| 1. |
- Berzina, G., et al.
(författare)
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Analyzing the modified rankin scale using concepts of the international classification of functioning, disability and health.
- 2016
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Ingår i: European Journal of Physical and Rehabilitation Medicine. - 1973-9087. ; 52:2, s. 203-213
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The World Health Organization (WHO) suggests using the International Classification of Functioning, Disability and Health (ICF) as a conceptual framework for disability outcomes and the modified Rankin Scale (mRS) as an outcome measure in stroke. AIM: The aim of this study was to analyze the content of the mRS and the mRS-Systematic Interview (mRS-SI) by linking the scales to the ICF and to explore the association between the mRS and the ICF Core Set for stroke. DESIGN: Analysis of mRS and mRS-SI using ICF linking rules, as well as quantitative analysis using cross-sectional data. SETTING: In- and outpatient settings, community dwelling individuals after stroke. METHODS: Both scales were independently linked to the ICF and correlations between the mRS scores and the sum of problems in functioning, deriving from 266 stroke patients, were assessed under the components of the ICF Core Set for Stroke, the domains of 'Activities and Participation' and 15 second level categories linked to the mRS. RESULTS : Twelve meaningful concepts in the mRS and 40 meaningful concepts in the mRS-SI were identified and linked to different ICF categories, covering 9% and 32% of the ICF Core Set for stroke respectively. The strongest association of the mRS scores was with the number of problems in 'Activities and Participation', especially with the 'Self-care', 'Mobility' and 'Domestic life' domains, as well as with single categories of 'Moving around using equipment', 'Changing basic body position', 'Walking' and 'Carrying out daily routine'. CONCLUSIONS: The content of the mRS and the mRS-SI can be linked to the ICF framework. But the content may not be related to a specific outcome that would be in accordance with the disability terminology suggested by the World Health Organization. CLINICAL REHABILITATIO N IMPACT : In order to follow the ICF model, interpretation of mRS rating requires caution. © 2015 EDIZIONI MINERVA MEDICA.
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| 2. |
- Berzina, Guna, et al.
(författare)
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Exploration of some personal factors with the International Classification of Functioning, Disability and Health Core sets for stroke.
- 2013
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Ingår i: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1651-2081. ; 45:7, s. 609-615
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of this study was to explore the influence of personal factors (i.e. age, gender, place of residence and time since onset of stroke) on self-perceived functioning and environmental factors, using the International Classification of Functioning, Disability and Health (ICF) Core Set for Stroke (extended version) as a framework. Design: Cross-sectional study. Participants: A total of 243 community-dwelling persons (53% men) with prior stroke (6 months to 13 years) with a mean age of 68 years (age range 24-95 years). Methods: Regression analysis of 4 personal factors (age, gender, place of residence, and time since onset of stroke) was used to explore their influence on different components, domains and categories of functioning and environmental factors, evaluated with the extended version of the Comprehensive ICF Core Set for Stroke. Results: The personal factors had statistically significant predictive values for almost all the categories, domains and components of functioning and environmental factors examined in this study. These factors influence self-perceived functional outcome and environmental factors in terms of being barriers or facilitators in various ways. Conclusion: Personal factors, such as age, gender, place of residence and time since onset of stroke, influence self-perceived functioning and environmental factors.
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| 3. |
- Paanalahti, Markku, 1961, et al.
(författare)
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Applying the Comprehensive International Classification of Functioning, Disability and Health Core Sets for stroke framework to stroke survivors living in the community.
- 2013
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Ingår i: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1651-2081 .- 1650-1977. ; 45:4, s. 331-340
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aims of this study were to explore the perspective of functioning in community-dwelling people with prior stroke and to confirm, if possible, the Comprehensive International Classification of Functioning, Disability and Health (ICF) Comprehensive Core Set for stroke. Methods: Qualitative interviews were analysed (using the content analysis method and established ICF linking rules) from 22 persons following stroke (age range 59-87 years), as well as their spouses/partners, where relevant. Results: Ninety-nine (76%) of 130 second-level ICF categories in the existing Comprehensive ICF Core Set for stroke were confirmed: 31 categories (of 41) in the component of body functions, 38 categories (of 51) in the component of activities and participation, 26 (of 33) in the component of environmental factors and 4 (of 5) in the component of body structures. Eleven additional ICF categories and one personal factor, a coping style of "I take it as it comes" were also identified in the transcribed text. Conclusion: The Comprehensive ICF Core Set for stroke was largely confirmed.
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| 4. |
- Paanalahti, Markku, 1961, et al.
(författare)
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Examination of the relevance of the ICF cores set for stroke by comparing with the Stroke Impact Scale.
- 2019
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Ingår i: Disability and Rehabilitation. - : Taylor & Francis. - 0963-8288 .- 1464-5165. ; 41:5, s. 508-513
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To examine if the International Classification of Functioning (ICF) core set for stoke contains problems that are relevant for the persons living with stroke as expressed in the Stroke Impact Scale (SIS).METHODS: Cross-sectional study of 242 persons with previous stroke. The agreement between the perceived problems in the SIS items and problems in the categories of Comprehensive ICF Core Set for stroke were analyzed using percent of agreement and Kappa statistic.RESULTS: The analyses between 57 items of the SIS and 31 second-level categories of the ICF were conducted. The problems in domains of "Mobility", "Activities of daily living", "Hand function", "Strength" in the SIS had moderate agreement when compared to ICF categories. The SIS domains of "Emotion" and "Communication", as well as some aspects of the "Memory" had slight or fair agreement with corresponding ICF categories. The results of the study suggest that there is acceptable agreement between persons after stroke and health professionals in the physical aspects, but rather poor agreement in the cognitive and emotional aspects of functioning.CONCLUSIONS: Health professionals do not fully capture the magnitude of emotional or social problems experienced by persons after stroke when using the ICF Core Set as a framework for evaluation. Implications for Rehabilitation The ICF Core Set for Stroke provides comprehensive list of possible health and health related outcomes for persons after stroke. Problems reported in condition-specific patient-reported outcome scales can be important in decision making in rehabilitation. Patients and health professionals tend to agree more on physical than cognitive problems. Examination of the relevance of the ICF cores set for stroke by comparing with the Stroke Impact Scale.
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| 5. |
- Paanalahti, Markku, 1961, et al.
(författare)
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FUNCTIONING AND DISABILITY IN COMMUNITY-LIVING PEOPLE WITH PERCEIVED COGNITIVE IMPAIRMENT OR DEMENTIA: A MIXED METHODS STUDY USING THE WORLD HEALTH ORGANIZATION DISABILITY ASSESSMENT SCHEDULE
- 2023
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Ingår i: Journal of Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1650-1977 .- 1651-2081. ; 55
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To explore how community-living people with perceived cognitive impairment or dementia and their next-of-kin perceive functioning and disability in major life domains. Methods: Individual interviews guided by the World Health Organization Disability Assessment Schedule (WHODAS 2.0) were conducted with 26 people with perceived cognitive impairment or dementia (age range 38–87 years) and 26 next-of-kin. Qualitative content analysis- and International Classification of Functioning, Disability, and Health (ICF) linking methods were used to analyse the transcripts. The perceived degree of disability in daily functioning was calculated and compared between people with perceived cognitive impairment or dementia and next-of-kin, using a Mann–Whitney U test. Results: A total of 38 of 47 (81%) established ICF categories corresponding to WHODAS items and 38 additional International Classification of Functioning, Disability, and Health (ICF) categories describing participants perceived cognitive and physical impairments, activity limitations and participation restrictions in interaction with the environmental factors were confirmed from the transcripts. The perceived disability of people with perceived cognitive impairment or dementia was scored higher by next-of-kin (48%) than by people with perceived cognitive impairment or dementia (16%, p < 0.0001). Conclusion: Interviews provided a comprehensive picture of participants’ perceived activity limitations and participation restrictions in the life domains cognition, mobility, self-care, getting along, life activities, and participation. For a better understanding of the impact of cognitive impairment on people’s daily lives, inclusion of the perspective of the next-of-kin and the factors that hinder or facilitate daily living in the community setting is necessary.
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| 6. |
- Paanalahti, Markku, 1961, et al.
(författare)
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Validation of the Comprehensive ICF Core Set for stroke by exploring the patient's perspective on functioning in everyday life: a qualitative study.
- 2014
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Ingår i: International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation. - 1473-5660. ; 37:4, s. 302-310
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Tidskriftsartikel (refereegranskat)abstract
- International Classification of Functioning, Disability and Health (ICF) core sets are short procedures to record and provide information on health. However, further validation is needed. The aim of this study was to validate the Comprehensive ICF Core Set for stroke by exploring the patient's living at home and receiving outpatient rehabilitation perspective on functioning in everyday life. Qualitative interviews of 22 patients with previous stroke in Finland were analyzed using the content analysis method: functional concepts that described the participants' perspective on functioning in everyday life were extracted from the interview transcripts and linked to ICF categories using ICF linking rules. Extracted functional concepts from 372 meaning units were linked to 115 of the 166 categories included in the Comprehensive ICF Core Set for stroke and to six additional ICF categories. Thirty-eight concepts could not be linked to the ICF categories. Sixty-eight percent of the second-level ICF categories in the Comprehensive ICF Core Set for stroke were validated. In total, 28 of 36 categories added to the Comprehensive ICF Core Set for stroke from the Core Sets for patients with neurological conditions in the acute and early postacute phases were not confirmed in this sample of individuals with stroke living in their homes.
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