Empirical analysis of the International Classification of Functioning, Disability and Health (ICF) using structural equation modeling
Braz. j. phys. ther. (Impr.)
;
20(5): 384-394, Sept.-Oct. 2016. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-828287
RESUMO
ABSTRACT Objective:
To empirically test the relationships proposed by the International Classification of Functioning, Disability and Health (ICF) among its domains.Method:
The cross-sectional study was completed with 226 adult patients with different health conditions who attended a Brazilian rehabilitation unit. The ICF components were measured with the following instruments World Health Organization Disability Assessment Instrument II, Functional Independence Measure, Participation Scale, Craig Hospital Inventory of Environmental Factors, and a protocol designed to gather information on body structure and function and personal factors.Results:
Structural equation modeling showed good model adjustment, GFI=0.863; AGFI=0.795; RMSEA=0.028 (90% CI=0.014-0.043). Significant relationships were found between activity and both body structure and function (standard coefficient=0.32; p<0.0001) and participation components (standard coefficient=–0.70; p<0.0001). Environmental and personal factors had a significant effect on the three functioning components (standard coefficient =0.39; p<0.0001; standard coefficient =-0.35; p<0.001, respectively). In contrast, body structure and function had no significant effect on participation (standard coefficient=–0.10; p=0.111) and health conditions had no significant effect on any of the functioning components, i.e., body structure and function, activity, and participation (standard coefficient=–0.12; p=0.128).Conclusion:
Some of the ICF’s proposed relationships across domains were confirmed, while others were not found to be significant. Our results reinforce the contextual dependency of the functioning and disability processes, in addition to putting into perspective the impact of health conditions.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Clasificación Internacional de Enfermedades
/
Personas con Discapacidad
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Braz. j. phys. ther. (Impr.)
Asunto de la revista:
MEDICINA FISICA E REABILITACAO
Año:
2016
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade Federal do Triângulo Mineiro/BR
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