Framework and Approach of Service and Guidance of Community-based Physical Activities Using ICF / 中国康复理论与实践

ABSTRACT

Objective:To explore the community-based physical activities using ICF and the WHO Guideline of Community-based Rehabilitation (WHO CBR guideline) to develop framework and guidance service at community level to promote community health. Methods:The ICF theory and approach of functioning, disability and health, and the matrix of WHO CBR guideline was adopted as a framework of community-based physical activities and inclusive development. Results:Participants can improve their physical functioning and exercise ability, also promote the development of healthy behaviors, mental health and wellbeing through community-based physical activities. There are benefits of community-based physical activities for the participants for their health, rehabilitation, education, career development and empowerment. Health service system in modern community will be established with the integration of community-based physical activities, health care and rehabilitation. Family-based physical activities for people with disabilities include kinds of community-based exercises in the form of Community-Family-Individual. It is important to provide activity guidance for people with disabilities at community and family. With the approach of individualized guidance, the specialized services, such as counseling, skill training, modification of sport environment and psychological counseling, and guidance, will be provided to promote the people with disabilities to develop healthy behaviors. Conclusion:A framework of community-based physical activities has been established model tailored to functioning and wellbeing using ICF. WHO CBR guideline has been adopted to promote inclusive development of community-based physical activities, health, rehabilitation, education, career development and empowerment to achieve community inclusive development and overall health. Family or dwelling based physical activities are kinds of community-based physical activities, which are proposed to provide individualized guidance for people with disabilities.