Gabriele Bartoszek1, Uli Fischer2, Stephan Clarmann von Clarenau3, Eva Grill4, Wilfried Mau5, Gabriele Meyer6, Ralf Strobl2, Rüdiger Thiesemann7, Stephan Nadolny8, Martin Müller4. 1. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Witten, Germany; Institute for Health and Nursing Science, Martin Luther University, Halle-Wittenberg, Germany. Electronic address: gabriele.bartoszek@uni-wh.de. 2. Institute for Medical Information Processing, Biometrics and Epidemiology, Ludwig-Maximilians-Universität München, Munich, Germany. 3. Center for Geriatric Medicine, CNS-Disorders and Mobility, Klinik Haag, Haag i. OB, Germany. 4. Institute for Medical Information Processing, Biometrics and Epidemiology, Ludwig-Maximilians-Universität München, Munich, Germany; German Center for Vertigo and Balance Disorders, Ludwig-Maximilians-Universität München, Munich, Germany. 5. Institute for Rehabilitation Medicine, Martin Luther University, Halle-Wittenberg, Germany. 6. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Witten, Germany; Institute for Health and Nursing Science, Martin Luther University, Halle-Wittenberg, Germany. 7. Faculty of Health, Chair of Geriatrics, Witten/Herdecke University, Witten, Germany; HELIOS Clinic Cuxhaven, Department of Geriatrics, Cuxhaven, Germany. 8. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Witten, Germany.
Abstract
INTRODUCTION: Joint contractures are characterized as impairment of the physiological movement of joints due to deformity, disuse or pain and have major impact especially for older individuals in geriatric care. Some measures for the assessment of the impact of joint contractures exist. However, there is no consensus on which aspects should constantly be measured. Our objective was to develop a standard-set based on the ICF for describing functioning and disability in older individuals with joint contractures in geriatric care settings, giving special emphasis to activities and participation. METHODS: The ICF-based standard set was developed in a formal decision-making and consensus process and based on an adapted version of the protocol to develop ICF Core Sets. These are sets of categories from the ICF, serving as standards for the assessment, communication and reporting of functioning and health for clinical studies, clinical encounters and multi-professional comprehensive assessment and management. RESULTS: Twenty-three experts from Germany and Switzerland selected 105 categories of the ICF component Activities and Participation for the ICF-based standard set. The largest number of categories was selected from the chapter Mobility (50 categories, 47.6%). CONCLUSIONS: The standard set for older individuals with joint contractures provides health professionals with a standard for describing patients' activity limitations and participation restrictions. The standard set also provides a common basis for the development of patient-centered measures and intervention programs. The preliminary version of the ICF-based standard set will be tested in subsequent studies with regard to its psychometric properties.
INTRODUCTION:Joint contractures are characterized as impairment of the physiological movement of joints due to deformity, disuse or pain and have major impact especially for older individuals in geriatric care. Some measures for the assessment of the impact of joint contractures exist. However, there is no consensus on which aspects should constantly be measured. Our objective was to develop a standard-set based on the ICF for describing functioning and disability in older individuals with joint contractures in geriatric care settings, giving special emphasis to activities and participation. METHODS: The ICF-based standard set was developed in a formal decision-making and consensus process and based on an adapted version of the protocol to develop ICF Core Sets. These are sets of categories from the ICF, serving as standards for the assessment, communication and reporting of functioning and health for clinical studies, clinical encounters and multi-professional comprehensive assessment and management. RESULTS: Twenty-three experts from Germany and Switzerland selected 105 categories of the ICF component Activities and Participation for the ICF-based standard set. The largest number of categories was selected from the chapter Mobility (50 categories, 47.6%). CONCLUSIONS: The standard set for older individuals with joint contractures provides health professionals with a standard for describing patients' activity limitations and participation restrictions. The standard set also provides a common basis for the development of patient-centered measures and intervention programs. The preliminary version of the ICF-based standard set will be tested in subsequent studies with regard to its psychometric properties.
Authors: Martin Müller; Gabriele Bartoszek; Katrin Beutner; Hanna Klingshirn; Susanne Saal; Anna-Janina Stephan; Ralf Strobl; Eva Grill; Gabriele Meyer Journal: Ger Med Sci Date: 2015-07-15