scholarly journals eVITAL: A Preliminary Taxonomy and Electronic Toolkit of Health-Related Habits and Lifestyle

2012 ◽  
Vol 2012 ◽  
pp. 1-14 ◽  
Author(s):  
Luis Salvador-Carulla ◽  
Carolyn Olson Walsh ◽  
Federico Alonso ◽  
Rafael Gómez ◽  
Carlos de Teresa ◽  
...  
Keyword(s):  
Primary Care ◽  
Models Of Care ◽  
International Classification Of Functioning ◽  
Evaluation Tool ◽  
Self Assessment ◽  
Evaluation Protocol ◽  
Health Related ◽  
Person Centered Approach ◽  
Adult Volunteers

Objectives. To create a preliminary taxonomy and related toolkit of health-related habits (HrH) following a person-centered approach with a focus on primary care.Methods. From 2003–2009, a working group (n=6physicians) defined the knowledge base, created a framing document, and selected evaluation tools using an iterative process. Multidisciplinary focus groups (n=29health professionals) revised the document and evaluation protocol and participated in a feasibility study and review of the model based on a demonstration study with 11 adult volunteers in Antequera, Spain.Results. The preliminary taxonomy contains 6 domains of HrH and 1 domain of additional health descriptors, 3 subdomains, 43 dimensions, and 141 subdimensions. The evaluation tool was completed by the 11 volunteers. The eVITAL toolkit contains history and examination items for 4 levels of engagement: self-assessment, basic primary care, extended primary care, and specialty care. There was positive feedback from the volunteers and experts, but concern about the length of the evaluation.Conclusions. We present the first taxonomy of HrH, which may aid the development of the new models of care such as the personal contextual factors of the International Classification of Functioning (ICF) and the positive and negative components of the multilevel person-centered integrative diagnosis model.

scholarly journals Ontological modeling of the International Classification of Functioning, Disabilities and Health (ICF): Activities&Participation and Environmental Factors components

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Silvia Cozzi ◽  
Andrea Martinuzzi ◽  
Vincenzo Della Mea
Keyword(s):  
Environmental Factors ◽  
Conceptual Model ◽  
Case Studies ◽  
International Classification ◽  
World Health ◽  
International Classification Of Functioning ◽  
Conceptual Clarity ◽  
Health Related ◽  
Upper Ontology

Abstract Background The International Classification of Functioning, Disability and Health (ICF) is a classification of health and health-related states developed by the World Health Organization (WHO) to provide a standard and unified language to be used as a reference model for the description of health and health-related states. The concept of functioning on which ICF is based is that of a “dynamic interaction between a person’s health condition, environmental factors and personal factors”. This overall model has been translated into a classification covering all the main components of functioning. However, the practical use of ICF has highlighted some formal problems, mainly concerning conceptual clarity and ontological coherence. Methods In the present work, we propose an initial ontological formalization of ICF beyond its current status, focusing specifically on the interaction between activities and participation and environmental factors. The formalization has been based on ontology engineering methods to drive goal and scope definition, knowledge acquisition, selection of an upper ontology for mapping, conceptual model definition and evaluation, and finally representation using the Ontology Web Language (OWL). Results A conceptual model has been defined in a graphical language that included 202 entities, when possible mapped to the SUMO upper ontology. The conceptual model has been validated against 60 case studies from the literature, plus 6 ad-hoc case studies. The model has been then represented using OWL. Conclusions This formalization might provide the basis for a revision of the ICF classification in line with current efforts made by WHO on the International Classification of Diseases and on the International Classification of Health Interventions.

scholarly journals Laying the foundation for a core set of the International Classification of Functioning, Disability and Health for community-dwelling adults aged 75 years and above in general practice: a study protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e024274
Author(s):  
Johanna Tomandl ◽  
Stephanie Book ◽  
Susann Gotthardt ◽  
Stefan Heinmueller ◽  
Elmar Graessel ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Community Dwelling ◽  
International Classification ◽  
Functional Health ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Core Set ◽  
Community Dwelling Older Adults

IntroductionWith the medical focus on disease, the problem of overdiagnosis inevitably increases with ageing. Considering the functional health of patients might help to discriminate between necessary and unnecessary medicine. The International Classification of Functioning, Disability and Health (ICF) is an internationally recognised tool for describing functional health. However, it is too detailed to be used in primary care practices. Consequently, the aim of this study is to identify relevant codes for an ICF core set for community-dwelling older adults (75 years and above) in primary care.Methods and analysisThe study will follow the methodology proposed by the ICF Research Branch to identify relevant concepts from different perspectives: (1) Research perspective: A systematic review of studies focusing on functional health in old age will be conducted in different databases. Relevant concepts will be extracted from the publications. (2) Patients’ perspective: Relevant areas of functioning and disability will be identified conducting qualitative interviews and focus groups with community-dwelling older persons. The interviews will be transcribed verbatim and analysed using the documentary method of interpretation. (3) Experts’ perspective: An online survey with open-ended questions will be conducted. Answers will be analysed using the qualitative content analysis of Mayring. (4) Clinical perspective: A cross-sectional empirical study will be performed to assess the health status of community-dwelling older adults using the extended ICF checklist and other measurement tools.Relevant concepts identified in each study will be linked to ICF categories resulting in four preliminary core sets.Ethics and disseminationEthical approval for the study was obtained (90_17B). All participants will provide written informed consent. Data will be pseudonymised for analysis. Results will be disseminated by conference presentations and journal publications.Trial registration numberProjektdatenbank Versorgungsforschung Deutschland: VfD_17_003833,Clinicaltrials.gov:NCT03384732and PROSPERO: CRD42017067784.

scholarly journals Is mHealth a Useful Tool for Self-Assessment and Rehabilitation of People with Multiple Sclerosis? A Systematic Review

2021 ◽  
Vol 11 (9) ◽  
pp. 1187
Author(s):  
Bruno Bonnechère ◽  
Aki Rintala ◽  
Annemie Spooren ◽  
Ilse Lamers ◽  
Peter Feys
Keyword(s):  
Multiple Sclerosis ◽  
Mobile Internet ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Self Assessment ◽  
Level Of Evidence ◽  
Promising Tool ◽  
Mobile Health Applications ◽  
Health Applications

The development of mobile technology and mobile Internet offers new possibilities in rehabilitation and clinical assessment in a longitudinal perspective for multiple sclerosis management. However, because the mobile health applications (mHealth) have only been developed recently, the level of evidence supporting the use of mHealth in people with multiple sclerosis (pwMS) is currently unclear. Therefore, this review aims to list and describe the different mHealth available for rehabilitation and self-assessment of pwMS and to define the level of evidence supporting these interventions for functioning problems categorized within the International Classification of Functioning, Disability and Health (ICF). In total, 36 studies, performed with 22 different mHealth, were included in this review, 30 about rehabilitation and six for self-assessment, representing 3091 patients. For rehabilitation, most of the studies were focusing on cognitive function and fatigue. Concerning the efficacy, we found a small but significant effect of the use of mHealth for cognitive training (Standardized Mean Difference (SMD) = 0.28 [0.12; 0.45]) and moderate effect for fatigue (SMD = 0.61 [0.47; 0.76]). mHealth is a promising tool in pwMS but more studies are needed to validate these solutions in the other ICF categories. More replications studies are also needed as most of the mHealth have only been assessed in one single study.

Mapping an obesity clinical evaluation protocol to the International Classification of Functioning, Disability and Health

2009 ◽  
Vol 32 (5) ◽  
pp. 417-423 ◽  
Author(s):  
Amelia Brunani ◽  
Antonio Liuzzi ◽  
Anna Sirtori ◽  
Alberto Raggi ◽  
Maria Elisa Berselli ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Evaluation Protocol

Factors Associated With the Setting of Health-Related Goals Among Community-Dwelling Older People

2018 ◽  
Vol 26 (3) ◽  
pp. 499-505 ◽  
Author(s):  
Juliana S. Oliveira ◽  
Leanne Hassett ◽  
Catherine Sherrington ◽  
Elisabeth Ramsay ◽  
Catherine Kirkham ◽  
...  
Keyword(s):  
Older People ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
International Classification Of Functioning ◽  
Chi Square ◽  
Goal Selection ◽  
Randomized Controlled ◽  
Health Related ◽  
Community Dwelling Older People

This study aimed to summarize the function-related goals set by older people, and to explore gender differences in goal selection and associations between balance-related goals and fall history, self-rated balance, and fear of falling. We included community-dwelling people aged 60 years and older participating in two randomized controlled trials. Participants nominated two function-related goals, which were summarized into components of the International Classification of Functioning, Disability and Health. Chi-square analyses were used to explore associations between goal types and participant characteristics. Goals related to recreation and leisure and walking were the most common function-related goals selected. Men and women set similar goals. Participants who had poor/fair self-reported balance were more likely to set a balance-related goal than people with good self-rated balance. In contrast, fallers and participants who had a fear of falling were not more likely to select a balance-related goal than nonfallers and participants who had no fear of falling, respectively.

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