Luciana Castaneda

The International Classification of Functioning, Disability and Health: a systematic review of observational studies

OBJECTIVE To systematically review the use of the International Classification of Functioning, Disability and Health (ICF) in observational studies. METHODS This study is a systematic review of articles that use the ICF in observational studies. We took into account the observational design papers available in databases such as PubMed, Lilacs and SciELO, published in English and Portuguese from January 2001 to June 2011. We excluded those in which the samples did not comprise individuals, those about children and adolescents, and qualitative methodology articles. After reading the abstracts of 265 identified articles, 65 met the inclusion criteria. Of these, 18 were excluded. The STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) adapted Checklist, with 15 items needed for observational studies, was applied to the 47 remaining articles. Any paper that met 12 of these criteria was included in this systematic review. RESULTS 29 articles were reviewed. Regarding the ICF application methodology, the checklist was used in 31% of the articles, the core set in 31% and the ICF categories in 31%. In the remaining 7%, it was not possible to define the applied methodology. In most papers (41%), qualifiers were used in their original format. As far as the area of knowledge is concerned, most of the studies were related to Rheumatology (24%) and Orthopedics (21%). Regarding the study design, 83% of the articles used cross-sectional studies. CONCLUSION Results indicate a wide scientific production related to ICF over the past 10 years. Different areas of knowledge are involved in the debate on the improvement of information on morbidity. However, there are only a few quantitative epidemiological studies involving the use of ICF. Future studies are needed to improve data related to functioning and disability.

Identification of common content between the questionnaire of the Health Survey (ISA-SP) and the International Classification of Functionality, Disability, and Health

The purpose of this paper was to identify the common contents between São Paulos Health Survey Questionnaire (Physical Disability and Emotional Health Blocks) and the International Classification of Functionality, Disability, and Health. The first stage of the research consisted of the search for the modules of São Paulos Health Survey, which addressed the issue of disability, and the passages about this theme were highlighted and inserted into a new file. In the second stage, the significant contents were extracted. In the last one, these contents were codified to the codes of the International Classification of Functionality, Disability, and Health by two independent researchers. For the descriptive statistical analysis, crude numbers, percentages, and simple frequencies were used. The degree of agreement between the two professionals was calculated using Kappas coefficient and the confidence interval. The most common domains were those about functions and body structures and about activities and participation, in which the domain of environmental factors presented a lower frequency of approach.

Publicações brasileiras referentes à Classificação Internacional de Funcionalidade

Considerando o aumento das doencas cronicas e da expectativa de vida, e de grande interesse atual a mensuracao dos fenomenos de funcionalidade e incapacidade. A Organizacao Mundial de Saude ha cerca de 30 anos vem desenvolvendo ferramentas para entendimento e classificacao destes processos, sendo o modelo atual a Classificacao Internacional de Funcionalidade (CIF). A CIF propoe uma mudanca de paradigma, onde o modelo biopsicossocial substitui o modelo biomedico predominante. E o mais recente e abrangente modelo taxonomico para a funcionalidade e incapacidade dentro de uma perspectiva universal e unificada. Objetivo: Em virtude do crescente interesse da comunidade cientifica pelo tema, o objeto do trabalho e descrever e classificar por areas de conhecimento as publicacoes referentes a CIF. Metodo: As bases de dados utilizadas foram Lilacs e Scielo. Foram selecionadas 39 publicacoes. Resultados: A maioria das publicacoes foi referente a artigos originais (51,3%) e a area de conhecimento com maior numero de trabalhos foi a Neurologia. Conclusao: Os resultados apontam que houve um crescimento elevado de publicacoes nos ultimos cinco anos.

Construtos de incapacidade presentes na Pesquisa Nacional por Amostra de Domicílio (PNAD): uma análise baseada na Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF)

The objective of this paper is to identify content common to the (PNAD) and the International Classification of Functioning, Disability and Health (ICF). The study is methodologically descriptive. The first stage of the research consisted of the identification of the blocks present in the data collection instrument whose content was related to functioning, disability and health. Next the meaningful content of the blocks and modules were selected. Finally the meaningful contents were extracted and coded for the ICF categories. The most common domains were those related to activities and participation, followed by those of bodily functions. Only one content was related to environmental factors. The study showed that the ICF is a tool with wide applicability in information systems of primary data. Due to its universal language and biopsychosocial perspective, the ICF should be further explored in the field of epidemiology.

Functioning assessment in Brazilian health surveys: discussions about International Classification of Functioning, Disability and Health-based tools

IDepartamento de Fisioterapia, Universidade Federal do Ceará – Fortaleza (CE), Brasil. IIInstituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro – Rio de Janeiro (RJ), Brasil. IIISecretaria da Saúde da Prefeitura de Osasco – Osasco (SP), Brasil. IVDepartamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo – São Paulo (SP), Brasil. Autor correspondente: Shamyr Sulyvan de Castro. Universidade Federal do Ceará. Departamento de Fisioterapia. Rua Alexandre Baraúna, 949, 1o andar, Rodolfo Teófilo, CEP: 60430-160, Fortaleza, CE, Brasil. E-mail: shamyrsulyvan@gmail.com Conflito de interesses: nada a declarar – Fonte de financiamento: nenhuma. DOI: 10.1590/1980-5497201600030018

[Response to the debate: "The use of ICF in health research: a reflection on limits and possibilities"].

IInstituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro – Rio de Janeiro (RJ), Brasil. IILaboratório de Neuropsiquiatria Geriátrica, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro – Rio de Janeiro (RJ), Brasil. IIIDepartamento de Fisioterapia, Universidade Federal do Ceará – Fortaleza (CE), Brasil. Autor correspondente: Shamyr Sulyvan Castro. Rua José Vilar, 520, apto. 801, Meireles, CEP: 60125-000, Fortaleza, CE, Brasil. E-mail: shamyrsulyvan@gmail.com DOI: 10.1590/1980-5497201600030019

Constructos sobre la discapacidad presentes en la Encuesta Nacional de Hogares de Brasil (PNAD): un análisis basado en la Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud (CIF)

The objective of this paper is to identify content common to the (PNAD) and the International Classification of Functioning, Disability and Health (ICF). The study is methodologically descriptive. The first stage of the research consisted of the identification of the blocks present in the data collection instrument whose content was related to functioning, disability and health. Next the meaningful content of the blocks and modules were selected. Finally the meaningful contents were extracted and coded for the ICF categories. The most common domains were those related to activities and participation, followed by those of bodily functions. Only one content was related to environmental factors. The study showed that the ICF is a tool with wide applicability in information systems of primary data. Due to its universal language and biopsychosocial perspective, the ICF should be further explored in the field of epidemiology.

Disability Constructs of the Brazilian National Household Survey (PNAD): An analysis based on the International Classification of Functioning, Disability and Health (ICF)

The objective of this paper is to identify content common to the (PNAD) and the International Classification of Functioning, Disability and Health (ICF). The study is methodologically descriptive. The first stage of the research consisted of the identification of the blocks present in the data collection instrument whose content was related to functioning, disability and health. Next the meaningful content of the blocks and modules were selected. Finally the meaningful contents were extracted and coded for the ICF categories. The most common domains were those related to activities and participation, followed by those of bodily functions. Only one content was related to environmental factors. The study showed that the ICF is a tool with wide applicability in information systems of primary data. Due to its universal language and biopsychosocial perspective, the ICF should be further explored in the field of epidemiology.

ABORDAGEM DA FUNCIONALIDADE E DOS FATORES AMBIENTAIS EM PACIENTES COM DOENÇA DE PARKINSON ATRAVÉS DO CHECKLIST DA CLASSIFICAÇÃO INTERNACIONAL DE FUNCIONALIDADE (CIF)

O acesso a informacoes sobre funcionalidade vem sendo uma prioridade no tratamento da Doenca de Parkinson. A Classificacao Internacional de Funcionalidade (CIF) e uma ferramenta com grande aplicabilidade para a orientacao dos processos de funcionalidade. O objetivo e verificar aspectos da Funcionalidade e a Fatores Ambientais em pacientes com DP. Metodologia: a amostra foi composta por 11 individuos com DP. A media de idade foi 66(±10) anos e tempo medio de doenca 7,6(±64) anos. Foi aplicado um questionario com as opcoes de resposta sim/nao para verificar limitacoes na atividade, restricao a participacao e facilitadores dos fatores ambientais do Checklist da CIF. A tarefa de andar foi relatada como limitacao por 91% dos individuos, seguido de realizacao de tarefas domesticas (73%); restricao na recreacao e lazer foi verificada em 73% da amostra. Todos os individuos apontaram como facilitador as atitudes individuais dos profissionais de saude e 91% o apoio dos profissionais de saude. Considerando as implicacoes da DP nos aspectos motores, nas atividades de vida diaria e participacao social, os resultados mostram que a CIF parece ter boa capacidade e sensibilidade para abordar aspectos da funcionalidade em individuos com a doenca. Em virtude do tamanho pequeno da amostra, futuros estudos sao necessarios para extrapolacao dos resultados.