dressing d5403 Taking off footwear d550 Eating d560 Drinking d5702 Maintaining one’s health d5 Self-care d640 Doing housework d6505 Gardening d6200 Shopping d630 Preparing meals d640 Doing housework d750 Informal social relationships d760 Family relationships d7600 Parent-child relationships d770 Intimate relationships d7702 Sexual relationships d7 Relationship to family members and other people d8 Paid work & productive activities d850 Remunerative employment d8700 personal economic resources d9201 Sports d920 Leisure activities d920 Recreation and leisure

  9. Summary

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