handbok-i-att-anvanda-icf-och-icf-cy

Handbok i att använda ICF och ICF-CY

Margareta Adolfsson, Ann-Helene Almborg, Patrik Arvidsson, Eva Björck-Åkesson, Rita Ehrenfors, Ulf Hallgårde, Nina Ibragimova, Anna Niia, Rune Simeonsson

Svenska, 2011

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Poster presenterad på The 9th World Congress on Brain Injury. 21 - 25 March 2012, Edinburgh, UK.

Poster: Assessments used in school-aged children with acquired brain injury - Linking to the international classification of functioning, disability and health

Rita Ehrenfors, Lena Borell, Helena Hemmingsson & Gunilla Eriksson Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden.

Purpose

The aim was to examine widely used assessments within the rehabilitation of school-aged children with acquired brain injury (ABI) with the International Classification of Functioning, Disability and Health (ICF) as a framework.

Method

A survey identified the assessments most widely used in the rehabilitation of school-aged children with ABI in Sweden. The aims of these assessments were linked to the ICF according to previously published linking rules for clinical assessments.

Results

Thirty out of 43 widely used assessments were linked to body functions. The remaining assessments were linked to activities and participation, with no assessments being linked to environmental factors. Many categories within activities and participation were missing, whereas some categories within body functions were covered by numerous assessments.

Conclusions

The widely used assessments within paediatric brain injury rehabilitation do not cover essential aspects of functioning and disability. Specifically, assessments focussing on many crucial categories of activities and participation, and all categories within environmental factors were missing. A better understanding of school-aged children’s health and disability might be achieved by using the ICF to identify a set of assessments, illuminating body functions, activities and participation and environmental factors. Publicerad: 2012-03-21, The 9th World Congress on Brain Injury. 21 - 25 March 2012, Edinburgh, UK. Poster

Poster: A combination of self-report questionnaires used to capture cognitive functioning in everyday life in the clients’ personal context: will that enable clients to participate in a goal setting process in rehabilitation?

Rita_Ehrenfors_Enabling_People_2016

Poster: A combination of self-report questionnaires used to capture cognitive functioning in everyday life in the clients’ personal context: will that enable clients to participate in a goal setting process in rehabilitation?

Rita Ehrenfors: Karolinska Institutet Department of Neurobiology, Care Science and Society, at Karolinska Institutet. Åke Seger: Professor, Karolinska Institutet. Gunilla Eriksson: PhD in Occupational Therapy, Karolinska Institutet & Department of Neuroscience at Uppsala University.

AIM

Exploring how a combination of self-report questionnaires could be used to identify clients’ self-perceived problems in everyday life prior goal setting in rehabilitation after ABI.

Participants

Two matching groups were recruited (ABI and healthy controls). The diagnoses in the ABI group (n15) were: 8 cerebrovascular diseases 4 intracranial injury 2 anoxic brain damage 1 malignant neoplasma This case mix will/can be found in any Swedish rehabilitation clinic offering publically founded rehabilitation programs to in- and out patients with neurological diagnoses. Time since onset of brain injury varied from 6 month to 5 years.

Results

Single female (ABI) CIQ 1) Home integration - was doing all chores alone, except from grocery shopping left to somebody else to do 2) Social integration – took part in activities away from home less often than once a week. CAPM Frequent memory lapses in 1 BADL and in 8 IADL activities, 5 items NA CFQ Most cognitive mishaps due to distractibility. Married male with children (ABI) CIQ 1)Home integration – carried out all chores together with someone else, except from grocery shopping done alone 2) Social integration – left home almost every day, and was engaged in leisure activities and visited family/friends several times/month. CAPM Frequent memory lapses in 4 IADL activities, 5 items NA CFQ Cognitive mishaps equally distributed between distractibility, blunders and memory.

Clinical implications

CIQ, CAPM and CFQ together illustrated the clients’ life situation, when analysing responds in each subscale. CIQ and CAPM added knowledge about activities carried out in everyday life. CFQ illustrated if mistakes where based on distractibility, memory or blunders. The frequency of memory lapses was influenced by the number of activities: left to somebody else/skipped or doing together/alone. The question has to be raised if the client desire to reduce frequent memory lapses or to become involved in more everyday chores, when identifying goals. Using formal assessments to include the client’s perspective, might enable clients with ABI to participate in the goal setting process.

Conlusion

The combination of self-report questionnaires highlighted the clients’ personal context. Memory problems and cognitive mishaps has to be interpreted in relation to the clients’ life situation. Moreover, subscale Home Integration in CIQ, and items Not Applicable in CAPM illustrated which chores the client actually carried out in everyday life. The factor analysis in CFQ might underpin the choice of interventions after goalsetting. Still, studies are needed to confirm if the combination of self-report questionnaires could be used as a client-centred method of formal goal identification and goal setting in rehabilitation after ABI. Publicerad: 2016-03-02, 2016 World congress on brain injury in Haag Poster

Vetenskaplig artikel

Article: Assessments used in school-aged children with acquired brain injury - Linking to the international classification of functioning, disability and health

Rita Ehrenfors, Lena Borell & Helena Hemmingsson Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden.

Purpose

The aim was to examine widely used assessments within the rehabilitation of school-aged children with acquired brain injury (ABI) with the International Classification of Functioning, Disability and Health (ICF) as a framework.

Method

A survey identified the assessments most widely used in the rehabilitation of school-aged children with ABI in Sweden. The aims of these assessments were linked to the ICF according to previously published linking rules for clinical assessments.

Results

Thirty out of 43 widely used assessments were linked to body functions. The remaining assessments were linked to activities and participation, with no assessments being linked to environmental factors. Many categories within activities and participation were missing, whereas some categories within body functions were covered by numerous assessments.

Conclusions

The widely used assessments within paediatric brain injury rehabilitation do not cover essential aspects of functioning and disability. Specifically, assessments focussing on many crucial categories of activities and participation, and all categories within environmental factors were missing. A better understanding of school-aged children’s health and disability might be achieved by using the ICF to identify a set of assessments, illuminating body functions, activities and participation and environmental factors. Publicerad: 2009-08-01 Scientific article Official publication

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