TY - JOUR
T1 - Use of the International Classification of Functioning, Disability and Health Generic-30 Set for the characterization of outpatients
T2 - Italian Society of physical and rehabilitative medicine residents section project
AU - SIMFER Residents Section Group
AU - Gimigliano, Francesca
AU - de Sire, Alessandro
AU - Gastaldo, Marco
AU - Maghini, Irene
AU - Paoletta, Marco
AU - Pasquini, Andrea
AU - Boldrini, Paolo
AU - Selb, Melissa
AU - Prodinger, Birgit
AU - Abbamonte, Marta
AU - Alito, Angelo
AU - Amico, Ilaria
AU - Armiento, Raffaella
AU - Asaro, Chiara
AU - Balsamo, Francesca
AU - Bakdounes, Leila
AU - Barak, Maya
AU - Bartolini, Valentina
AU - Bartolo, Deborah
AU - Battista, Alessandra
AU - Beatrice, Raffaele
AU - Bianchito, Roberto
AU - Bonjako, Marko
AU - Bossi, Diego
AU - Cameli, Cristina
AU - Camerlingo, Antonio
AU - Capponi, Romeo
AU - Caspani, Patrick
AU - Cecini, Miriam
AU - Chiarici, Alice
AU - Ci-None, Nicoletta
AU - Costanza, Carlo
AU - Covella, Emanuela
AU - Culmone, Fabio
AU - Curci, Claudio
AU - Dagna, Carlotta
AU - Denisi, Angelo
AU - Del Puente, Aurora
AU - D’esposito, Oriana
AU - Di Gianni, Laura
AU - Esposto, Caterina
AU - Fazio, Rossella
AU - Finocchiaro, Alessandra
AU - Forestiere, Giorgia
AU - Galletti, Lisa
AU - Gariboldi, Valentina
AU - Garoia, Beatrice
AU - Gentile, Luca
AU - Giambelluca, Eliana
AU - Ginelli, Elena
N1 - Publisher Copyright:
© 2018 EDIZIONI MINERVA MEDICA
PY - 2019/4/1
Y1 - 2019/4/1
N2 - BACKGROUND: The International Classification of Functioning, Disability and Health (ICF) Generic-30 Set (previously referred to as Rehabilitation Set) is a minimal set of ICF categories for reporting and assessing functioning and disability in clinical populations with different health conditions along the continuum of care. Recently, the Italian Society of Physical and Rehabilitation Medicine (SIMFER) developed an Italian modification of the simple and intuitive descriptions (SID) of these categories. This study was the first one to implement the use of the SID in practice. AIM: The main aims of this study are: 1) to implement the use of the ICF in clinical practice and research among Italian Residents in PRM, and 2) to verify if the SID made the application of ICF Generic 30 Set more user-friendly than the original descriptions; 3) to examine the prevalence of functioning problems of patients accessing Rehabilitation Services to serve as reference for the development of an ICF-based clinical data collection tool. DESIGN: Multicenter cross-sectional study. SETTING: Italian Physical Medicine and Rehabilitation (PRM) outpatient rehabilitation services. POPULATION: Patients referring to Italian PRM outpatient rehabilitation services and Italian Residents in PRM. METHODS: Each School of Specialization involved, randomly, received the ICF Generic-30 Set with the original descriptions or with the SID. Residents collected over a 4-month period (April-July 2016) patients data related to the ICF Generic-30 Set categories. Moreover, the residents self-assessed their difficulty in using the ICF Generic-30 Set with the original descriptions or with the SID, through a Numeric Rating Scale (NRS). RESULTS: Ninety-three residents collected functioning data of 864 patients (mean aged 57.7±19.3) with ICF Generic-30 Set: 304 with the original descriptions and 560 with SID. The difficulty in using the ICF Generic-30 Set with SID was rated as lower than using the original descriptions (NRS 2.8±2.5 vs. 3.5±3.1; P<0.001). The most common disease was the back pain (9.6%) and the most common altered ICF categories were b280 (76.3%) and b710 (72.9%). CONCLUSIONS: This multicenter cross-sectional study shown that the ICF Generic-30 Set is a valuable instrument for reporting and assessing functioning and disability in clinical populations with different health conditions and along the continuum of care and that SID facilitate the understanding of the ICF categories and therefore their use in clinical practice. CLINICAL REHABILITATION IMPACT: By increasing the knowledge of ICF among Italian PRM residents, this national survey makes an important step towards the system-wide implementation of ICF in the Italian healthcare system.
AB - BACKGROUND: The International Classification of Functioning, Disability and Health (ICF) Generic-30 Set (previously referred to as Rehabilitation Set) is a minimal set of ICF categories for reporting and assessing functioning and disability in clinical populations with different health conditions along the continuum of care. Recently, the Italian Society of Physical and Rehabilitation Medicine (SIMFER) developed an Italian modification of the simple and intuitive descriptions (SID) of these categories. This study was the first one to implement the use of the SID in practice. AIM: The main aims of this study are: 1) to implement the use of the ICF in clinical practice and research among Italian Residents in PRM, and 2) to verify if the SID made the application of ICF Generic 30 Set more user-friendly than the original descriptions; 3) to examine the prevalence of functioning problems of patients accessing Rehabilitation Services to serve as reference for the development of an ICF-based clinical data collection tool. DESIGN: Multicenter cross-sectional study. SETTING: Italian Physical Medicine and Rehabilitation (PRM) outpatient rehabilitation services. POPULATION: Patients referring to Italian PRM outpatient rehabilitation services and Italian Residents in PRM. METHODS: Each School of Specialization involved, randomly, received the ICF Generic-30 Set with the original descriptions or with the SID. Residents collected over a 4-month period (April-July 2016) patients data related to the ICF Generic-30 Set categories. Moreover, the residents self-assessed their difficulty in using the ICF Generic-30 Set with the original descriptions or with the SID, through a Numeric Rating Scale (NRS). RESULTS: Ninety-three residents collected functioning data of 864 patients (mean aged 57.7±19.3) with ICF Generic-30 Set: 304 with the original descriptions and 560 with SID. The difficulty in using the ICF Generic-30 Set with SID was rated as lower than using the original descriptions (NRS 2.8±2.5 vs. 3.5±3.1; P<0.001). The most common disease was the back pain (9.6%) and the most common altered ICF categories were b280 (76.3%) and b710 (72.9%). CONCLUSIONS: This multicenter cross-sectional study shown that the ICF Generic-30 Set is a valuable instrument for reporting and assessing functioning and disability in clinical populations with different health conditions and along the continuum of care and that SID facilitate the understanding of the ICF categories and therefore their use in clinical practice. CLINICAL REHABILITATION IMPACT: By increasing the knowledge of ICF among Italian PRM residents, this national survey makes an important step towards the system-wide implementation of ICF in the Italian healthcare system.
KW - Disability
KW - Health; Rehabilitation; Health information systems; Health plan implementation
KW - International Classification of Functioning
UR - http://www.scopus.com/inward/record.url?scp=85065592990&partnerID=8YFLogxK
U2 - 10.23736/S1973-9087.18.05324-8
DO - 10.23736/S1973-9087.18.05324-8
M3 - Article
SN - 1973-9087
VL - 55
SP - 258
EP - 264
JO - European Journal of Physical and Rehabilitation Medicine
JF - European Journal of Physical and Rehabilitation Medicine
IS - 2
ER -