The International Classification of Functioning, Disability and Health (ICF) – Quantitative Measurement of Capacity and Performance

Česká verze

Authors: O. Švestková; Y. Angerová; P. Sládková
Authors place of work: Klinika rehabilitačního lékařství 1. LF UK a VFN v Praze
Published in the journal: Cesk Slov Neurol N 2009; 72/105(6): 580-586
Category: Krátké sdělení

Summary

As part of the sixth framework EUMHADIE (Measuring Health and Disability in Europe:
supporting policy development), the International Classification of Functioning, Disability and Health (ICF) was employed by 12 EU facilities (among them six clinical settings). A cross‑ sectional study of patients (n = 1,019) with eight different chronic conditions (musculoskeletal conditions – rheumatoid arthritis, osteoporosis, osteoarthritis, low back pain, multiple sclerosis, Parkinson’s disease, migraine, stroke, depression, bipolar disorder, and traumatic brain injury) was conducted. The Department of Rehabilitation Medicine of the First Faculty of Medicine and General Teaching Hospital in Prague participated in this project with 100 patients after TBI (traumatic brain injury) and 100 patients with MS (multiple sclerosis). Patient evaluation was performed by qualified health- professionals (trained on ICF courses) who completed a checklist composed according to ICF categories. Every patient then answered socio- demographic questions common to all centres and marked specific scales assessing the details of the disease. With the help of health professionals or students, the patients filled in the WHODAS II standardized quality of life questionnaires (WHO Disability Assessment Scale) and SF- 36 (Short Form Measure of Generic Health Status) compiled along ICF guidelines. The study analyzed the structure of causal factors in terms of Activities (Capacity) and Participation (Performance). The authors would like to draw attention to the importance of ICF as a classification and, further, they would like to suggest the use of ICF in clinical and epidemiological studies.

Key words:
International Classification of Functioning, Disability and Health – activities – participation – environmental factors – rehabilitation

Zdroje

1. WHO International Statistical Classification of Diseases and Related Health Problems. Geneva: WHO 1992.

2. Švestková O, Pfeiffer J, Kupková J, Matlasová H. Mezinárodní klasifikace funkčních schopností, disability a zdraví WHO jako nástroj moderní rehabilitace. Prakt Lek 2008; 88(3): 161– 165.

3. Pfeiffer J, Švestková O. Překlad z anglického originálu, Mezinárodní klasifikace funkčních schopností, disability a zdraví: MKF. Praha: Grada Publishing 2008: 19– 42.

4. Švestková O. Conceptual basis of a legal framework for rehabilitation in the Czech Republic – a proposal. Disabil Rehabil 2002; 24(15): 798– 801.

5. Eldar R, Kullman L, Marincek C, Sekelj- Kauzlarič K,Švestková O, Palat M. Rehabilitation Medicine in Countries of Central/ Eastern Europe. Disabil Rehabil 2008; 30(2): 134– 141.

6. Švestková O, Angerová Y, Pfeiffer J. Hodnocení zdraví, disability v Evropě. Eurorehab 2006; 16(3– 4): 117– 120.

7. Mont D. Measuring health and disability. Lancet 2007; 369(9573): 1658– 1663.

8. Švestková O, Angerová Y, Brtnická P. Practical using of ICF of patients after TBI. Int J Rehabil Res 2007; 30 (Suppl): 33– 34.

9. Mezinárodní klasifikace Poruch, Disability a Handicapu. Rehabilitácia 1984; 28 (Suppl):1– 110.

10. World Health Organization. Health 21– health for all in the 21st century. Regional Office for Europe, Copenhagen: WHO 1999: 1– 147.

11. Leonardi M, Bickenbach J, Ustun TB, Kostanjsek N,Chatterji S. The definition of disability: what is in a name? Lancet 2006; 368(9543): 1219– 1221.

12. World Health Organization. International Classification of Functioning, Disability and Health: ICF. Geneva: WHO Library Cataloguing- in‑Publication Data 2001.

13. Angerová Y, Švestková O, Sládková P. Preparing of ICF Core Sets for patiens after TBI. Brain Injury 2008; 22 (Suppl): 126.

14. Švestková O, Angerová Y, Sládková P. Practical using of ICF of Patients after TBI (MHADIE). J Rehabil Med 2008; 7 (Suppl): 286.

15. Švestková O, Angerová Y, Sládková P. Correlation between subjective nad objective parameters of the patients after TBI (using ICF and WHODASII). Brain Injury 2008; 22 (Suppl): 113.

16. Ewert T, Fuessl M, Cieza A, Andersen C, Chatterji S, Kostanjsek N et al. Identification of the most common patient problems in patients with chronic conditions using the ICF checklist. J Rehabil Med 2004; 44 (Suppl): 22– 29.

17. World Health Organization. ICF Checklist Version 2.1a, Clinical Form for International Classification of Functioning, Disability and Health: ICF. Geneva: WHO Library Cataloguing- in‑Publication Data 2001.

18. Flora DB, Curran PJ. An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychol Methods 2004; 9(4): 466– 491.

19. Hendl J. Přehled statistických metod zpracování dat. Praha: Portál 2004.

20. Roderick P, MacDonald V. Faktorová analýza a příbuzné metody v psychologii. Praha: Academia 1991.